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Home My WebLink AboutApplication.pdfllECElV Garfield County Community Development Department JUL 2 1 10'~ GARflELD coUNn' \ .. ')MMUNliY OEVF..LOPME.N I 108 3 th Street, Suite 401 Glenwood Springs , CO 81601 {970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION ,D Commercial/Multi-Family ft Manufactu red Home (SF or Duplex) L~ Residential (SF, Duplex, or Town home) INVOLVED PARTIES Property Owner: _Ia .M i l A,,(;1 v /Ci I D I D J Mailing Address : V' 0 dci4 !1 6 1 r- Contractor: /VJ . IL c_ I Sc <"II.' C.<!. 5 Mailing Address: lk;P. Demolition Re roof Phone: t..2_~ _ _) 31)9 96..~< .do<"-ll l..c (' <) ~ /,/, -2 1- Phone:(~) 2 t'. Yi.5'6 1 9 ~so 1&'5./g, !LL 4~~~4 Wi"' .,..., t r C" rboNor< c ~(o 0 ul.. ._,, Architect: Phone: ( ) Mailing Add r ess : ·---... Engineer: Phone: ( ) Mailing Address : Manufactured Home Installer: ~ Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION o~·:r~;:n J: ~~~~l~!J 14 cl Job Address: :i 9 // (<:J v tJ / \/ R,.., l'A d J"O 0 (;'(/,I" (i"·.f. L ;J f'o u 7L .. , Assessor's Parcel Number: Sub . Lot Block -- Owner's Valuation of Work: $ / / 4-, 1 I Z . --Property Size (Sq .Ft or Acres): Sq .Ft of Building : 1 Sb8~ Height: is' #of Floors: I Class of Work: ~ New I D Alteration ID Addi tion D Re pair I ~ Move/Relocation Garage: ~fr D Attached D Det ached ~DS t!">t lj/J ~ Septic : D Community Type of Heat : D Natural Gas I D Propan e I D Elect ri c I D Other Driveway Permit: D Exempt D Pe rmit#: 1 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 se parate 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 Perm it, (2) County ISDS Perm it, (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 App lication, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certifica t ion as to ac curacy. Assum ing completeness of the submittals and approval of this App li cation, a Building Permit w ill 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 t ha t I and my agents will comply with provisions of any federal, state or loca l law regulating the wor k and the Garfield County Building Code, IS DS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Bui lding Perm it may be suspended or revoked, upon notice from the County, if the location, const ruction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulat ion(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 submittal s, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or faci li ty(ies) if such is in violation of County Regulation(s) or any other app licab le 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, omiss ions or discrepancies. As t he 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 information which is correct and accurate to the best of my knowledge. Property OwnfrPri~d Sign Date OFFICIAL USE ONLY - Special Conditions: Adjusted Valuation: Plan Check Fee : Permit Fee: Manu home Fee: Misc Fees : 44, 112-. :-3BS .. 6 l 5C/?;t.S 400 . 60 NI A- Total Fees: Fees Paid : Balance Due: BP No: ISDS No: N lfr- 1378.86 l lt?3 ··J ( JZ.l515"~ BLMf-33 /)_ Setbacks: OCCGroup: Const Type: Zoni ng: ~ " I .J::!2-G ..J: ,zc_,, FZ~ fZZS, )/tJ BUILDING/PLANNING DIVISION,~,.&'~~ Signed Approval /c;ft-fj_f Date f llf 3.3>I Ut~ -u -14 Building Plan Review Description of Work: put manufactured hom e on exist ing foundation Bin#: Locatio n Address: 39 11 I 00 COUNTY RD CARBONDALE, CO 8162 3 Case M a n ager : Dav id Barth o lom ew P la n Case Numbe r : BLDG-7-14-8 017 Pa r c el: 239130300021 A p p li ca tio n Da te: 07/21/2014 Building __ / ___ Engineered Foundation --~-'-(_A-__ Driveway Permit ~l"51->J1 j __ / ___ Surveyed Site Plan Con tacts Own er: Ja ime A raujo A pplica nt: Jaim e Araujo Applicant Phone: (970)309-8653 / Email: Planning/Zoning / Property Line Setbacks . 7 30ft Stream Setbacks Flood Plain __ N._VA __ Septic Permit and Setbacks vettFy er1;//n5 / Building height / __ .L,./ __ Grade/Topography 30% --"'-/ __ Attach Residential Plan Rev i ew List ___ / __ Minimum Application Questionnare __ ~.._yA __ Subdivision Plat Notes __ N!....1 _A __ Fire Department Review __ / ___ Valuation Determination/Fees -~,/.__ __ Red Line Plans/Stamps/Sticker ----'-( __ -'Attach Conditions ----'-/ ___ Application Signed ___ / __ Plan Reviewer To Sign Application 7 _____ Parcel/Schedule No. __ / ___ 40# Snowload Letter -Manu. Homes __ / ___ Soils Report Friday, October 24 , 2014 Zoning Sign-off N(A Road Impact Fees /Jfr HOA/DRC Approval / Grade/Topography 40% / Planning Issues / Subdivision Plat General Comments : l41tt~;fm Cl1i-v.J/51t1ce,. !568 JPK f.¢ -;I/~/ 12, ~ f0r,f'11//'f'ttt/1m JI ~01 OtJtJ-;-~ §~pn111/-fd 7DTff l//1/«#111:? 1-1-// 2-, '5?-- / 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. ~ Property Owner Print and Sign Date