HomeMy WebLinkAboutApplicationGarfiel
Community Development DeR~~ COU '
108 gth Street, Suite ~:Nh~ DEVELO
Glenwood Springs, CO lf~1·
(970) 945-8212
www.garfield-county.com
I TYPE OF CONSTRUCTION -
t
Q_ Commercial/Multi-Family
0 Manufactured Home (SF or Duplex)
EJ Residentiall~F, Duplex, orTownhome)
INVOLVED PARTIES
I Property Owner: Justin Birr
Malling Address: 506 CR 294, Rifle, CO 81650
-
Contractor:
Mailing Address:
Architect:
Mailing Address:
Engineer:
l Malling Address:
} 0 Demolition
0 Reroof
Phone: ( 970 )456-7122
-
Phone: ( )
Phone: ( )
Phone: ( )
Manufactured Home Installer:------------Phone:( __ .-------
Malling Address:----------------------------
PROJECT NAME AND LOCATION
Describe Work: Remodel of existing two adjoined bathrooms into one
I Job Address: 506 CR 294, Rifle, CO 81650
I Assessor's Parcel Number: 217709400038 Sub. set 9: twns 6: Range 93 lot tract in Block~
Owner's Valuation of Work: $ 3 ooo Property Size (Sq.Ft or Acres):-------'
Sq.Ft of Building: 2608 Height: 1 story w/basemt # of Floors:_2 ____ _
f
Class of Work:
Garage:
Septic:
0 New 1 EJ Alteration
El Attached
El ISDS
t--------+-==-----1!1 Natural Gas Type of Heat:
Driveway Permit: 0 Exempt
a Addition I 0 Re~air I ~ Move/Relocation
0 Detached
--------------1 0 Community
0 Electric 0 Other
0 Permit#: --------
(1!9TIC!_ _ -~ _ _ _ ~
Authorltv. 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 .
I Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County 1505 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. I VOid Permit. A Bullding Permit becomes null and void if the work authorized is not commenced within 180 days of
1 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
1 understand that the Building Division accepts the Application , along with the plans and spec ifications and other
1 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
Bullding Divis ion. 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 regulati ons (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
I
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
-OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misc Fees:
'3, 000 .-54.// a~.z5 "-\IA -
Total Fees: Fees Paid: '6LJ2 Balance ~ !e.!!2: .
~:
I~{. 3h i,~t-, rRt'V~-.2.7-83 ~\~
Setbacks: OCCGroup: Const Type: Zoning:
FZ5J12Z7;S!O ::Z:12C :r:,Z.C R
d,~(~ ?/~1;;5' BUILDING/ PLANNING DIVISION :
I I
Signed Approval Date
-
B uildin g/ Zo nin g P la n Review Ch ec klist
Permit Number: /5L..,eE -7-I 5 -3 7 B 5
Building Planning/ Zoning
N(}
I Engineered Foundation fV /A Property Line Setbacks
Driveway Permit ----30 ft . Stream Setbacks
Surveyed Site Plan _____ Flood Plain
Septic Permit and Setbacks --to--Building Height
Grade/ Topography 30% -~1--Zoning Sign-Off
I Attach Residential Plan Review list --+---Road Impact Fees
/ Subdivision Plat Notes ____ Grade/ Topography 40%
tv/A Fire Department Review --+--Planning Issues
I Valuation Determination/ Fees ----Subd ivis ion Plat
/ Red Line Plans/ Stamps/ Sticker
I Attach Conditions
/ Application Signed General Comments:
/ Plan Reviewer to Sign Application
I Parcel/ Schedule No.
/J(A 40# Snowload letter-Manu. Homes
tJ(A Soils Report