HomeMy WebLinkAboutApplication. Garfield County]
Community Development Department
/108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.cum
E OF CONSTRUCTION _._..
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family /wik(j45,o-P f17' d35X Demolition
Manufactured Home (Single or Multi -Level)
J Residential (SF, Duplex or Townhome) 1 Q Reroof _
n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner: ANDY I3F lA/D T7/O.O 06S14hone: (Z"'7) 75.f —' /547j
Mailing Address: SZ c7 /t%!A2 V Ii i OR/Vi tf,' /% 5a,6, N441 ('ASr2 L'c0 f /b "7
Email Address: ►dN0yC�Ma`E f4#2,s-►, (2O -i
FNrAr./v.-
Contractor: N 4,-1rz's7 "—) 4 1.: (14"IPhone: ( cl70) lot X--15/ a
Mailing Address: P L ,�Ux /5 13 ppwe,QL/ r R- D , i/1 Co $I651
Email Address: Tpt/4 eI4h25`/,ora' srizie 7IOU CDk
--•.Architects Phone: ( )
1 Mailing Address:
/ Email Address:
Engineer: '02"OK It012 PL �6r`' , LNG Phone: 197°) 3.74fr- QODS
Mailing Address: / 1 ' GJ , 410 0 6 AdAi to do✓> CF, iA'b 3 Co"'Of
Email Address: Cf a k Sig - , 11 C - C o `"'►
Man\}e red Home Installer: Phone: (
L
Mailin Address:
Ema)Addrtss:
PROJECT DETAILS /
Describe Work: Cad snot" / Cr- S 4 ox l 2' P 1P -c ,4 / W �'`�l napc
f VD 4No Ei-7 lse A88VL, tod-y,e Ps1.0 Coza4o0 /2►vE.�
eAsr- ,E'o o". C4335
Job Address:
Assessor's Parcel Number: 2- r 273 S 319 d 0 8
Sub. g/ v r% e 81,0 p P A b Lot ---- Block —
Owner's Valuation of Work: $
5-0/010, iteD Z ropperty Size (Sq. Ft. or Acres): if 96 Ac-f
Sq. R. of Building: ;s8 15-t4g ll I Height: / E 16)11('ti # of Floors: /
Class of Work: few !0 Remodel/Alteration Addition
Garage: �)/4 t Attached I Detached
PROJECT DETAILS CONTINUED
Septic: WTS Cn Community
Type of He t: pi
I Propane Electric ❑Other
Or
0Natural Gas [[] I I ___-
Driveway i l Exempt Permit if:
Permit: rV��
NOTICE _ #;,. :.54
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 Uwner, 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
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
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 1 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. 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(les) 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
providadthe required information whicb.is correct and accurate to the best of my knowledge.
•
.2020
Perty Owner Print and Sign " Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Ta�tion:
PlannCCheck Ate:
Per it Fee /
Manu. Home Fee:
Misc. Fees:
of 1 Fees:
AiV0.74,
Fe s Paid:
4lR .�}1
Bala ce Due:
12. 2
BP No:
OWTS No:
c
Setbacks:
OCC Gr ja
Const. Type: 0 B
Zoning:
)
plod)
BUILDING / PLANNING DIVISION :
I "'Z :7e2/j
Signed A Date
pP 4)g.4/4 c-)3-- 2.x)
DC Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:
12,Lco - (443
Building Issues
Engineered Foundation
/'Ct _ Driveway Permit
Surveyed Site Plan
A/ 4 Septic Permit and Setbacks
Grade/ Topography 30%
'V r • Attach Residential Plan Review List
F4 Subdivision Plat Notes
_ Fi -e Department Review
Valuation Determination/ Fees
L Red Line Plans/ Stamps/ Sticker
JAttach Conditions
Application Signed
an Reviewer to Sign Application paj
Parcel/ Schedule No.
gill 40# Snowload Letter— Manu. Home
ttAlfiRvo
Soils Report
Planning/Zoning Issues
rX Property Line Setbacks
30 ft. Stream Setbacks
%-"..----Flood Plain 3 o-- 0
(Dig, Building Height
^� caning Sign -Off
Road Impact Fees
Grade/ Topography 40%
hi (A Planning Issues
Subdivision Plat
Description & Summary:
268 38.88 `
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