HomeMy WebLinkAboutApplicationeGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
❑ Commercial/Multi-Family
❑ Demolition
O Manufactured Home (SF or Duplex)
111' Residential (SF, Duplex, or Townhome)
❑ Reroof
INVOLVED PARTIES
Property Owner: Phone: (l7 )
Mailing Address:Z333 -1 1-414D c9i4:4065 ,e E 163 11
Contractor: t Ctain
Phone: (glz7b
Mailing Address: ZZS 2$
Architect:
Mailing Address:
Phone:( )
Engineer: .W+0i4 ----�� Phone: (4(9 ) ' 5a---(
Mailing Address: sJ) -11$ ► I w� . 1 TO „ (90' 436
Manufactured Home Installer: Phone: (
Mailing Address: _
PROJECT NAME AND LOCATION
Describe Work:
Job Address: Z3
Assessor's Parcel Number: Zj47( 0
Owner's Valuation of W r : $ S L
cs
Sq.Ft of Building: S -04 -
Class
-
Sub. M-4 Lot MA-- BlockM 4_
Property Size (Sq.Ft or Acres): 1 SAazZS
Height: 'S Pt # of Floors:- k—
❑ Addition 0 Repair 0 Move/Relocation
Class of Work:
❑ New
0 Alteration
Garage:
0 Attached
Septic:
Type of Heat:
❑ ISDS
O Detached
❑ Community
0 Natural Gas
0 Propane
0 Electric
0 Other
Driveway Permit:
0 Exempt
O Permit #:
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 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)). 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 information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
Date
13 IJL
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
s
Plan Chgck Fee:
46g(.-I-•las.Q
PArmit Fee:
�zSC.ao
Manu home Fee:
\1\\.
Misc Fees:
Total Fees:
Fees Paid:
Balance Due:
BP Na
I5D5 No:
Setbacks: r•
L"2, �gz55/0
OCC Group:
-2Z c
Const Type:
eL
'
Zoning:
BUILDING / PLANNING
-J/✓
DIVISION : Gr`" " 11-5/-3
Signed Approval Date
ib\cb•� l t�.�"ts,
Building Plan Review
Description of Work: installation of two prefabricated carports
Bin #:
Location Address: 2339 CR 306
PARACHUTE, CO
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -8-13-7666
Parcel: 244710100022
Application Date: 08/13/2013
Owner: Fred Koster
Applicant: Fred Koster
Applicant Phone: (970)285-7487 Email:
,3/41
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
t/4
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
Road Impact Fees
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat
General Comments:
/ugh ZSo_ = /7g/
5Pe,
Thursday, August 15, 2013
QUA��lucosii
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Dealer:
22525. Interstate 40 •KnoxviHIe,AR. �
Retail to: P.O. BOX 100 Kilaxville,AR. 72845 K �l5
Business (479) 885-1258 Fax (877) 472-5097
Toll Frac 1.866-267.9790 Ext: 240 pD i K SSS
u1- 4'
Date. j7 72D
Sc i1.3,-.- i _Coountty:.
-•Ete.yet, NTahiet: >.I ' • I:.. : .- .�r_'_filY
' -"c,. . . / D 5 1 •
Buyer Address: ,2-339 6)) +1 Xe/.h 2c6.
ro
.'home (Day) .. - I- 19 2 R 7. - .(Eveniu
Unit Location f different from above) •
City:
Phone:
xz '
State: zip: g743. -
,'OPTIONS •CARPORT.(■.• UTILITY CARPORT CD • - GARAGE fes. . RED -BARN 0 . • CERTIFIED ►i
'REG. STYLE is da p IIx rte.
ISMATIfEtara
NON -CERTIFIED CI
-- iBID )PIENGT1•i:: ; , .'.: !, %,;'FRAME)kENGTH • .
• G11BLE•ENOS •
BACK ❑ • - 'BOTH (�
COLOR `
VERTICAL SLOES 0
CLOSED ENDS
VENSWEll
EXTRA PANELS
EXTRA BRACES
MOBILE HOME ARCM
CONCRETE ANCHORS
0
VERTICAL ENDS LJ
E��IliI�1
'HOW MANVE,!..'"• +I�::•!-•::!-: Irl r!'•
HOW MANY?:
COLOR:
HOW MANY? size
How MANY?: - sizes
HOW MANY?:
E AL Doo
HOW MANY? -
(JUTE: OrdC's t':i11 nc
t}c
II, Ali I :.
belle• cc, cr.1s
101.c M sale price.
