HomeMy WebLinkAboutApplicationGurfield CounQt
R€CFfvf::f.tommunity Development Department
tlA1l I ? .r',., 108 8th Street, Suite 401
' \' rular Glenwood Springs, co 81601It;J-ii,:l .?r..
l4rliijrri'r. 'i.,: . 19701945-82L2,t i : i:,., .; www.garfield_countv.com
WPE OF CONSTRUCTION
)t
BUILDING PERMIT
APPLICATION
Com mercial/M u lti-Fa mily Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
I IResidential (SF, Duplex orTownhome)Reroof )
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Address:600 County Road 216, Rifle, Colorado 81650
Steve Dahmer 618-6841Property Owner:
Emait Addresr. sdah mer44@outlook.com
970Phone:
Mailing
contractor: AJ Construction 379-3922
Emait Addresr. ajconstl @yahoo.com
Mailing Address: 35 S. Meadow Cir, Rifle, CO 81650
Phone:970
Address:830 Elk Run Rd., New Castle, CO 81647
Jim Hancock 970Phone:984-3234Engineer:
Mailing
Email Address:jim@townofgypsum.com
Email Address:tom@tomcolearch itect. com
Phone. (970 )401-3066
Mailing Address:POB 895, Grand Lake, CO 80447
Architect: Tom Cole
d re-roof entire house
1/New Remodel/Alteration Addition
Manufactured Home lnstaller Phone: (_)
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: Small laundry room addition to SW corner of house
JobAddress:600 County Road 216, Rifle, CO 81650
Assessor's Parcel Number:
,ro. Antlers Orchard
217905400614
Owner's Valuation of Work:72500
Sq. Ft. of Buildi
Class of Work:
tot A Block _
Property Size (Sq. Ft. or Acres):
g,1p;.rrr.1/bsm
8.9 ac
Garage:Attached
Height:
Detached
I
T
T
Driveway
Permit:
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
xempt Permit #
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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. Multiple 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 conrply 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 req
,--. f<u" {)
Property Owner Print and Sign
uired information which rect and est of my knowledge
*l'- /t --l /
the b
Date
OFFICIAT USE ONtY 1r
5@ albaM OnrVDt
{ \oo aoSpecial Conditions:
Adiusted Valuation:-i?i-a[fr.32 Mi '"nr;+
total F6es: ,brg.tb Fees Paid Balance
Q.'t
Pe Ma Fee
BP No:I3
OWTS No:
setaacE:K occ Group:
I RO ,""t.rrrf RL Zonins:
fA-
3*2VZBUtLDING / PLANNTNG DIV|S|ON :0,u1,',r4ln
Signed Approval Date
Gurfwld Coxnty
BUILDINo DEPARTMENT
108 Eighth street Suite 4o1, Gtenwood Springs, cO 81647
Tel: (970) 945-8212
PLA REVIE CHECKLIST
Permit No:6LBE-O?24-f/6K
Building lssues Planning/Zoning lssues
Engineered Foundation Property Une Setbacks
35 ft. Stream Setbacks
Surveyed Site Plan
^fA
Frood Prain
@''" Septic Permit and setbacks --u' Buitding Height n2lhhmi0/
Permit
Grade/ Topography 30%
Attach Residential Plan Review List
Subdlv-rsio* P lat t'lotes
Fire Department Review
Valuation Determ ination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance PathlPlan Recelved
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Zoning Sign-Off
Road rmoact Fees a- 5AA'sg
7/1r/7fl2$ /
Gradel Topography 40%
Planning lssues
A /*
COND
/
Su sion Plat
I
Descriptio n & Summarv:
trl.S 2Z+ x
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7# 68= /br?29.32
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