HomeMy WebLinkAboutApplicationCGarfield County
Community Development Department
vo tidOiSIOU '1'1N1� (] 108 8th Street, Suite 401
„14(100❑'1�L� Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF_CONSTRUCfION
Commercial/Multi-Family CletupA J -LJAD LeS5 +W) (0 QDemolition
L] Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome).
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
BUILDING PERMIT
APPLICATION
1.1=I Reroof
INVOLVED PARTIES
Property Owner: ADAM L. Phone: (11 D 0e7q
Mailing Address: Po BOX 8?0q(v`d S41.110brr)o TX, 7W25'
ra.ct`iP;117- 1�arteenb(o @etrenTS3'
U(f-v��
Email Address:Alen
c01Yx
Contractor: z ('0dl/5712 i✓C.'tfC /lig L L C Phone: (?7C) 9 "2ZC
Mailing Address: fJ 7 J I HA N ❑y O C ! ve CcLfloc7Y\di le , Cc), Imo 2 �5
Email Address: Z—CC'I V Sine he9d J, Jd ' ( (9) 9 c•--[
Architect:
lc{ 1 [ y tJl 5 hi.[! erc r Phone: (Ct70 -)- 3c E3j (5 1
Mailing Address:
'311 PL -Andy Prr►r ' (orb° tviale CO a ((023
Email Address: iek.r year/ r Co YP I
Engineer: .C/a I ^ 4k a p �1 Phone: (9470) c/-15-9-6,(
2 ,3
Mailing Address: ' / 7 Gravid e G[ =nwava Spit & 5, Cd
Email Address:
Manufactured Home Installer: A///:74 Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: Nt kA)
5q=_11-: &(C D Fret. ► ?-e r.e
Job Address: 2-`71_41-8' 5 fllei lnwC_Ly (42 R1ELe, Co, `(. ( (a50
Assessor's Parcel Number:^ Zi 7 71 l 0 300 9
Sub.B 5J bd i ViS+B el Lot el Block
Owner's Valuation of Work: $ z24, v®d ^ Property Size (Sq. Ft. or Acres): �Acrre S
�
Height: 141 - Z. # of Floors: CIL( E..
Sq. Ft. of Building: 1/2 0
Class of Work:
Garage:
New
Attached
❑ Remodel/Alteration
RAddition
Detached
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway
Permit: _
NOTICE
w•
WTS
❑Natural Gas
Exempt
Community
—1 ❑ Propane
❑ Electric
❑ Other
❑ Permit #:
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 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. 1
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, 1 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.
C 0(e_
Property Owner Print and Sign
Date
OFFICIAL USE ONLY
Special Conditions: ROA, INi j.e4 r,CG •
�'.I'.e "�kell I►g% of Gpl s1L 1OWs. (00141A Ai,fviG+)
duIs3di�l30:
T
`$laofh(eck. Fee :
Permit lFe215
ManuN. H%e Fee:
Misc. Fee
1)223.04
Total Fees:
4I1G'f•b
Fees Paid:
$b-H.+2._
Balance Due:
411017.(
BP No:
OWTS No:
9/,c,0 --53-P2
Sepr 57e3
X2cigr*g10
OCC Group: 13
Const Type: y...Zoning:
c&
BUILDING / PLANNING
t
DIVISION :
, 0 ILII W17*fri
/ Signed Approval'. Date
pi).f 071, 42 , /i335, 4/3/i�.
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: MO- O&-(1- 5762
Building Issues
Planning/Zoning Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Resiek4e1Plan Review List
Subdivision Plat Notes
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
Soils Report
,4%& 9wwi0/tivi :
0 (2 -
Pd / Pew r/Steukr
C,v tw) 5
III'7o
110
11170
N/A
N/A
'rte
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
6.9149 fi 011 T1p .: '/-e
Oe ti etil(494 : Group e
iv 9a HA.99 e` a. )
Roet.ef I vioecri4 F -cc '
1.12xcS1,0gr2.;.z. 441)-2'23M
(9cidin pi9tric410ffiee V sc)
x 4 <6141 = V1 O .
x • 12. CO = 3 1174;6.
x 145.6D = s 20, 1600.
fel 4 113) 643 et)