HomeMy WebLinkAboutApplication"4'
606033 Govor(
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
❑ Commercial/Multi-Family
❑ Demolition
E Manufactured Home (Single or Multi -Level)
p Residential (SF, Duplex or Townhome)
INVOLVED PARTIES
Reroof
Property Owner: Javier Vicencio Phone: (970
Mailing Address: 7256 County Rd 306 Parachute CO 81635
Email Address: jvicencio07@gmail.com
2749194
Contractor: Self Phone: (, )
Mailing Address:
Email Address:
Architect: Self Phone: ( )
Mailing Address:
Email Address:
Engineer:
Mailing Address:
Email Address:
Phone:( )
Manufactured Home Installer: Phone: (
Mailing Address: _
Email Address:
PROJECT DETAILS
Describe Work: remodel interior
Job Address: 7256 County Rd 306
Assessor's Parcel Number: 240935400123
Sub. Lot
Owner's Valuation of Work: $ 10,000.00
Block
Property Size (Sq. Ft. or Acres): 42.15 AC
Sq. Ft. of Building: 2043 Height: 12'4" # of Floors:1
Class of Work:
Garage:
New g Alteration 1 ❑ Addition
Repair 1 ❑ Move/Relocation
IllAttached
U Detached
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway Permit:
D■OWTS
Natural Gas
Propane
Exempt
Community
Electric
Permit #:
Other
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 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.
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, 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 locatioh, 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.
cv0a • VW2..eNek/ Q- / u - I S
Property Owner Print and Sign
Date
OFFICIAL USE ONLY
Special Coonddittiions:
Acru ed Valdation:
Pla Check Fee:
4150.2
Permit Fee:
0'2 .7e
Manu home Fee:
Misc Fees:
Total Fees:
1 /43 , 04
Fees Paid:
1-50.2-1
Balance Due:
6,q2.76-
BP No:
OWTS No:
-5523
epsf ' lo/61-1
Setbacks:
QAC Arci,u p:
C�ype:
Zoning:
BUILDING / PLANNING DIVISION : 1't, / : -d
4.... Ap A
' ill 3-245
al Date
Pb. X50 ��, CC, i it o I
Garfeid Cari��r�.,
figlildinel Zoning. Plan Review Checklist
Permit Number:
Building
ngineered Foundation
Driveway Permit
—V Surveyed Site Plan
ceitt-
tic Permit and Setbacks
ra• -/ Topography 30%
Attach Residential Pian Review List
Subdivision Plat Notes
Fir
Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
LI
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
_r__ 40# Snowload Letter— Manu. Homes
Soils Report
5-E2&
Planning/ Zoning
or y. Property Line Setbacks
�_r 1 30 ft. Stream Setbacks
_1_Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments: