HomeMy WebLinkAboutApplicationDocusign Envelope I D : F9647EE2-C25E-4D48-87 BF-83 1 0ABS 1 8D26
Com munity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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www.ga rfi eld-countv.com
TYPE OF CONSTRUCTION
Garfield County
BUILDING PERMIT
APPLICATION
I DemolitionCommercial/M ulti-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARTIES
Property owner: Bryces Valley Holdings, L.L.C.Phonel 801 791-9910
Mailing Address 420 Fifth Avenue, 5th Floor, New York, NY 10018
Email Address:
Contractor:A&J Earthworks, LLC Phone: ( 970
)
61 84468
Mailing Address:634 County Road 296, Rifle CO 81650
Email Addressr jjtra nsporti n gse rvice @g ma i l. com
Architect:Phoner
Mailing Address:
Email Address:
Engineer:Phone:
Mailing Address:
Email Address:
Manufactured Home Installen Phone:()
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:Demolition of residence
Job Address:2440 Highway 13, Rifle, CO 81650
Assessor's Parcel Number:21770410001 1
Sub.Lot Block
Owner's Valuation of Work:33,000 Property Size (Sq. Ft. or Acres):16.26 acres
Sq. Ft. of Building:1736 Height:# of Floors:
Class of Work:New Remodel/Alteration Addition
Garage:Attached Detached
Docusign Envelope lD: F9647EE2-C25E-4D48-B7BF-831 04851 8D26
Type of Heat:
Septie:
Other
Cnmmrrnitv
E lectric
Driveway
Permitl
PROJECT DETAITS CONTINUED
Natural Gas Propane
Permit #:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
LeEal 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of lssuance and lf work ls suspended or abandoned for a perlod of 180 days after commencement.
CERTIFICATION
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 issr-red 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Officialfrom: (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
acceptanceof responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, 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 aecurate to the best of my knowledge.
Bryces Valley Holdings, L.L.C., by Jill Preston, Vice President @b--- Octobet 7,2025
Property Owner Print and Sign Date
q q]OFFICIAL USE ONtY
T
Special Conditions:I
otsTff'""''""'Plan Check Fee:t5l lI Permit Fee:a^S.Y\ "'Manu. Home Fee
it\\ l4 ,m,Misc.
[\
Total Fdei:
#(F)"co $s'*Balance Due:#64 u'BP No: 7
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Setbacks:
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Signed Approval