HomeMy WebLinkAboutApplicationr Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970)945-8212
www.garfield-county.com
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family
=Manufactured Home (Sinpie or Multi-level)
Residential (SF, Duplex or Townhome)
[3 Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Demolition
11-1Reroof
Property Owner: Eric Dean & Laurale Cross
phone: ( 970 )260-8498
Mailing Address: 396 Elk Run Road, New Castle, CO 81647
Email Address: lauralecross@yahoo.com
Contractor: Self Phone: (
Mailing Address:
Email Address:
Architect: N/A
Phone: (.
Mailing Address:
Email Address:
Engineer: N/A
Phone: (
Mailing Address:
Email Address:
Manufactured Home Installer: N/A Phone: (
Mailing Address:
Email Address:
Describe Work: Partial finish of basement, add bathroom to existing roughed in work.
Job Address: 396 Elk Run Road, New Castle, CO 81647
Assessor's Parcel Number:
212525109005
sub. 3 Elk Run Lot 5 Block N/A
Owner's Valuation of Work: $15,000
Sq. Ft. of Building: 2,464 Height: N/A
Property Size (Sq. Ft. or Acres): 5.02 acres
# of Floors: 3
Class of Work: New Remodel/Alteration +n Addition
Garage: Attached Li
Detac'hPd
Septic:
1 Type of Heat:
Driveway
Permit:
WTS
Natural Gas
❑tempt
11=1Propane
Community
❑ Electric
ID
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.
Lepel 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.
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) find 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)). 1 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.
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
provided the required information which is correct and t ra a to the,, of rnv knowledge.
tificatlon above, as well as, have
C- CiLe s -S
Property Owner Print and Sign
OFFKI L USE +N
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Special Conditions:
Adjusted Valuation:
/5i oco
Total Fees:
351, 2.S
Setbacks:
Pla�nyC�h.0eck Fee:
/6100
Permit Fee:
25
.1no 2o2v
Date
Manu. Home Fee:
Misc. Fees:
ees Paid:
loth bb
OCC C
BUILDING / PLANNING DIVISION :
Balance Due:
25J23
BP No:
[Const C.
Signe
OWTS No:
Zoning: R
Date