HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfieid-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
n Commercial/Multi-Family
0 Manufactured Home (single or Multi -Level)
Residential (SF, Duplex or Townhome)
'�i:1'w'„[.J�•�=-YT_ .:.y:. .1. _5 .v7ll L .-•
Demolition
Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner: MA 6
Mailing Address:421 'rd ll*Iii WS 1 a1b0i
Email Address:
1iii11i1
V ne I ��� .t Phone: ( _) v'J) ` I1 V
V
vv OOrr��Q t'3rC� I . c w
Contractor: MOVkN` t ei 2 cOAcV Phone: ( 10) �� U '
Mailing Address: 2-UIii W'"'
Email Address: ItiVki'V'Ze. ri:t1tr• CAM
Architect:
Mailing Address:
Email Address:
G t&skCjS1\4. Phone:( 70) TX `'4432
t512 t Ji e Sle G to. gilool
Engineer: MAIRA9144
Mailing Address:
Email Address:
Phone:
aUa¢A. laew�!
on e dwimen- thijrn&O.
10) ig4-0370
Cern
Manufactured Home Installer: Phone:
Mailing Address:
Email Address:
)
PROJECT DETAILS
Describe Work:
toliStVACZ_
Job Address: -322 p1Kt '4S lb
Qt`" w �I ✓0`
Assessor's Parcel Number: 9-34 3o'11Ob OO
Sub. tffiln I'} S rii3• Lot bb
Block
r
-r-111/1
y oo 0 r 011 Property
ySize (Sq. Ft. or Acres): + AGOwner's Valuation of Work: $ 9,7t Sq. Ft. of Building: 3557 % .00 Height:O 1 J • 1 Z -i' V # of Floors: 3
Class of Work:New ElRemodel/Alteration Addition
Garage: Attached Detached
r. "119NENEW.WRIMML.-
• Septic: ,DDWiS Community
T of Heat: J�Natura! Gas [�j Propane n Electric El Other
1 �, J k 1 i I
DrivewayExempt , ❑ Permit P: _
Permit: s /
r•.T1Cts _
i6gth9Ay. This application for a Building Permit must be signed by the Owner of the property, described above,
jor an autttorired agent. tt the signature tallow Is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Apptitatiun.
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 Permfip. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit.
I(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
yold Pgr-mit, 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
1 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
4' permissiDo to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. In cpnsideration of the issuance of the Building Permit, i agree that land my agents will
comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, OWES 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(les), described above. are not Incompliance 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 laciiityiies) if such is in violation or County Reguiation(sj 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, l 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
and/ or builders _
I hereby acknowledge that f 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 knowledp.
PropertVOIrmer Printlarid
SAL USE ON[Y
Special Conditions:
justed Valuatiot;:
Total Fees:
031-2&.491
Si 6FAuc1
Purr Check Fee:
41�P ,'T4
ils2i1d6. l4�
Group: IR&
I O"4 l . -
f ( gtA)
Pgrmit Fee: Manu. Home Fee: Misc. Fees:
1�R73,'T5 1�/A
493301
Balance pup: BP OWTS No:
$7100.1 -b� '1 Duni
G 'Gti
Setbacks:Occ
Const. Type:IRC zoning':
BthLDiN€ / PtANNING DIVtStON ;
Signed Apprnvai
ic-D r6;«, 01245/2070
Afil-19Z0
Date
riCGarfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: B1.12S-0-20-074v
Building Issues
Engineered Foundation
NA Driveway Permit
Surveyed Site Plan
N/A Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
WA Fire Department Review
Valuation Determination/ Fees
/ Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter— Manu. Homes
Soils Report
/
N/A
Planning/Zoning Issues
%vvuottkiktArm
325 x 474.c4 r 2,416,SIO.
x 32. bb = 15) f740.
50 x Ig oto = Ia, ago.
&6Wi;4I,
c k(rrrdi
N/A
Property Line Setbacks
30 ft. Stream Setbacks
N/A Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
/
Subdivision Plat
Description & Summary:
(.OWruv 14v (
Mm' L.M.I
Urptv Lit I
Rc gi v w lot
I i3Gb
Gds
3/37-,
Roo4 Irn t F'.14/
(L9 lawgIA)
4 27.41 ).
4133 oa