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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION _❑ Commercial/Multi-Family ❑ Residential (SF, Duplex, or Townhome) 0 Manufactured Home (SF or Duplex) 0 Grading O Demolition O Reroof INVOLVED PARTIES Property Owner:+ Mailing Address: 15 3.3 4; A L , `-.a..nR Contractor: Mailing Address: Architect: W 1 a t4 z39L\ Rey 6-0 Phone: (S3I ) 4.51 Da Ile .cz�•• e1 c.liy , e k 31 .2-q Phone: (ql O ) 2,20, a- , 1“6-'65 Phone:( Mailing Address: Engineer: Phone: ( ) Mailing Address: Manufactured Home installer: C F vr\ .Zns \41—Loon xq 7., Phone: ((17 ) .2.61-16 3 2 - Mailing Mailing Address: (.q ` -'0 K\ A .. 'fir, (3.oSe l r0 . Ss 01 o 1 PROJECT NAME AND LOCATION Describe Work: pic,�+h� Q sr‘e1i21"_ Job Address: ? ar ce Assessor's Parcel Number: 2' y7oqiot.oS __ Sub. Lot Block Owner's Valuation of Work: $ ) y 2 13 Property Size (Sq.Ft or Acres): 2'N. Sb AC 1 � Sq.Ft of Building: I / S Height: ( S Co # of Floors: 1 Class of Work: Garage: Septic: Type of Heat: Driveway Permit: JNew 1KAttached ElriSDS 0 Alteration 0 Natural Gas 0 Addition I' Propane 0 Exempt Grading Square Feet of Earthwork O Repair 0 Move/Relocation O Detached O Community 0 Electric O Permit #: 0 Other Cubic Yards of Earthwork 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 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. 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 land my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, !SOS 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. I hereby acknowledge that 1 have read and understand the Notice and Certification above as well as hamrovided the r ired infor ion which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: x 1, 0610.00 Plan Check Fee: 2.27.01 Permit Fee: 3 4/. 23' Manu home Fee: LlDO. v D Misc Fees: �- TotalFees: 17(2..Z.-49 Fee(s� Paul:: PS'ia l BalancefDue: n.r 5.;5" BP No: ISDS No: iel Sl lY-22819- Setbacks: ,, , if -25;0g 10 OCC Group: ��[i Const Type: Z g: BUILDING DIVISION : • ed Approval Date / - 700 PLANNING DIVISION: e ....1111111111k:-�� 6)� Signed Approval Date Building Pian Review Description of Work: new IRC modular on foundation Bin #: Location Address: 650 CR 339 PARACHUTE, CO General Information rCase Manager: David Bartholomew Plan Case Number: BLDG -5-13-7550 Parcel: 244704100052 Application Date: 05/03/2013 Contacts Owner: Bill Colohan Applicant: 13i11 Colohan Applicant Phone: (831)659-4026 Email: 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 A./A Fire Department Review 7 / Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions z Application Signed Plan Reviewer To Sign Application ParcellSchedule No. 40# Snowload Letter - Manu. Homes Soils Report 7 Planning/Zoning Property Line Setbacks 30ft Stream Setbacks r' Flood Plain Building height toning Sign -off Road Impact Fees HOA/DRC Approval GradelTopography 40% Planning Issues Subdivision Plat General Comments: Nl4 C ` )5 'tee 07X44 //B8 la'9.00a 69Z. o!o 6701v e ?41X2¢7 57646k/6.00 /0, 36g. Monday, May 20, 2013 NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. 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.) 1 hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. ad:4444/7 r Property Owner Print and Sin Date