HomeMy WebLinkAboutApplication!(}8 8'1' Street. Suite ./OJ. Glem1 •ood Springs. CO 81601
Ph: 9 70-9./5-8212 Fx.970 -38./·3././0 /nspectio11 line:888-868-5J06
www.garficld·coun!y .co m
RlllLDING PF:R!\llT APPLICATION
f.AAY l 8 2012
GA.~t 1t:LU L.0LJNTY
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I Parcel No: (l/m 11!fiirmutmn '-'"""'/"/>I" u11he "·'·'"·'·'"r.t of]i<~· 'J i f/.9-15-9/J-I) J Lot Nb Block No: Suh<!./ Exemption:
W coc/.r,,1 (1,_.,,.....
2 Job Address: (If"" uJJr.,.u hu.• n111 h""n "·'·"~neJ. pleme prm·1Je Cll. HU')' or S1n·,·1 Nume & C11y) or and legal description -
7't/, W oc.>d-e V\ ~r
3 O\mer<~T\~ o;:er) Mailing Address: Ph: 96 '3 -3 2-Z 3 Alt Ph :
7LJb Wu -.....1 ,,,~ !:k n V--S7 Cf-7 3tg
4 Contractork~ I . Mailing Address: Ph:
I '
Alt Ph: fl
0 \Ci.,.-ll
5 Manufactured home installer: Mailing Address: i Ph:
I
Lie#:
6 Architect: )(.:> IC-1r Mailing Address: Ph: Alt Ph:
7 Engineer: k u 11 ,,r Mailing Address: Ph: Alt Ph:
8 Sq. Ft . of Building: Sq . Ft or Acres of Lot: Height: No. of Floors:
9 Use of Building: I Class of Work:
DAlteration lfAddition DRcsidential OCommercial OOther ONew DRepair DDcmo OMovc
10 Describe Work :
Sh Ct J'--5fr'l..J c...tz.,,~ Cl loo 11'(.., ey.1siJYic1 ~lk /'I ' }C /'f I
II G1ir.1gc: [ Septic : Type of Heat: -
OAttachcd 0Detached DISDS OCommunity /v//t ONat. Gas DPropane DElcctric DO th er
12 Driveway Pcnnit: Q,mcrs valuation of Work:
NOTICE
Au1hori1Y. This opplication for o Building Penni! must be signed by lhc Owner of lhe propcny. desi:ribcd obo1·c , or an authori1.cd agent If 1hc signature below is no11ha1 of lhe Owner. a sep11ralc
lcncr of au1hori 1y. signed by 1he Owner, must be prt>\'ided wi1h 1his Application.
l.g:al Arreo•. A Buildin11 Penni• cannol be issued withom proofofle1.1:il and lldcqwne access lo 1he propmy for purposes of inspections by the Building Depanmc:nl.
Oth•r P•rmir .. Multiple scparalc pcnnils moy be required: (I) Stale Electrical Penn it , ( 2) County ISDS Penni I, ( 3) another pmnil n:quin:d for use on the property iden1ified obo\·c. c.1.1 Slate or
C'ounly lli1.1h,.oy / Road Access or a Siotc Wastcwmcr Disch"'!!• Permit
Void PrrmiL A Buildintt Pcnnit becomes null and void if the work authorized is not commenced within 18() days of the date of issuance and ifwor\; is suspended or abandoned for a period of 180
tbys oficr commcnccmcm
CERTIFICA TIOS
I hereby cenify 1ha1 1 lmc =d this Awlicalion and that the inform:llion con1ained obo,·c is true and correct . 1 WldcBland that lhc Buildin1.1 Dcpanmc:nt accepts the AJll'lication, a.lon1.1 with lh~ pl11ns
and spc<:ificallons and Olher d:no submincd by me or on my behalf(subminals). based upon my ccnificotion cs lo accur.icy
Assumin11 completeness of the submiu:ils and apptu.al of this Applie:>1ion . a Buildin1.1 Pcnnit will be issued l'f'llllin1.1 permission to me. as Ol<ncr, 10 construct the Sll'UCIW'C(S) and f11eilities detailed on
1he submiuals n:\'ie,.cd by the Building Dcpunmcnl
In considC1111ion of the issuance of the Building Permi l. I D!!fCe 11131 I and my llj!enls will COll1flly with pro\'isions of ony fc:dcrnl. stale or IDQI law fel!Ulotin11 the work and lhe G:irfield C'ounly Buildinl!
