HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.ga rfiel d -c a unty.com 7 ....., , BUILDING PERMIT 1 APPLICATION I lir& TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Single or Multi -Level) Residential (SF, Duplex or Townhome) U Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES 1 PropertyOwner: Jason Dru Clark Phony (970 ) 379-0303 Mailing Address 460 County Road 259 - Rifle, CO 81650 Email Address lasonc@oksatealumni.org Contractor: O1- , ,.1L,,,.v—S eAc, Phone: ( fid) 9�Ilk- 7o 2- Lf Mailing Address:, 2- 3 t:' .cpYrrr_r (123c, -r l 1coo 441 Email Address: C.) ravwir, ® yd. at) I C F14 I Architect: i l i&1. o1klsrrv- Phone•( ) Mailing Address. Email Address: Engineer: _ \,\cr L&.\ A cL r . 0.4-N\ Phone• ( Mailing Address. Email Address • Manufactured Home Installer: Phone: ( Mailing Address Email Address:._ PROJECT DETAILS Describe Work* Job Address. 60 Assessor's Parcel Number ) Sub. Lot Block co Owner's Valuation ofWork:6)rr1r6 Property Size (Sq.Ft. orAcres):_t: _dG? Sq.Ft.ofBuilding: ,2 WO Height: , j" #of Floors: ol- Class of Work: Garage: New Remodel/Alteration Addition Attached Detached PROJECT DETAILS CONTINUED Septic: f nOWT'S n Community Type of Heat: nNatural Gas 71 Propane n Electric I❑ Other Driveway Exempt Permit# Permit: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, oran authorized agent. If the signatu re below is notthatofthe 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, c.g. State or County Highway/ Road Access ora State Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days ofthe dateofissuanceand ifwork is suspended orabandoned fora period of 180daysaftercommencement. CERTIFICATION I hereby certify that I have read thisApplication and that the information contained above istrue and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me oron my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of thisApplication, a Building Permit will be issued granting permission to me, as Owner, to constructthestructure(s) and facilitiesdetailed on the submittals reviewed by the Building Division. In consideration ofthe issuance ofthe Building Permit, I agreethat I and my agents will comply with provisionsofany federal, stateorlocal 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 ofthe structure(s) and facility(ies), described above, are noti n compliancewith County Regulation(s)orany other applicable law. I herebygrantpermission totheBuilding Division toenterthe property, described above, to inspect the work. 1 furtheracknowledgethattheissuance ofthe Building Permit does not preventthe Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction oruseofthestructure(s) orfacility(ies) ifsuch is in violation ofCounty Regulation(s)oranyother applicable law. ReviewofthisApplication, including submittals, and inspectionsofthe work bythe 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 restwith me and my authorized agents, including without limitation my architect designer, engineer and/ or builder. hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required in L Jason D. Clark _ Property Owner Print and nd accurate to the best of my knowledge. 7-3 -� Date OFFICIAL USE ONLY Special Conditions: L.1 m f - NJGIl f epiIi 76 2WRiligitIV,11 6fipmsted Valuation: .7c1/ DE0 Plan Check Fee: 414 PermitFee: N1. 7Jr Mint'. Home Fee: . Misc. Fees: Total Fees:ees 7� $ , 81 Paid: $3c0. 203 BalanceBP Due: 72 , oG No: -Vi If OWTS No:EyISflN& a3°I ON Setbacks: OCC Gr up: Const T pe: Zoning: ppp BUILDING/PLANNING VA. DIVISION: 1`T Si. =dA ; •royal Date P1) 3'* •06'3, CGS } lip 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 Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any 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. Jason D. Clark Property Owner Print y_3 -rte July 29, 2020 Date