The URL can be used to link to this page

Home My WebLink AboutApplication.pdfs c 7-_11EZel County 1 108 8th Street, Suite 401, Glenwood Springs, CO 81601 Ph•970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 www.garfield-county.com BUILDING PERMIT APPLICATION 1 Parcel No: this information is available at the assessors office 970-945-9134) 239 �S . 54)2.15.024. Lot No: Block No: S bd./ Exci r r n: � 2-'I- taLt �; �'�1W �+ 4 2 JobAddress: (i a • address has • been asci zed, provide CR, H or Sir et Name ( Ci • r and legacri on ��V11 d i ♦ t. �l� / OIL ll �ok CC) 3 VIr: (propert::,....ZAMailin �1 "``� �S Addie " . to Ph: 303- -4co4 Alt Ph: nto • oelc ailinAddr�4 _i• 1" i� Zi .� Ph:A — 3 9Pal Setbacks: 5 Manufactured home installer: Mailing Address: Ph: Lic #: 6 hiteo�t��() ``�� ailing prj�re �C Q 11 --;""I � `Phh Alt Ph: 7 Engineer: �t Mailing Address:-- Alt Ph: 8 Sq. Tt. ulding: Sq. Ft. or Acres of Lot: Height: No. of Floors: 9 Use of Building: sid ntial DOther Class of Work: ❑New Alt ration DAddition ❑Repair ❑Demo ❑Move 10ribe ��❑CCoommercial Wo 1sels mWs Atk , .- eil f ��r� iN 0 I 1 Garage: tached DDetached Septic: �/ ❑ISDS kQComtnunity ///��\ Type of Heat: Nat. Gas Propane DElectric DOther 12 Drive ay Pe� i Owners valuation of Work: ��'+D� NOTICE 1 Authority. This application for a Building Permit m signed by the Owner of the property, described above, or an authorized agent If the signature below is not that of the Owner, a separate letter of authority, signed by 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 Department. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS 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 1 have read this Application and that the information contained above is true and correct. I understand that the Building Department 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 Department. In 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, ISDS 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 structurc(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. 1 hereby grant permission to the Building Department to enter the property, described above, to inspect the work. 1 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 stnrcture(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 Department 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 m .rchitectdesigner, engineer and/ orbuilder. 1 HEREB C GE THAT 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: �1 f 61 .afer\ I ^ At 1 Q. *� I1♦`� �� NSA OWNERS SIGNATURE DATE �f 7. l I.4 I sy ig m -L -c . t 1 STAFF USE ONLY Special Conditions: Adjusted Valuation: 50 WO, Plan Check Fee: 4 t 8. Sty Permit Fee: 6 3. 7S Manu home Fee: , Misc Fees: ,®-- Total Fees: 106 z. fel Fees Paid: L//5 4y Balance Due: 6 L43, 75" BP No & Issue Date: ISDS No & Issued Date: -Z11°1 OW. Setbacks: OCC Group: —rg-C- Const Type: .SRC Zoni e!.4.A.D L� . ll e.-s�e�.1 '/7424/ ;VG D • vytn.• 7/V0/AP ROVAL DATE APISROVAL DATE NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official 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 department will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or Road Impact 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. •*--) 1-[ 1 C'F•EDx-- (- Signature o Owner Date +s c eaS Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.qarfield-countv.com Contacts Building Plan Review Description of Work: remodel Bin #: Location Address: 000315 STAGECOACH CIR CARBONDALE, CO General Information rCase Manager: David Bartholomew Plan Case Number: BLDG -7-11-6930 Parcel: 239336215027 Application Date: 07/11/2011 Owner: Robert & Virginia Bayless Applicant: Robert & Virginia Bayless Applicant Phone: 303-777-7007 Email: Building Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions pplication Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height Toning Sign -off Road Impact Fees HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat General Comments: 0/u,�day'^ fleas// e- ±--- T_li__ /D6z, i9 isfiR yiB-yy