Code, ISDS rcj!ulotions mid apphcablc land use regulations (County RCl!ulation(s)). l ocknowled11c 1hu1 the Buildinl! Permit may be suspended or revoked . upon notice from the County. iflhe locati on,
cons1rue1ion or use oflhc suuc1un:(s) and facilit)'(ics). described above , on: no1 in compli ance \\ith ('oun1y Rcl!ulation(s) or llD)' other opplicoblc low
I hereby groru pmnission 10 lhc Buildinl! Dcpanmcn110 enter the property. described obo,.c, to mspccl the work I funhcr acknowled11e 1ho1 1he issuance of the Building Penni I docs not prevent the
Buildin11 Officio! from (I) rcquirinl! the com:ction of errors in the submiuols. if any, discovered ofter issuance; or (2) Sloppinl! conslruelion or use of the scructun:(s )or f:iciluy(ics) if such is in \'iolalion
ofC'ounly Rc11ula1ion(s) or any olhcr applicable law
Rc,·icw of 1h is Application, includinl! subminal s, and inspections of die work by the Building Dept111mcn1 do nol conslilutc an occeplancc: of rcsponsibilily or liabilily by 1he County of errors, omissions
or disi:n:p.111cies. As 1hc Owner, I acknowledge 1ha1 n:sponsibilicy for compli ance with federal , s1a1e ond local laws and C'oun1y Rc11ula1ion s n:st wilh me and my ou1horiud ogcn1s . includini,1 wilhout
limitalion my orchitcct dcsillllcr. C111!inccr and' or builder.
I HEREBY AC'lo.:NOWLEDGE T llAT I llAVE READ AND UNDERSTANDTllE NOTICE & CERTIFICATION ABOVE .
t~~~ 5'"-/0 -I?....
OWNERS SIGNATURE DATE
-h-STAFF USE ONLY
Special Conditions:
Adjusted Vuluacion : Plan Check Fee: Pcnnit Fee: Manu home Fee: Misc Fees:
z, 352-_!52-S'/.// 83.z.>
Total Fees : ees Paid: Balance Due: ~ & bsue Dale: ISDS No & Issued Dute:
1~7. 5G 79-.11 B?.if Ltet: ,. ~5D Jo
OCCGroup: I,IZC Const Type: Zoning:
F\
DATE
Building Plan Review
Description of Work: Shade Structure above existing deck 14'x14'
Sin#:
Location Address: 746 WOODEN DEER RD
CARBONDALE, CO 81623
Cue M.nager: David Bartholomew
Pbin Case Number: BLOO-S-12-7269
Parcel: 239324304006
Application Dace: 05'1&12012
Building
~/A
' Engineered Foundation
rv/ 4 Driveway Permit
/ Surveyed Site Plan
('J (Ir Septic Pennit and Setbacks
/ Grade/Topography 30%
I
Attach Residential Plan Review List
/
Minimum Application Questionnare
I Subdivision Plat Notes
N(A Fire Department Review
I Valuation Determinationlfees
I Red Line Plans/StampslSticker
I Attach Conditions
I Application Signed
I Plan Reviewer To Sign Application
I Parcel/Schedule No.
/V/.A 40I Snowload Letter· Manu. Homes
t-1/A Soils Report
Wednesday, May 30, 2012
Contacts
Owner: Ernest & Barbara Kollar
Applicant: Ernest & Barbara Kollar
Applicant Phone: (970)~3223 Email: emiekollar@sopris.n
Plannin9'Zoning
I
Property Line Setbacks
I 30ft Stream Setbacks
/ Flood Plain
/ Building height
/
Zoning Sign-off
/v/A Road Impact Fees
N/A HOAIDRC Approval
/ GradelTopography 40%
/ Planning Issues
I SUbdivision Plat
General Comments:
0 /#4)~uJ1 2, 352-°!2"
~rm~//&7 6'5.z5'
f&,v1 (i;lJ -h-e. .5'1. I I
7CJT4Z-/ 7 7 . 36
/kdlf7cl -.5</. /I -
_pue -B>.z-5 -
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
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 department will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or 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
Signature of Owner Date
Garfield County Building & Planning
108 a1t1 Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-county.com