HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, co 81601
(970) 945-8212
www.garfield..c ount;y .com
TYPE OF CONSTRUCTION
D Commercial/Multi-Family I 0 Demolition
D Manufactured Home (Single or Multi-level).
t( Residential (SF, Duplex orTownhome) I D Reroof
INVOLVED PARTIES
Property Owner: $'°'.,-:p..sK ~~ t J.. l rb=n:r Phone: ( "t 17 ) {,.,o,9 288' 2.
Mailing Address: S-o \ 'a !-"-~ Rec:..>.<. \=<) ~ll I ): \... l!> \\a "'I
;
Contractor: C,j~...lo ~ .CN<-Phone:t"i70) 230-00~0
I MailingAddress: ~3) WA:::· ~ C, ~t..l~, kJ~ Ussr1.cr( G:i lflb'-l l 1
Architect: __________________ Phone:''---'-------
Mailing Address: ___________________________ _
Engineer: __________________ Phone: ''---'-------
Mailing Address=----------------------------
Manufactured Home Installer: ___________ Phone: ('---J--------
Mailing Address:----------------------------
PROJECT NAME AND LOCATION
Describe Work: llJS\'PK'-~·"' 1!\J e2P~t1A!<>= ufl:>nrtJU Yn\1? ,.._, C'"e~
Job Address: t \ "'\ (..o..t..RA<.. 'D~ , I ~~" t.i ~ ~! G, .9't b 2.:,
Assessor's Parcel Number:~c.11:..., '3l Sub.A~u.!SjJ«i!W G..fnl..tot (9 Block __ I
\ou.,,.;.i ~\,. ·~ :1 {2.~ ~~ Sll I Owner's Valuation of Work:$ I z., o l.!:I c Property Size (Sq. Ft. or Acres): -------i
i Sq. Ft. of Building: IJoi-P.,..Pr i·c..~ '-rr-Height:------#of Floors:.__;_2..;:..._ ___ _
Class of Work: D New IS( Alteration D Addition D Repair D Move/Relocation
' Garage: I 0 Attached 0 Detached
Septic: oowrs 0 Community
Type of Heat: D Natural Gas I 0 Propane I 0 Electric I 0 Other
Driveway Permit: D Exempt D Permit#:--------
'
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, desaibed above, or
an authorized agent. If the signature below is notthat 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 submlttals reviewed by the
Building Division. In consideration of the Issuance of the Building Pennlt, 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(sl
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 enterthe 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 facillty(ies) if such is in violation of County Regulation(sl or any other applicable law.
Review ofthls 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
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valua~ Plan Check Fee: Permit fee: Manu home Fee: Misc Fees:
1i,,ooo. I 3b. o I 2Dt/.ZS ~lA--
Total Fees: ~;3;:_01 Balance Due: BPNo: OWJ5No:
345"_ Z(o Z.09.z,5' l'Rl 'D~ -~ft\.\!f ~1A
Setbacks; OCCGroup: Canst Type: Zoning: •
/J/,f .?:J!.G .:£/!!-Cr \:>\J~
41~~-· '\ ~(#~ BUILDING/ PlANNING DIVISION : ~>
Signed Approval oate
~ :s.27.15
a~\Q.~ \J> I~ o\
1
I
Building Plan Review
Description of Work: insta ll bathroom in existing walk in closet
Bin#:
Location Address: 11 4 CORRAL DR
CARBONDALE, CO
Case Manager: Da vid Bartholomew
Plan Case Number: BLDG -5-15-8319
Parcel: 239131217020
Application Date: 05/27/2015
Building
__ t-J-f/_A __ 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 _,....7 ----
_____ Application Signed
/ __ 7_.e _ __,.Plan Reviewer To Sign Application
____ _.Parcel/Schedule No.
__ M_V_11 ___ 40# Snowload Letter -Manu. Homes
__ ;v,_y_i ___ soils Report
Wednesday, June 3, 2015
Contacts
Owner: Starker White
Applicant: Starker White
Applicant Phone: (970)608-2882 Email:
Planning!Zoning
__ f0_{ A ___ Property Line Setbacks
--1---3.0ft Stream Setbacks
--+--_.Flood Plain
______ uilding height
_______ ,_.oning Sign-off
----r---.. oad Impact Fees
------~~---t--'HOA/DRC Approval
_____ Grade/Topography 40%
----1--.. lanning Issues
------4'lSubdivision Plat
General Comments:
I/ 4 /u ff-/; IP'/
rt 1? doo ;-~ 5µ #>1'1;//-ec/
i
and/or plans for compliance, the application may be placed on hold until the required infonnation 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.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist
~ ~'R..\(..~'L (J.1\\-~-n;
Property Owner Print and Sign
OS-0'1-,~
Date