ELECTRIC TY IAVA!LAPLE YDS
Nates INST. CEMENT
GFROUNr. _
OTHER l-1
Mings yOu shout l�!rJneiiliv aT `;,) R :vlrc f s: .- S
Please inforrtl ilistaliers`of ally underground debits; gas lin ; or an'othdr ittilitylines: If utilitiesare-not Marked, we Will not be liable for damage.
We will not-be-:respohsible for;permlts' or, restfiCtionsc _ = _ .. . , . ,-• - i . -.
LTQTAI>r'IJPY BE LEV L-.OfdlJ I,T WILL Bp INSTAIFLEIR "AQ.1S- Op LOT . -
I('I iId! i's,rfot Irivef or additfflriai4ttrbeldar'le` td earjiort, a' $11:117.01) seni1Icd chargd and any addltloilal meteilal costs wilrbe aiided to -the balance.
Mgr TO COAS7'pARPtrl$UMWILL AB5OUITELY NOT: B RESPONSELE FOR REFUNDS OF T1 -1E COSTOMfR'S DEPOSIT COLLECTED RY THE DEALER. `• 'I..'
cosi To COAST CAnrioM jNC.ISrN T lira Fpj ANY DAMAGES ASA RESULT FROM INCLEMENT WEATHER.
IRYO J ARE TAl(:EAltiPT, AX`'EXEiit CEftTIFJOP. ti1UST BE ATTACHED TO YOUR ORfGINAL ORDER(S): (iTHERWISE,APPLICABLE TAX WILL BE ADDED: NO EXCEOTIONS
01116trpuig :enc rsiere:Am qr y� oily; For perrrtalient arichorss�sk�your Dealer or Sales Representative.. , : .
t read th'eterm`s-and co d&Rens of this contract by sjgnirtg this contract, I agree to all conditions set forth herein•and should 1, fail to rnake
payment in full at time of delivery I understand and agrde'to allover -COAST TO COAST CARPORTS, INC. to pick up the carport and 1 will be liable •
for all applicable charges and fees associated with the initial setup and delivery as well as any legal fees Incurred by Coast to Coast Carports, Inc.
Please keep original invoice for legal matters. COAST TO COAST CARPORTS,INC. RESERVES THE RIGHT TO CANCEL ANY ORDERS.
NOTE: Frame Is•1.ft. shorter -than roof length - on horizontat•metal. Vertical -buildings have ft
no overhang and are than horizontal. - -
I1OTI If.yqu.are needing; a,speciai draining for your building there will he an additional charge, . . .
14 d'Ili °=!. %:s .34114/:0 r, 'll:rr•/ , UST INITIAL WARRANTY SELECTJON
s tSe r ir�it l�rranty Expiainatioris on Reverse Si
...•-r» 14 G�IUGL•4)►ldr'krriansh ,Dnfy� ' :. 12 GAUGE- Workmanship & Rust -Through • •
�I rye q Certified b - - - '-Non-certified
.I�f•.acceptglob rtaci'e1yWyy enT geg etc ndSThe BRVOEITS,I U be ow -aa esti ows office
to theeferms this
order
and becomes
'•sI, {:i :,•rr�.:�: � >r „I,r:lr -,� . 5 •i.' ! °/•S�BJkG�r[l�-�I� T �S AND CONDITIONS �N T E EVERSf 510E
be era are he e�lerw e o
II and Buyer fhat t S ill sell to Buyer the 1 b, ing (Unit de cribed.above
- ' �` .. and nsta I Ita the oddnessstated above and that Buy 'w I I in -all roe ire permits,
prepare the site for instalation, purchase the Unit i p y ' e (price as s ated above.
• *tact-4zmit,s OI+7 {7 ; ! �cwirm Liss
7
BUYERB R
• WWW.COAST TO-COAS7'CARPORT.S.COM
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ACCEPTED:
Coast to Coast Carports, Inc.