HomeMy WebLinkAboutApplicationRECEIVEI)
JUN 28
GARFI
)NimuNITY DE
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
•
Demolition
• Residential (SF, Duplex, or Townhome)
•
Reroof
❑ Manufactured Home (SF or Duplex)
•
_ _
Grading
INVOLVED PARTIES
Property Owner: ecki rafeepr;se5
Mailing Address:
1
Phone: (4-tO ) z -c 20
Contractor: '1il,)
Mailing Address: 232$
5 QriO �;7a5
Phone: (f`Io ) 1( - 1")1.1 I Z
rex.. 3,,,AA',„„At CO s k -7
Architect: Co rarer es•; k%
Mailing Address: 43S N $ }w. svou
Phone: (Q70 ) Co - 33Zu
[10-r6.04Q1e, C6 .c6(Io23
Engineer: Phone: (
Mailing Address:
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: 5evn,., Pu t i c c,e,
Job Address;
Assessor's Parcel Number: Sub. Lot Block
Owner's Valuation of Work: $ 3O, 000 "`9 Property Size (Sq.Ft or Acres):
Sq.Ft of Building: Height: # of Floors:
Class of Work:
Garage:
154 New 0 Alteration ❑ Addition
l
0 Attached
Septic:
Type of Heat:
0 ISDS
0 Natural Gas
❑ Repair 0 Moue/Relocation
❑ Detached
O Community
Propane I 0 Electric
Driveway Permit: (FL1 Exempt
0 Other
O Permit #:
Grading Square Feet of Earthwork 21000
Cubic Yards of Earthwork 150
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 ISM 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 clays 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, 1505
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 pr. ded the required information which is correct and accurate to the best of my knowledge.
Property
Print and Sign
5//q/ /3
Date
OFFICIAL USE ONLY
Special Conditions:
Ad'usted Valuation:
1(4 goo
Plan Chec
I72412(D5.25
Fee:
Permit Fee:
Manu home Fee:
Misc Fees:
Tota Fees'Fees
1. k(e
Paid
1:0, .11..1l
Balance Due
21e - 27s
BP Na:
�
ISDS No:
� 'os
Setbacks:
OCC
Gro
NI
Type:
Zoning:
BUILDING DIVISION : s�
^Const
_ �. ",c
igned Approval
Date
PLANNING DIVISION: 7.../ _
ed Approval
Date
Plum (1). '��:
Building Plan Review
Description of Work: semi in ground public pool
Bin #: B-6
Location Address: 275 CR 222
PARACHUTE, CO
General Information
rCase Manager: David Bartholomew
Plan Case Number: BLDG -6-13-7606
Parcel: 2443 06 1 00007
Application Date: 06/28/2013
Contacts
Owner: #22 ENTERPRISES LLC
Applicant: #22 ENTERPRISES LLC
Applicant Phone: (970)283-9420 Email:
Building
Planning/Zoning
iti k Engineered Foundation roperty Line Setbacks
ditt'' Driveway Permit 30ft Stream Setbacks
/ S> ' ed.Site Plan ,�,i Flood Plain
ILA' Septic Permit and Setbacks 14 wilding height
4Grade/Topography 30% f Zoning Sign -off
Attach Residential Plan Review List ` Road Impact Fees
Minimum Application Questionnare NI' OA/DRC Approval
Subdivision Plat Notes Grade/Topography 40%
tilJ
Fire Department Review ro\ Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker
-V-Attach Conditions
Application Signed
Plan Reviewer To Sign Application
-4arcellSchedule No.
!` A- 40# Snowload Letter - Manu. Homes
✓f Soils Report
General Comments:
04.,toicaos4; -g`Ttecicr
piE
800 y, 0/E tZ7
/4,000
Monday, July 1, 2013
9
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 a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
roperty Qwnscr Print and Sign Date
__<X3/Aot 3