HomeMy WebLinkAboutApplicationii:Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.ga rfiel d•cou nty. com
TYPE OF CONSTRUCTION
L] Commercial/Multi-Family
1 1 Manufactured Home (Single or MuItl-Leven
Residential (SF, Duptex or Townhome)
n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
! I
BUILDING PERMIT
APPLICATION
INVOLVED PARTIES
npernolition
n Reroof
Property Owner: Joel T Leonard Dynasty Trust Phone: L970 ) 930 0092
Mailing Address: PO Box 619 New Castle CO 81647 and 1210 east Crabtree Drive, Arlington Heights IL 60004
Email Address: Joeltleonard@gmail.com
Contractor: Freed Construction Phone: (970 379 1379
Mailing Address: 27 Mustang Trail New Castle CO 81647
Email Address:
Architect: Palomino
Phone: ( )
Mailing Address:
Email Address:
Engineer: High Country Engineering
Phone: ( 970 ) 945 8676
Mailing Address:
Email Address: rneal@hceng.com
Manufactured Home Installer: Phone: (_ J
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: Construction of ADU
Job Address: 1679 County Road 245
Assessor's Parcel Number: 212525300077
Sub. Lot Block
Owner's Valuation of Work: $° 4qr 25D Property Size (Sq. Ft. or Acres): 35 acres
Sq. Ft. of Building: 990 Height: # of Floors: 2 _
Class of Work: Frew n Remodel/Alteration
Garage: ['Attached I I
Detached
Permit:
NOTICE
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.
Weal 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
PROJECT DETAILS CONTINUED
Septic: jOWTS El Community
Type of Heat: :Natural Gas n Prnp:ml l r Electric Other
Driveway ❑FxemI !
pt Permit #:
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.
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 [he Building Official from: (1)
requiring the cnrrertinn 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 well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Property Qwh Print -and Sign
7nu/2u
Date
OFFICIAL USW ONLY
Special Conditions:
123 41 Dui
is1...PI- - L
iz,
OWed Valuation:
'72 SO
Plan Check F
3z. I
PQg rmit Fee:
A . 7
Manu. Home Fee:
Misc. Fees:
Total Fees;
Fees Paid:
t • I
Balance Due:
g •'75
BP No:
OWTS No:
PEE •4'11—'2.nD,uC1
fiC-
Zoning: pm"
Setbacks:
0
Const
BUILDING / PLANNING
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