HomeMy WebLinkAboutApplicationDocuSign Envelope lD: 641 57A85-9363-433D-AE 18.-2887 5F 5DB24B
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ole4s-82L2
www.ga rfield-countv.com
Garfield Coanty
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
4
Phone: ( 970
)
274-2619
Email Address:westernd rywa I lstucco@outlook. com
P.O. Box 373, Silt, Colorado 81652
INVOTVED PARTIES
Ceferino HerreraProperty Owner:
Mailing Address:
contractor: Property Owner Phone: ( )
Mailing Address
Email Address:
Architect: Eric Rewinkel 970 31 9-8534
203 Deer Run, Carbondale, CO 81623
Phone:
Emait Address. ericr@esopris.com
Mailing Address:
Address: 45705 Highway 6, Glenwood Springs, CO 81601
471-9912
Email Addres* joe@soundstructural.com
Mailing
970Engineer:Sound Structural Phone:
Email Address:
Phone:Manufactured Home lnstaller
Mailing Address:
PROJECT DETAITS
Job Address: Lot 5, Four Mile Ranch Subdivision, Glenwood Springs, CO
Block
2.053 acres
Height:
2t84n3 tb005
Owner's Valuation of Work: 5 500,000
w0tt
2
tot 5
5,1 99
CL'C'
Property Size (Sq. Ft. or Acres)
# of Floo
Assessor's Parcel Number
5ug. Four Mile Ranch
Sq. Ft. of Building:
Describe 1111or1. New Residential Home
,/Class of Work: ;New Remodel/Alteration Addition
{Garage Attached Detached
DocuSign Envelope lD: 641 57485-9363-433D-AE 1 8,-2887 5F 5DB24B
PROJECT DETAILS CONTINUED
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. 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
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.
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
desi frQ neer 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.
by:
Lt/3/2023
Prope d Sign Date
ISeptic:CWTS Community
Type of Heat:Natural Gas Propane I Electric Other
Driveway
Permit:
Exempt Permit #:
NOTICE
\-OFFICIAL USE ONLY
06. aEbaclrr) AN > / T / A /V SSpecial Conditions:
Permit Fee: ,P2'71o3,8 Manu. Home Fee:Misc. Fees:
RtFtrBD 2_-7oZ
Adiusted Valuation:
4lE_ 240.?Z ,I',T?Tn,"3
Bal-ance Due:??A.7bL
BP No:Kntr-SSr.lTotalfees574,55q
Fees Paid:h.q\ -3t
OWTS No: t
KSetbacks:
o
OCC Group:tRc
f const' tto"iRc-t"E'
hil,'Mt 5-b-2+BUILDING / PTANNING DIVISION :
Signed Approval Date
DocuSign Envelope lD: 64157485-9363-433D-AE1 B-28875F5D8248
Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Otficial that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
by:
LLlslz0z9
nt and Sign Date
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Garfteld CountY
B'IILDING DEPARTMENT
708 Eighth Street, Suite 401, Gtenwood Springs, CO 87607
Tel: (970) 945-8272
P NRE VI EW CH CKLI ST
Permit No: BL-RE _ / /-A 6-St/dO
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Parcell Schedule No.
40# Snowload Letter - Manuf,
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Property Line Setbacks
35 ft. Stream Setbacks
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Building Height
Zoning Sign-Off
Road lmpact Fees gB>
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
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