The URL can be used to link to this page

Home My WebLink AboutApplication.pdfGarfield County Community Development Department ~ ~ CE J 108 81t1 Street, Suite 401 -... ~ • VE D Glenwood Springs, CO 81601 (970) 945-8212 AUG J 4 2Dl4 www.garfield-countv.com F CONSTRUCTION ~~i;.:....=:.~~:.!!:~~~-~~-~---r-=-----------------1 ommercial/Multi-Family D Demolition Manufactured Home {SF or Duplex) Res idential (SF, Duplex, orTownhome) D Reroof -~-~~------------~-----------~ INVOLVED PARTIES Property Owner:.S,o&'tc< fc«ma~ ?llao Me@1Uy Phone: ( Qla ) 3_ __ Mailing Address: .klJ l.?a.,/J.Gr R&. &;22 H 1 f'~. ??/Ge ::U Contractor: :fOs h Rei& Phone: ( ~ ) fijf. #o1 a il Mailing Address: p 0 ~ I). 08" (1,.bo ~aJ e C<!l . 8/Ce,;73 l Architect: __ _...u-..,/ ... A.._ ___________ Phone:(.._ __ ------- Mailing Address: _________________________ _ Engineer: __ (l.,..}~f""A"f-------------Phone: ( __ _, ______ _ Mailing Address: _________________________ _ Manufactured Home Installer: _~rJ....-...tl""'.q ________ Phone: ( __ _, ______ _ Mailing Address: _________________________ _ PROJECT NAME AND LOCATION ------------~-~-------~ Describe Work: R~lace rnen± LtJ:,oJOlc)~ roof c epa;c -fo coo£ p: lc..b c}c,°'3 :c: Job Address: · ~·~"~~- -SOI Assessor's Parcel Number: Q>.3 9A3td.I Sub. RancJ,@ R®'J Bid<1.ot /$ Owner's Valuation of Work: $ 161 (>00 Property Size (Sq.Ft or Acres): -..---.................. --1 Sq.Ft of Building: l;S8 () Height: #of Floors: __ Ql ____ _ Class of Work: D New B Alteration D Addition T pi Repair D Move/Relocation Garage: Attached D Detached Septic: OISDS Kcommunity Type of Heat: D Natural Gas D Propane Electric D Other Driveway Permit: la"Exempt 0 Permit#: ------- j r. NOTIQ: Authority. This application for a Building Permit must be 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 . LeHI 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 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. Vold 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. CERTIP.ICATION ---~ 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 1 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 agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Buildlng Code, ISDS regulations and applicable land use regulatlons (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(i es), 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 designer, engineer and/ or builder. __J I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required informa hlch Is correct and accurate to the best of my knowledge. Property Owner Print and Sign OF.PIGIAL USE ONLY Spe dal Co nditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: lt30CJD (1£_ Jl 7. s l l SI. Z) - Total Fees: eesPald: Balance Due: l!f.1!2: ~?9. O{:, )JI.Bl J 0 l . Z..5' Setbacks: OCCGroup: Const Type: .,, :i:~ ..:i:: f!-G, BUILDING/ PLANNING DIVISION : __ d.__ ....... ..,, ... ~=-----~-------~----- Slgned Approval Ml5CFees: ~: Zoning: D~te ) Building Plan Review Description of Work: replacement window and roof repair to include roof pitch change Bin#: Location Address: 75 STAGECOACH CIR CARBONDALE, CO Case Manager: David Bartholomew Plan Case Number: BLDG-8-14-8040 Parcel: 23933621SOJ3 Application Date: 0811412014 Building _ .... fJ ...... {_lt ___ Engineered Foundation I ______ Driveway Pennit --+----Surveyed Site Plan _____ Septic Pennit and Setbacks _____ Grade/Topography 30% I __ _,.. __ Attach Residential Plan Review List / _____ Minimum Application Questionnare __ / ___ Subdivision Plat Notes __ f0_/_A __ Fire Department Review ___ / ___ Valuation Detennination/Fees / -----Red Line Plans/Stamps/Sticker / _____ Attach Conditions __ / ___ _.Application Signed / ____ _.Plan Reviewer To Sign Application __ / __ _.Parcel/Schedule No. __ M_,:...~_11 __ 40# Snowload Letter -Manu. Homes __ 6_/_A_ ... Soils Report Wednesday,August20,2014 Co nti1 ::ts Owner: Sandra & Alan F11111cis & McNeilly Applicant: Sandra & Alan F11111cis & McNeilly Applicant Phone: (970)279-4200 Emall: Plannin9'Zoning __ (')_,_/_A _ _.Property Line Setbacks I _____ 30ft Stream Setbacks ---+---Flood Plain _____ uildlng height ------oning Sign-off ____ __. oad Impact Fees __ ......., __ ,.,OA/DRC Approval ---+---Grade/Topography 40% ____ __,, lanning Issues -----subdivision Plat General Comments: V.1 /aA-ltflll ;;0.000 ~If-? su;1H1ffetf /