HomeMy WebLinkAboutApplicationTYPE OF CONSTRUcriON !'~ •. -.1.' --(. -'·
[] Commercial/Multi-Family l 0 Demolition
, [] Manufactured Home (SF or Duplex)
1 _il ___ R_e_s_id_e._n_ti_a_I ~(S __ F~'-_Du__,p,_l_ex-'-,_o_r . _To_w_n_h __ o_m_e__,.) ____ j_[] Reroof
I INVOLVED PARTIES
" ,.
t Property owner: Kevin Grenier Phone: ( 520 )_8_5_0·_9_5_32 ___ ~
Mailing Address: 2213 Blake Ave. Unit #1 Glenwood Springs, CO 81601
I Contractor: Foundation Repair of Western Colorado Phone: ( 855 )_5_31_·_79_5_2 ___ _
Mailing Address: ____________________________ _
l
j Architect: Phone:'----·-------
1 Mailing Address:-----------------------------
l j Engineer: Gary R. Reeder, P.E. Phone: ( 970 ) 250-9242
Mailing Address: 2937 Four Comers Drive, Grand Junction, CO 81503
f ~anufactured Home Installer: ____________ Phone: (
LMailing Address: ____________________________ _
t PROJECT NAMEAN D LOCA_Tl_O_N~~~~~~---_,,_~_,___,.,....,.__,...,._._,_~--.,.,.....--j
I ~::i ; ~::: ~~ b: i~~;~iers around perimeter of house in order to lift and level house to
original elevation. All excavations will be filled and returned to original grade. ·-------------------------------------Job Address: 0091 River Bend Way Glenwood Springs, CO 81601
Assessor's Parcel Number 239512118167 Sub. lronbridge PUD Lot 167 Block l . --1
j owner's Valuation of Work: $_2_3·_0_00 _______ Property Size (Sq.Ft or Acres): 1" ?OB RE :
J Sq.Ft of Building: _2_660 _______ Height: _3_0 _____ #of Floors:_2_____ j
Class of Work: 0 New 0 Alteration 0 Addnion ii Repair I a Move/Relocation
___ __._ __ ·-·-----"T-
l Garage: l ltl Attached 0 Detached
• Septic: ' 0 ISDS ii Community i -·-· ~
Type of Heat: ~tural Gas _ __...._a _Pr_o_p_an_e __ ~_.......__a_E_le_ct_7_ic_·_··_· ·_1_-_ci other "~]
r Driveway Permit: l [] Exe ~pt-. D Permit#:--------I
L I ~~~~~~~-.-1-~~~--~~·
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 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 ISOS 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.
G 1 '1 '" 1 ~
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 wort by the Building Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, 1 acknowledge that responsibility for compliance with federal, state and local laws and County Regulations I rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
: builder. . I
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
Spedal Conditions:
! Adjusted Valuation: Plan Check Fee: Pennlt Fee: M1nu home Fee: MlscFees:
.z.;. o"a.!!:fJ. z3t.11 36'3. z,.f
Total Fees: Fees Paid: Balance Due:
Setbacks:
M'tf OCC Group: :Z: /ZG
..
Permit Number: ,tJL/!'C-5-/6-fZ. f-S'
/Building
T Engin~ere~ Foundation
--1!/A-Driveway Permit
--+---Surveyed Site Plan
--f--...-Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
/ Subdivision Plat Notes
tJL1t Fire Department Review
/ Valuation Determination/ Fees
/ Red pne Plans/ St?mps/ Sticker
/ Attach Conditions
/ Application Signed
/ Plan Reviewer to Sign Apprication
/ Parcel/ Schedule No.
JJ/I
' . 40# Sno'wtoad Letter-Manu. Homes
/V/I Soils Report
Planning/ Zonins
tJ /A Property ll~e Setbacks I
----30 ft. Stream Setbacks
--r---Flaod Plain
--1---Building Height
--i---Zoning Sign-Off
---1---Road Impact Fees
____ Grade/ Topography 40%
____ Planning Issues
' ----Subdivision Plat