HomeMy WebLinkAboutApplication.pdfGarfield County
n ' 'Community Development Department
108 8th Street, Suite 401
OCT 1 U 1014 Glenwood Springs, CO 81601
Ai?FI[ LD COUN I Y (970) 945-8212
"A!I14,UNIT" WWw.garfield-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Property Owner: j G.. - ` 5 Phone: ( c17 9) b 9-5 . /2/6
Mailing Address: PO Box /5'8 k/► nel i 7'-1-rx '11/252
•
Commercial/Multi-Family
•
Demolition
•
Manufactured Home (SF or Duplex)
(°b6 ) 9t6-- 5)36
Mailing Address: Pb Jvk 3` a Cate.)A,k -rte, -)eCt
CO ..L 2_
g
Residential (SF, Duplex, or Townhome)
•
Reroof
INVOLVED PARTIES
Property Owner: j G.. - ` 5 Phone: ( c17 9) b 9-5 . /2/6
Mailing Address: PO Box /5'8 k/► nel i 7'-1-rx '11/252
Contractor: ,b f'\ v - v\ (..CA -4-1\-', tp‘,A Phone: (' q)(..) ) t 6-1562-
MailingAddress: Re K. 7--3t1 ,i.tRu...n5 .3er,,,iq g Lo -1 6(>7-
(>2Architect:
1
Architect:1 fr.vvl (,.�cty eA-' ( Q , r
Phone:
1I.55.
(°b6 ) 9t6-- 5)36
Mailing Address: Pb Jvk 3` a Cate.)A,k -rte, -)eCt
CO ..L 2_
�
Engineer:(C'u 4 (--n / t -t\3 ; Afi-et Il
Phone:
( 76 ) Ti 5 r-5 iN
Mailing Address: C //,e- '3S GO -CS
Manufactured Home Installer:
Mailing Address:
Ai /A
Phone:
( _---)f—�
PROJECT NAME AND LOCATION
Describe Work: R ew b (ictifa ,... -S c CQt; IN 4)-\--6 ( a3 j_
A,
Job Address: 31czg'q .1 V-3- �0
5531 ►t d`$ Sub. F CC4 �- r,1 r-x`a�Lot JJ/,Q Block//4
Assessor's Parcel Number:
Owner's Valuation
Sq.Ft of Building:
t3'
of Work: $
2&1 On
6-'...'‘f,;.:._1>,iA 4' ii ta7Property
Size (Sq.Ft or Acres):
I' # of Floors: 0
4
Height:
.. --ti 3A
Z
AQ.
» New
• Alteration
Repair
Class of Work:
■Addition
•
■ Move/Relocation
Garage:
• Attached
,Detached
Septic:
• OWTS
A//f4
•
Community A//,[j
Type of Heat:
• Nat.irA
Gas
• Pr77
e
f {
•
■ El
7) c
• Other
,Exempt
Permit ft:
Driveway Permit:
.> 4:v\c-\
NOTICE
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.
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 (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.
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.
hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the re fired information which is correct and accurate to the best of my knowledge.
Property Owner Prj!t and Sign
/0//
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
43, 26ro el -
Plan Check Fee:
379. of
Permit Fee:
,5'83 15-
Manu home Fee:
.._-
Misc Fees:
Total Fees:
g62•zD
Fees Paid:
431N
Balance Due:
58 .13-
BP No:
OWTS No:
-3(ia3
iV n
Setbacks:
f25 Z5 spa '
OCC Group:
1 !Z�-
Const Type:
s (Z C-
Zoning
`
BUILDING / PLANNING
DIVISION : 0
/0-3/if
Signed Approval Date
a 10 •i6•15-
\)1_%
1h•<<s\) % as"
The Building Division will collect a Plan Review fee at time of application
well as any Septic or Road Impact fees will be collected when the permit
The permit application must be signed by the owner or by person having
to act as their representative.
submittal. The permit fee, as
is issued.
written authority from the owner
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.
Property Owner Pr t and Ign
Date
io) )61 1 Y
Building Plan Review
Description of Work: new detached garage for equipment storage
Bin #:
Location Address: 8984 CR 117
GLENWOOD SPRINGS, CO
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -10-14-81I5
Parcel: 239534100089
Application Date: 10/16/2014
Contacts
Owner: Diane Holmes
Applicant: Diane Holmes
Applicant Phone: (979)885-9218 Email:
Building Planning/Zoning
/ /
Engineered Foundation Property Line Setbacks
Ni Driveway Permit / 30ft Stream Setbacks
/ Surveyed Site Plan / Flood Plain
NY A/
Septic Permit and Setbacks Building height
/ /
Grade/Topography 30% Toning Sign -off
Attach Residential Plan Review List i\ -i( Road Impact Fees
/-)
Minimum Application Questionnare HOA/DRC Approval
Subdivision Plat Notes Grade/Topography 40%
N/A Fire Department Review / Planning Issues
1
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach ConditionsVA U
/
/ Application Signed
-l'43,200
Plan Reviewer To Sign Application 2/00 X /0' 00
Parcel/Schedule No.
P/4 40# Snowload Letter - Manu. Homes
/ Soils Report
Thursday, October 23, 2014