HomeMy WebLinkAboutApplicationEC--='-:, Garfield County I
RECEIVED
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
GARFIELD COUNTY (970) 945-8212
COMMUNITY DEVELOPMENT www.garfield-county.com
BUILDING PERMIT
APPLICATION
-ryVi95TRUPXON •
LEI _ Commercial/Multi-Family E] Demolition
0 Manufactured Home (S ingle or Multi-Leyel)
Residential (SF, Duplex or Townhome)
•
Reroof
=_NVOINOMMEs
Property Owner: 6004 eirrilBSS-r Phone: ( 303) / - 96, 13
Mailing Address: 4Pq Devoe ,
Email Address: Oj e_0_010,64511- net -
Contractor: 54QC4.., 14/t Ave-. Phone: ( 470 )
Mailing Address: PO a:g f:15' 77 IALS (70 esfo•ozL
Email Address: -Sawhorse. hi e_.(0 1�'Y7(? 1. I7C1-
Architect: Phone: ( )
Mailing Address:
Email Address:
Engineer: 161_•re f- 4550, Phone: ( 97a) gercr -- e&
MailingAddress: V/.2 CM1417 12Z /CV 6W5. CO Y/Goi
Email Address:
Manufactured Home Installer: Phone: C___)
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:
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Job Address: e:"?‘/ Cle-ae& riedze 6 tAls) (70
klas7Rows, 24A/C pap Ay 1Q1=4..e Gar:/
Sub. eg azi,v,SH iP 7/0 A/60:W piBockoki
4;70
Owner's Valuation of Work: $ 39, 9Sv •
Sq. Ft. of Building: Height:
Assessor's Parcel Number:
Class of Work:
Garage:
Property Size (Sq. Ft. or Acres):
of Floors:
,r "to De. -04(14—
D New laAlteration I 0 Addition I Repair
'Attached T3 Detached
0 Move/Relocation
PROJECT DETAILS CONTINUED
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Septic: 1[OWTS D Community
Type of Heat: • Natural Gas I Propane Electric LI Other
Driveway Permit: • Exempt U Permit #: +
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 Airess. 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.
EERTIFICA�7 [,.,Yr•.•...
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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, 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. 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
provided the required information which is correct and accurate to the best of my knowledge.
iB
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Property Owner Print and Sign C dr a Cowl 7-
OFFICIAL USE ONLY
0
Date
Special Conditions:
Adjusted Valuation:
gO,4150.00
Total Fees:
r5.
Setbacks: tvA
Plan Check Fee:
$352.71
Fees Paid:
Permit Fee:
Balance Due:
OCC Group: �G
BUILDING / PLANNING DIVISION :
Manu home Fee:
BP No:
Const Type: I R G
Misc Fees:
OWTS No:
Zoning: 7
Signed Approval
FD -4 5)-'111) 111311 aTI—z )q`
tAb
Date
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 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.
k2\ e Cv VW.\()Q_
Property Owner Print and Sign
)l -2.,2A
Date
Saw Horse, Inc.
PO Box 877
r4. Glenwood Springs, CO 81601
970. 928 8277 ph/fax
,,., Erik's Cell # 970.618.8120
Cherie Combest
29 Dolores Circle
Glenwood Sprin•s, CO 81601
Inclusions:
CLAIM # 0520127624
Framing for structual repairs:
does not include rafters- pending structural engineer report
Repairs for metal siding, insulation,
drywall -tape -texture, painting
electrical with 4 new matching exterior lights
Replace stone where damaged
Repair stucco where damaged
Overhead garage door replacements- 8' X16, 8' X 8' . Includes new openers and hardware
Side garage entry door replacement
Refuse
Port -o- pottie
Permit
Proposal
DATE
12/19/2017
NUMBER
12817
NOTES:
Permits and or fees and Engineering fees are to be paid by the owner
Make checks payable to: Saw Horse Inc.
PAYMENT DUE UPON COMPLETION
TOTAL
$11,500.00
$11,000.00
$4,500.00
$6,500.00
$3,600.00
$1,700.00
$500.00
$300.00
$350.00
$39,950.00
Garfr�ltd Cnunt�*
Bui1dingl Zonin Ian I�eyjjw,Cheeklist
Permit Number:
Building
131-1z6-01- lg - 5062
Govnbu3t- eew4ojt 14
Engineered Foundation
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
NSA
Plan Reviewer to Sign Application
Parcel/ Schedule No.
N/A
NIA
40# Snowload Letter— Manu. Homes
Soils Report
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
N/A
General Comments:
VAIl,itfioH -
`1 r1450. 6ts 964-1001,442-