HomeMy WebLinkAboutVOID-Applicationt
Communiry DeveloPment Department
RECENE& 8th street, suite4ol
Glenwood SPrings, CO 81601
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fiPE OF CONSTRUCIIoIU
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Gar.field County
BUILDING PER:MIT
A.PPLICATION
Manufactured Home le or Multi-Level
ReroofTlex or Townhome)Residential D
- MAXTMUM SIZE OF 1,000 squARE FEETDwelliUnitADU
Property Owner:
Mailing Address:
JIM RAITT
P.O. BOX 1774 GYPSUM, CO 81637
t g7o | 977-0161 g
Phone
Email Address:smclean@colorado.net
Phone: ( 970
)
471-2121BROCK CIVIL, LLC
Email Address:vern@brockcivil.com
Contractor:
PO BOX 3644, EAGLE, CO 81631Mailing Address:
Architect:
Mailing Address
Email Address:
970 | 471-2121VERN L. BROCK, P.E.Engineer;
PO BOX 3644Mailing Address:
Email Address:
manfIA(Manufactured Home lnstaller:
Mailing Address:
Email Address:
pre nufa
DETAITS
chan gr
structural or
Hwy
RemodeUAlterationNew
Attached
Phone: (
0.469 Ac
18 FT
Descri
Height:
Garage:
#of .11 576 SF
Property Size (Sq. Ft. or Acres):
Addition
Detached
building zoned commercial to
egress changes, adding a full bathroom, remodel kit.
Glenwood Springs, CO 81650
1009
Ownerrs Valuation of Work:
Job Address:
Assessor's Parcel
Van RandSub.
Sq. Ft. of Building:
Class of Work:
tot 9 Block
-
PRO'ECT DETAITS CONTINUED
Septic
Driveway
Permit:
NOTICE
Community
atural Gas
Permit #
Authoritv. This a
or an authorized
pplication for a Building Permit must be signed by the Owner of the prope
agent. lf the signature below is not that of the Owner, a separate letter of
rty, described above,
authority, signed bY
the Owner, must be provided with this Application'
tegal 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
T OtherElectricPropaneType of Heat:
I hereby certify that I have read this Application
understand that the Building Division accepts th
and that the information contained above is true and correct. I
e 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, lagreethat land myagentswill
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)). 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (L)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) orfacility(ies) if such is in violation of County Regulation(s) oranyother
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
er neer and/ or builder
I hereby acknowledge that I have read and understa nd the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
s f?^'zg L€
Property Print and Sign Date
/zozz-OFFICIAT USE ONIY ?D.{t.t*{ c.c.ol oC
See a*be&edSpecial Conditions:
/
Man Fee:u.
M A
PermitPlan
BP No:
BL("E--ILq D
^J
,{
Balance Due:rllFees Paid:
$q tr.+{4?t3l,
Adjusted
Total
Zoning:c. e
Const.OCC Group
ISetbacks:
3-l-27-h/),'rfL.BUILDING / PLANNING DIVISION
Signed Approval Date
Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite /W7, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLA NR EVI EW CHECK LI T
Permit No: S/RF-O| -2;Z- 7Z?A
Building lssues Pl a n ning I Zoning, lssues
t rmhfir{tilge ,r&yz*;/.ert'0ni?
Engineered Foundation
Driveway Permit
Surveyed Site Plan
ptic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Val uation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Kemdeb @ Seefs.f.
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
SummaDescri
t516s{. f ,u = adJ;/6k/ bldg
Velua,frbn I 5 &
Wrred glrLu]ural
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