HomeMy WebLinkAboutApplication.pdfGarfield County
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Community Development Department
108 8th Street, Suite 401
GA {r' Glenwood Springs, CO 81601
WAN ; k,1,0 1tiiT) (970) 945-8212
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www.garfield-county.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Property Owner:
Mailing Address:
pp
Pau 1 r Pia
is r" as r^eT P ; h k et Phone: ( el70 ) 32'7- h'5 1/5J
•
Commercial/Multi-Family
j •
Demolition
•
Manufactured Home (SF or Duplex)
Mailing Address: /36 &sT 77„rel 37. 1 -;{le Ca g/650
Engineer:
El
Residential (SF, Duplex, or Townhome)
•
Reroof
INVOLVED PARTIES
Property Owner:
Mailing Address:
pp
Pau 1 r Pia
is r" as r^eT P ; h k et Phone: ( el70 ) 32'7- h'5 1/5J
Pi) ApX /3 R ii/e c. 8/63-V
Contractor: Phone: ( )
Mailing Address:
r J
Architect: ,-)cP --11 01111 .501i Phone: ( f70 ) G25 —Da c&'O
Mailing Address: /36 &sT 77„rel 37. 1 -;{le Ca g/650
Engineer:
Phone:
( )
Mailing Address:
Manufactured Home Installer:
Mailing Address:
Phone:
( )
PROJECT NAME AND LOCATION
Describe Work:f �nrilr l,)usc,le4r 0-r house rrtc,10,0,11j, eo,,,Tew,,Ted Urtler fey-m,T
FPI- /0 -17(1- / 3 j'/, Ba en e i, .1{15(4/a7/00 1- HV& 1:741i sll rel Ulla(' brrelul ernm,f.
f
Job Address: 2" 5 y Cocur1Ty RD ad2 /0 17t Co cf/BSD 1
Assessor's Parcel Number:
Owner's Valuation
Sq.Ft of Building:
21770 110 0 y6.1. Sub. Millets Orti,aell dst -32 Block
of Work: $
/ `-� GJ
30, 000 Property
Size (Sq.Ft or Acres):
# of Floors:
11. y 3 l
Height:
Class of Work:
• New
QI Alteration
• Addition
■
Repair
• Move/Relocation
Garage:
I21 Attached
■
Detached
Septic:
® OWTS
•
Community
Type of Heat:
• Natural
Gas
IX Propane
• Electric
• Other
Driveway Permit:
lI Exempt
•
Permit #:
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.
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 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.
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
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 Building Code, OWTS
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 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 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.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required informati n which is correct and accurate to the best of my knowledge.
i/7y,
I<<ui Ir�;liKr
Property Owner Print and Sign
/0 -O)-/y
Date
Special Conditions:
Adjusted Valuation:
5-2, 769, zo
Total Fees:
74,4.7
Setbacks:
Plan Check Fee:
106, -
Fees Paid:
I II °D
OCC Group:
Permit Fee:
Balance Due:
664.75
EgL
Con
Manu home Fee:
st Type:
x�L
Misc Fees:
BUILDING / PLANNING DIVISION :/0/
/6/'‘
Signed Approval
Date
%,d- 10'7.1'160
1
Building Plan Review
Description of Work: finish basement
Bin #:
Location Address: 2959 CR 210
SILT, CO
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -10-14-8098
Parcel: 217701100462
Application Date: 10/07/2014
Owner: Paul Rinker
Applicant: Paul Rinker
Applicant Phone: 970-625-3695 Email:
N jA
Nf �
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
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
/‘)//0 40# Snowload Letter - Manu. Homes
0/1 Soils Report
Nf A
Planninq/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:
1/41e/1)41-1
%5.8-X52, 709, Z.
Thursday, October 16, 2014