HomeMy WebLinkAboutApplicationCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION _
n Commercial/Multi-Family
Manufactured Home (Single or Multi -Level)
1--J Residential (SF, Duplex or Townhome)
n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Demolition
INVOLVED PARTIES l` ,/ /', -' / -j
Property Owner: �/211,1�l 1'aMd I/ /(1,' Phone: (7rf F� )Y//L3 1
Mailing Address: f C1d On:ha rd, (aV 64)11 610-e Ste Z3
A
Email Address:
, awaits,' g#7101 /7 • ecYkr
Contractor: Nueav4 tUn'r I1 Pool( Phone: ( ) 31— 5 3
Mailing Address: 3f f .]�� f�q_r f i) Dem/6-
Email Address:
2O72-3
Architect: Phone: (
Mailing Address:
Email Address:
Engineer: eime It it Pp M
Phone: (
)
Mailing Address:
Email Address:
Manufactured Home Installer: Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:
% /x 2_6' f) B/ . ,CPa- c-Gi-e
Job Address: /`a aid 69i'fr r ()a yketh ( S/613
'am -Assessor's Parcel Number:
Sub. Lot Block
�1 r
53-
Owner's Valuation of Work: $ T7 d, old . 0_ Property Size (Sq. Ft. or Acres): act
Sq. Ft. of Building. Height: # of Floors:
Class of Work:
New
Remodel/Alteration
Addition
Garage:
Attached
Detached
PROJECT DETAILS CONTINUED
Septic: DDWTS
Type of Heat: ❑Natural Gas
Driveway Exempt
Permit:
I❑ Propane
I l Community
Electric
riOther
❑ Permit #:
NOTICE -T—
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.
CERTIFICATION
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 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 well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Proper Owner Print and Sign
Date
OFFICIAL USE ONLY
Special Conditions: �1
of ei Wgt oco K4RI'rms.
Adjusted Valuation:
1V) a�o.o�o
Plan Check Fee:
�oy.3�
P r it Fee:
�3.55
Manu. Home Fee:
N/
Misc. Fees:
�/
T tal Fees:
* 1104 ��e
ees Paid:
t I one. g�
lance Due:
Vance
BP No:
OWTS No:
FliV ,� (094
te j/A.,
igie*� S0 Ib
OCC Group: IRC
Const Type: /�
Zoning: ��pfrc to
BUILDING / PLANNING
DIVISION : ` ' 1 4 0
Signed Approval Date
1074.W,CCJ R0!Z2!2 'Ln
\ L, Garfield County 1
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW (HECKLIST
Permit No: $1g�-10 --0- (o516
Building Issues Planning/Zoning Issues
Engineered Foundation
WA Driveway Permit
Surveyed Site Plan
A Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
WA Subdivision Plat Notes
IVA Fire Department Review
Valuation Determination/ Fees
l Property Line Setbacks
NA 30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed Description & Summary: !
Plan Reviewer to Sign Application 1 MAN" Ih fp-0 f1 I pa! + tot,
,
Parcel/ Schedule No. MN 1O 1 " 43416) aW • (. i41142)
IVA 40# Snowload Letter — Manu. Homes
Soils Report