HomeMy WebLinkAboutApplicationZte. ~4f::)i-l72
108 8th Street, Suite 401, Glenwood Springs, CO 81601
Ph:970-945-8212 Fx:970-384-3440 Inspection Line: 888-868-5306
www.garfield-county.com
BUILDING PERMIT APPLICATION
SEP 1 2 2012
CJAH—I LU UOUN 1Y
qIJII_D?PIS' & PI.ANNINC
7
STAFF USE ONLY
Special Conditions:
Parcel No:(this'n o trn av illee at assessors or.s v ice 970-945-9134)
i 77
Lot No: Block No: Subd./ Exemption:
2
ddrr�is
Job Address: (i(fan address has not been assi�. ed, please rovide CR, NYYY or Street barite & Cates) r and legal description
f/ 'e res / 40 1,—S A"e'f 0��(1} 4� v f
3
OWner Oryperly owner)i
aberh : C �, . 7r-1-
t
Maili Ad ss:Ph:
/14(0, 1 '`— !2 C�
7p - to/S) ••7 79'9
Alt Ph:
1
r: ;lisp_ r ^; ,er�_•
�1 n</i rTts l�/��
Mailing Address:
cilD . � y��
Alt Ph.
5
Manufactured home installer:
Mailing Address:
Ph:
Lic #:
6
Architect:
Mailing Address:
Ph:
Alt Ph:
7
Engineer:
Mailing Address:
Ph:
Alt Ph:
8
Sq. Ft. rye B, t}ilet#g;
Sq. Ft. or Acres of Lot:
Height:
No. of Floors:
9
Use of Building
residential ❑Commercial ❑Other
Class of Work:
ew ❑Alteration ❑Addition ❑Repair ❑Demo ❑Move
10
Describe Work: hp -1.4_1R
11
Garage:
❑Attached ❑Detached
Septic:
DISDS ❑Community
Type of Heat:
❑Nat. Gas ❑Propane ❑Electric ❑Other _
12
Driveway Permit:
Owners valuation of Work:-�.‘.. . 1T
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lithe 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 Department.
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 Pemtit.
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 l80
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 Department 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 Department.
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, ISDS regulations and applicable land use regulations (County Regulation(s)). 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location,
construction or use of the structures) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
1 hereby grant permission to the Building Department 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: ( I ) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the siructure(s) or facility(ics) if such is in violation
of County Regulation(s) or any other applicable law.
Review of this Application, intluding submittals, and inspections of the work by the Building Department 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 & CERTIFICATION ABOVE:
1
7 -- IZ
S IIG A URE DATE ///
7
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
275 353.6o
Plan Check Fee:
1286.58
Permit Fee:
) q -7q. 35
Manu home Fee:
Misc Fees:
Total Fees:
Cz.65 . °
Fees Paid:
/z y
Balance Due:
z,017.59
BP No & Issue Date:
ISDS No & Issued Date:
DP -4,33
Setbacks: / /
F.z, i , 'iz, 5/ 3
OCC Group:
-C
Const Type:
C
Zoning:
'L-.
•
p f /
P�iy�G cr`� l Z.
�APPPROVAL
rWAEP
APPR VAL DATE f// �'//'
DATE
Building Plan Review
Description of Work: Pool House
Bin #:
Location Address: 1404 2ND ST W
RIFLE, CO 81650
General Information
Contacts
Case Manager; David Bartholomew
Pian Case Number: BLDG -9-12-7381
Parcel: 217708300535
Application Date: 09/12/2012
Owner: Danny & Lori Snyder
Applicant: Danny & Lori Snyder
Applicant. Phone: Email:
Building
Engineered Foundation
Driveway Permit
rte'_ Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
lt
N` Fire Department Review
7
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
j A
40# Snowload Letter - Manu. Homes
r A Soils Report
PianningIZoninq
Property Line Setbacks
3Oft Stream Setbacks
Flood Plain
Building height
/
7oning Sign -off
Road Impact Fees
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat
General Comments:
Vild,rhof 27,, 355 6 a
Rev/ 7e iz86.5&
��� 3265•Q3
Adiq
s 203 7.5?
Wednesday, September 26, 2012
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 department 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.
ey, fildt /4 rkt-76
2-iti 2—
ig -ture of O ndr ate
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-county.com