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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.g ar fi eld-co unty.com - - PE OF CONSTRUCTION ----- Commercia l/M ulti-Family M anufac:!ured Home (S ing le or Multi-Leve_I) ___ _ fii" Residential (SF, Du lex or Townhome) _ I INVOLVED PARTIES .:S\ 3V\.!Lct C.O'?j Ot"\ V\~-.\- ?~ l o Demolition [a Re roof Property Owner: VV\Qfc..Q..\\V)Q ~O~u..\V) Phone: (q,0 ) "a1 4 -0\38(.o MailingAddress : \OD ~\'1.tlfb.e.Vld a.~ 'J\mwoo d S?='~ 9\CcO\ Email Address: \o o\gW. tf\ \W'\Q.'l"U\\11') 0 @ 'tJ O.hoo.LPVV"\ -Co\ ora.cl o Contractor: -F c-uV\dO-Ho\0 Tup.i.\r o£ W.e.ste(V\ Phone: (C\10 ) cil..\3-aoQ}Q) Mailing Address :' Cil 5'r5 ~\a.~>Cl~ (o ~ 5 0 sre A g f'a..vd J cl-<81'50\ Email Address: \ ~ @ ( f {?Cl.\ r uretc.\l6 . <:.. OVVl Architect: _________________ Phone:( __ ) _____ _ Mailing Address :-------------------------- Email Address : __________________________ _ Engineer: ---'""4-'"""'"--""-..:...::.=..:::;.::;,,.,_:~---------Phone: ( cto ) ci50 -G\ a4@ <d~d c± 81s o 3 Manufactured Home Installer:-----------Phone:( __ ), _____ _ Mailing Address :-------------------------- Email Address:--------------------------- PROJECT DETAILS DescribeWork:~~O..\r\ ~ fnm &a.ti 0 0 Job Add••" l 00 \<,~===~ ~~ ~vwocd .spC i.rg.s 81 lo D I Assessor's Parcel Number: ~ 5_ \:a_ \']' Et'tQL:t sub. \vOV\.££\ d~e Lot \(p4 Block __ _ Owner's Valuation of Work: $ \ '] ~000 Property Size (Sq . Ft. or Acres): \ 5 I 3 \ \ % r+ Sq. Ft. of Building: L-t0~4 Height: #of Floors: ;;;2 Class of Work: D New D Alteration D Addition Repai r 0 Move/Relocation Garage: D Attached D Detached Ga,.field County Community Development Department 108 gth Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www .garfield-county.com TYPE OF CONSTRUCTION 0 Commercial/Multi-Family I a ~an~factured Home (Sin&(~ -or Multi-Le~el) &;t' Residential (SF, _Duplex or Townhome) ! D Demolition ! D Reroof INVOLVED PARTIES Property Owner: Maf c..si.\\V)Q ~0 ~u.i V) P. hone: ( C\,0 ) 'al Y -Cl 38 (p ' M•lliogAddre" ~'~;:,;:~~ ,, ;::~~'?"\~ 9 \(c()\ · Email Address: \ll" t/'( \\II) o . IN'"\ ---Co\oraclo ' Contractor: .fc"\Ull'\d.o-H 0(\ 1;epi,r o£ Wt.stein Phon e: ( C\10 ) a W3 . a o w ' M•mogAddre"', ~~ ~t"~ ~ 50 51€ A gfll>rl J ct '01'501 Email Address: \ ( f. \ r 0. . c. OVVI Architect:----------------Phone: L__). _____ _ Mailing Address :------------------------- ! Email Address: ________________________ _ I Engineer: <jO.~ r~ Phone: ( cto ) dSO. '\'dLI@ Mailing Address : dq31 F'ow CC<l/l..e.l's <oro.ndjc+ 81so3 I EmallAddress: 'jav-br-:._R.dN34@ 8Ma3Lt i:m t Manufactured Home Installer:----------Phone:( __ ) ______ _ I Mailing Address :-------------------------- Email Address: _________________________ _ PROJECT DETAILS r -------- Describe Work:~ ~0.\ r~ ~ fOv.n&oAJ 00 8 \C'o D\ . JobAddre•" loo \aJ~~ ~~$VlJJQcd .~1 1}5 Assessor's Parcel Number: ~g 5_ \Si_ er ft(c;,Lj 1 Sub. \vOV\t3t\' d~e Lot \<P'-\ Block __ Owner's Valuation of Work: $ \] _ooo Property Size (Sq. Ft. or Acres): \ 5 I 3 \I % r+ I Sq. ft. of Building: 1::\0'-"4 Height: #of Floors: __ ;;2 __ _ Class of Work: a Ne..;.;· : D Alteration D Addition rsFRepair D Move/Relocation 1 Garage: 0 Attached D Detached PROJECT DETAILS CONTINUED Septic : 0 OWTS 0 Comm unity 1 Type of Heat: 0 Natural Gas 0 Propane 0 Ele ct ri c 0 Ot her Driveway Permit: 0 Exempt 0 Perm it #: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described Clbov e, or an authorized agent. If the signature below is not that of the Owner, a separate Jetter 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 1 purposes of inspections by the Building Division. Ot h er Permi t s. 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 Perm it. 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. 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 uron 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, 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(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. 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 1 applicable law . Review of this Application, including submittals, an d inspections of the work by the Building , Division do not constitute an acceptance of responsibility or liability by the Coun t y of errors, omissions or I discrepancies . As the Owner, I acknowledge that responsibility for compliance with fed era l, state and local laws I and County Regulations rest with me and my authorized agents, including without limitation my architect : d esigner, enginee; and~r_b_uilder:. • 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. I ' j I :•1 1 ' I t •· •• lY , . _I__ I ; \· I / Date OFFICIAL USE ONLY Special Condit i ons: Pn A# Adi.t» m~1fronq,. A.J;ljusted Valuation: Plan Check Fee: ~ 11 000.00 ~ l~l.?1 Permit Fee : 'll 2 7e:f. ']. C;J Misc Fees : Total Fees: ~4G?0.7~ ~lance Due : o.oo Setbacks: N/A Da t e and/or plans for compliance, the application may be placed on hold until the required information is provi ded. 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 wen as any 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. l ! ! I t. J r t f/( \1 1 I) 0, '·~ W LL· ·~ . Property Ow.oer Print and Sign Date \ / \ ' ·-.. .. , . r,, '. / I I I I , ; -/ .·' / , /'' ef' < I e G m :fiel d Cmmty j Building/ Zoning Plan Review Checklist Permit Number: Bl..-f<6-03-17-4 ~If Building Planning/ Zoning __ / __ Engineered Foundation N/A Driveway Permit +-Surveyed Site Plan + Septic Permit and Setbacks ----Grade/ Topography 30% / Attach Residential Plan Review List / Subdivision Plat Notes N/A Fire Department Review / Valuation Determination/ Fees / Red Line Plans/ Stamps/ Sticker / Attach Conditions / Application Signed / Plan Reviewer to Sign Application / Parcel/ Schedule No. N/A 40# Snowload Letter -Manu. Homes x Soils Report __ N.&-VA __ Property Line Setbacks ____ 30 ft. Stream Setbacks ____ Flood Plain _ __,_ __ Building Height ---+---Zoning Sign-Off ---+---Road Impact Fees -----Grade/ Topography 40% ---1---Planning Issues ____ Subdivision Plat General Comments: \VtlVK'ft'tJva - 4117/JCO. l).Q 9CA.~iit~