HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
l� Commercial/Multi-Family
Manufactured Home (Single or Multi -Level)
[] Residential (SF, Duplex or Townhome)
BUILDING PERMIT
APPLICATION
Q Demolition
Reroof
`n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner: Sunlight, Inc Phone:(970 )945-7491
Mailing Address: 10901 County Rd 117, Glenwood Springs, CO 81601
Email Address: tomhays@sunlightmtn.com
Contractor: MOR Storage Phone: (970 )254-0460
Mailing Address: 3010 1-70 BL, Grand Junction, CO 81504
Email Address: sales@morstorage.com (contact: Bill Rose)
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:
PROJECT DETAILS
Describe Work: 12' x 30' wood frame single story building by MOR Storage.
Structure to be used for storage and limited winter seasonal daytime occupancy.
Job Address: 10901 County Rd 117, Glenwood Springs, CO 81601
Assessor's Parcel Number:
Sub.
239533300051
Lot Block
Owner's Valuation of Work: $16,300 Property Size (Sq. Ft. or Acres): 183.169 ac
Sq. Ft. of Building. 360 Height: # of Floors: 1
Class of Work:
Garage:
RINew
Attached
n Remodel/Alteration
Detached
Property Owner Print and Sign
Septic:
Type of Heat:
Driveway
Permit:
PROJECT DETAILS CONTINUED
OWTS /O
Natural Gas ri
Propane
Exempt
`Ps
[1
Community
❑ Electric
ri
Permit #:
❑ Other
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.
CERTIFtCATION
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.
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 Certification above, as
provided the required information which is correct and accurate to the best of my knowledge.
L.
Date
well as, have
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
/(Pt 2)
Plan Check Fee:
/� 1.)
Permit Fee:
.7/�, z 5
Manu. Home Fee:
Misc. Fees:
tal Fees:
4?o7, .
ees Paid:
f 4(00
Balance Due:
0
BP No:
8 - itiN�'N/AIr
OWTS No:
Setbacks:
OCC.Group:
Const T pe:
Zoning: o IL-
BUILDING / PLANNING
410/
DIVISION : O ' •Zor
Signed Ap'foval Date
o.()C4j
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 a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
Mt -kb s D - I ds-t9-zoz0
Property Owner Print and Sign Date