HomeMy WebLinkAboutApplication.pdfGarfield County
JU'~ 1 8 201~ommunity Development Department
' 108 8th Street, Suite 401
GARFIELD COUN1YGlenwood Springs, co 81601
")MM UNITY DEVELOPMENT (970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
D Comm e rci al/Multi-Family I D Dem o litio n
D Manufact ured Hom e (SF or Du pl ex)
is;J' Re sid ential (SF, Duplex, or To wn home) I D Re roof
INVOLVED PARTIES
Property Owner: H 1 ke .. --1 J' o-.n~-l C cl 1 lcA c>.h Phone : ( 8 t-11 )~2=-=-_.__-><-><__,_,......___,
Mailing Address : L-S -tre.~:f-i l
Architect: __________________ Phone :( __ -------
Mailing Address:----------------------------
Engineer: __________________ Phone:( ________ _
Mailing Address:----------------------------
Manufactured Home Installer: ___________ Phone : ( ________ _
Mailing Address:----------------------------
PROJECT NAME AND LOCATION
Job Address: ·7 I ---''---'----L-'-.!...L...J~==-..::...._--'--=.....c..i.--_,,.'-"-"..........,"-"'-'-""""""'"""'-'-=--=""'---lo. ............ ....U.....::=-.------1
Assesso r's Parcel Number: Sub . lJ s re. O C \e. 11J\ Lot Block
Owner's Valuation of Wor~ 1J I Y 6 0 D -!. 1... Property Size (Sq .Ft or Acres):------;
Sq.Ft of Building : _______ Height : ______ #of Floors : ____ _
Garage:
Septic:
Type of Heat :
Attached
D ISDS
~a tura l Gas
Driveway Permit : D Exe mpt
D Det ached
D Prop ane D El ect ric D Ot he r
D Pe r mit #: -------
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, de sc ribed 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 Divi si on .
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 Wa stewater Discharge Permit.
Void Permit. A Building Permit become s 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.
11 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 (su bmittals), ba sed 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 . In consideration of the issuance of the Building Permit, I ag ree 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, ISD S
regulations and applicable land use regulation s (County Regulation(s)). I acknow ledge 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 comp li ance 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, di scovered 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, omission s or discrepancies. As the
Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulation s
rest with me and my authorized agents, including without limitation my architect desig ner, engineer and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
is correct and accurate to the best of my knowledge.
' 1 Date I
1 r ] i <-)
l
Special Conditions:
Adjusted Valuation: Plan Check Fee: Permit Fee : Manu home Fee: Misc Fee~ \ {)r
h 77 5 , 1!9 10 .51 '??9. z.5 "1 \ {i
Total Fees: Fees Paid : Balance Due: BP No: ISDS No:
2-2-9. 7 /:, t 6~. Z-1 75.5.f' f3U2E-3l1D \J \ (>\
Setbacks: OCC Group: Const Type: Zoning:
I..) 'I( J;JZ<, ..:rrzc PlAD
BUILDING/ PLANNING DIVISION : __ ...._/j,,,.~l'":-''""~-------->'~~--· __ _
7si;ed tPPrOVal" Date 7
Building Plan Review
Description of Work: master bath remodel and closet remodel
Bin #:
Location Address: 71 PRIMROSE RD
CARBONDALE, CO 81623
Case Manager: David Bartholomew
Plan Case Number: BLDG-6-14-7977
Parcel: 239319111001
Application Date: 0&'20/2014
Building
__ r-J .. ~..._// __ Engineered Foundation
---+---Driveway Permit
---+---Surveyed Site Plan
---1----Septic Permit and Setbacks
__ ......._~_Grade/Topography 30%
_____ Attach Residential Plan Review List
___ / ___ Minimum Application Questlonnare
___ /:...__ __ Subdivision Plat Notes
__ fV_,_'/_lt __ Fire Department Review
l
___ / ___ Valuation Determination/Fees
/
----~Red Line Plans/Stamps/Sticker
__ / ___ .Attach Conditions
_ _.,./ __ __,Application Signed
___ / __ Plan Reviewer To Sign Application
_ __._/ ___ ,Parcel/Schedule No.
__ J.<'-')'---11 __ 40# Snowload Letter -Manu. Homes
__ /J....,,,_1_A __ Soils Report
Monday, June 30, 2014
Contacts
Owner: Mike & Janet Colleran
Applicant: Mike & Janet Colleran
Applicant Phone: (847)224-8348 Email:
Planning/Zoning
--~-+1t __ l}_.Property Line Setbacks
3 Oft Stream Setbacks
F Iood Plain
B uilding height
z oning Sign-off
Road Impact Fees
OA/ORC Approval
G rade/Topography 40%
p tanning Issues
-----Subdivision Plat
General Comments:
t//b~J,p1
~ (Y:; {f()
1 81 x35-.:;J-£/5~S,-
The Building Division 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.
Prop
6 /z,oUi /!()..rt'
rint and Sign/!
I
Date ' I