HomeMy WebLinkAboutApplicationGarfreld County
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,. CommunityDevelopmentDepartment
,, f 1, : ,- Glenwood Springs, CO 81601
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TYPE OF CONSTRUCTION
l_l cornr"rcial/M ulii-Family [-lDemolition
|llneroof
970 948-5007
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Manufactured Home or Tiny Home (Single or Multi-Level)
Residential {SF, Duplex or Townhome)
flAccessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property owner: Rick & Jennifer Jablonsky Phone:
Mailing Address: 306 County Road 340, Parachute, CO 81635
Emait Addresr. rjablonsky@msn.com
Contractor:self Phone: (
Mailing Address
Email Address:
Architect: Apex Design & Drafting
Gnict.Co,rvt
Mailing Address
prrone, { 970 ) 812-161 3
398 Silver Creek Lane, Grand Junction, CO 81504
Emait Address. support@apexhouseplans.com
Engineer:Kevin A. Wentland Phone 208 695-4787
Mailing Address:
Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
PROJECT DETAILS
Emair Addres' kwentland@eng i neeredssi.com
Describe Work:Building a new single family residence
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JobAddress; 306 County Road 340, Parachute, CO 81635
Assessor's Parcel Number 24070340001 0
,uo. Morrisania Ranch Lot 130 Btock
-
Owner's Valuation of Work:350,000.00 Property Size (5q. Ft. or Acres):
5q. Ft. of Building:3211 Height:21'8"# of Floors: 1
Class of Work:r'
r'
10.7 Acres
EW Addition
Garage:Attached
RemodellAlteration
Detached
PROJEgT
Septic:
Driveway
Permit:
Community
lilExemot
I here 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 vlolation 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.
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Property owner Print Date
I ]WTS
Electric OtherPropaneType of Heat:ral GasI
Permit #:
Authoritv. This application for a Building Permit must be signed by the Owner of the property,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application'
l-egal 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.
described above,
OFFICIAT USE ONLY
6ee atbAehy't rtaz/SSpecial Conditions:
Manu. Home Fee:
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Misc. Fees:
RpSA> t,gg'iTnu:vT ITHE'"EAdiusted Valuationa-
J35.n,25.'tt
fftre-$$q OWTS No:gfr'-801e)ii,t-r'hc
Balance Due:- -1755,5c37Total Fdes:
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Setbacks:ok OCC Group:Const.
&,/r?y1hBUil-DrNG / PLANNING DIVISION :
Signed Approval Date
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Gurfrcld CoantY,
BTJILD/ING DEPARTMENT
708 Eighth Street Suite 407, Glenwood Springs, CO 81507
Tel: (970) 94s-8212
P REVIEW H K
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Permit No:
Building lssues Planning/Z oning lssues
/u/z/
Surveved Site Plan
sEbr-U-23-fu7A
Septic Permit and SetbackS
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Grade/Topography 30%
Attach Residential Plan Review List
File Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
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Parcell Schedule' Nd'. "
BuildingHeight, . ,extsizba b/d?59
zoningsig{otf '
Road lmpact Fees 6ED
Gradel TopograPhY 40%
Planning lssues / 7Ura*
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