HomeMy WebLinkAboutApplicationL_"GuJield Ctturttl'i,'i:{.jl_::i
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ity Development Department
, i . i i i il l+qS 8th Street, Suite 401
' ',; ,ri,Qf,g4wood Springs, CO 81501
l970l94s-82L2
www.ga rfi eld-countv.com
ryPE OF CONSTRUCTION
Com mercia l/M ulti-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
itl Demolition
Residential (SF, Duplex or Townhome) ;f]] Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property Owner:lr\* llcu,' Ju
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Mailing Address: 2o?tl /z-. /?J, loq , hNg.
PhonertX?o I 1'l? oSqa
CA
'/AZIEmail Address:iKa raf,uc]
contractor:Fwvr Frv& t Lufr/ t1aryt llo'pnon r(?fu | ,tg1-2a"1
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Mailing Address:
Email Address:J
Architect:
Mailing Address:
Email Address:
Phone: tQ?o I 3?1 q237
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Engineer:
Mailing Address:
Email Address:
Phone: (*ot I SZ,7 'e tlSl
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Manufactured Home lnstaller:Phoner ( )
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:
BUILDING PERMIT
APPLICATION
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Job Address:k?4 .? . Ft. taq I huts , ltczl
Assessor'sParcel Number: 7<cIf tz,q OIOIO
Sub.'TolLor; 4oa,nos Lot I o Block-
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Owne/s Valuation or Acres):
:lSq. Ft. of Building:
Class of Work:
Garage:ed
ditionXrfl Remodel/Alteration
Detached
PROJECT DETAITS CONTINUED
Septic:
Type of Heat Natural Gas Propane
Driveway
Permit:
mpt
: NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. M ultiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other data
submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness
of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as
Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. ln
consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any
federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and
applicable land use regulations (County Regulation(s)). All County development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building
Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the
structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other
applicable law.
' I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring
the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the
structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this
Application, including submittals, and inspections of the work by the Building Division do not constitute an
acceptance of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I
acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with
me and my authorized agents, including without limitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Community
Electric
Permit #:
a-26-24
Other
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OFFICIAL USE ONLY
Special Conditions:
sea a {*a cAa./ A/Ub / T/aA/S
Plan CheckFee:qlq qa 'iluZ,""2u Manu. Home Fee:*r'".W2Adiusted Valuation:
6t/.5H, aa
Balance Due: ,zqqz.w BP No:
ww;-85qc
OWTS No:)-.feT-g'|r,/'"'fffi"rt ?lT,ilhu
const.rvpfbal
.,"nf{zSetbacks:o occ Group:
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3-25-2{BUILDING / PIANNING DIVISION r
Signed Approval
Atilir{/,
Date
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Garfield Coan$r
BUILDING DEPARTMENT
108 Eighth S1eet, Suite 401, Glenwood Springs, CO 87607
rel: (970) 94s-8212
PI.^AN REVI EW CHE CKLI T
0x*0e.2/-95/aPermit No:
Building lssues Pla n n i ng I Toning lssues
b*to
,_- ,r'. "*-ry
E*glneered Foundation
Driveway Permit
Su
Pr-dJ-2./- 867b
Grade/Topography 30%
Attach Residential Plan Review List
SuMivision Plat Notes
Fire Department Review
Valuation Determ ination/ Fees
Red Line Plans/
Attach Conditio
Stamps/Sticker
Energy @mpliance Received
4ana"-l
Plan Reviewer to Sign APP n
ParceU Schedule No
40# Snowload Letter - Manuf' Homes
K+A ea-7-bz4
Soils Report f2-Zg" 2OZ3
Gradel TopograPhY 40%
Planning lssues
Subdivision Plat
n io & Sum
,/----)
-/--7
Property Line Setba
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
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