HomeMy WebLinkAboutApplicationRIE--
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(-970) -945-8212
www.garfield-county.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
r i Commercial/Multi-Family
10 Manufactured Home (Single or Multi -Level)
i ® Residential (SF, Duplex or Townhome) ! n Reroof
Demolition
n Accessory -Dwel ling -Unit (AD.U) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES ►}r v4-i
70 3
Property Owner: �j orj C r1 ct r � g - � �S D� Phone: (1 ) ` , 0 -' 630
Mailing Address: 2 c Oak, LQKy- (G @ VoDearg � `�q6S 6Q1
Email Address: ?Fir' S h Qg Wet C' C 122
Contractor: J
Phone:
Mailing Address:
Email Address:
Architect: Phone: (
Mailing Address:
Email Address:
Engineer: /_/�
Phone: (
Mailing Address:
-Email Address:
Manufactured Home Installer: // Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
•
Describe Work: f"` et--S er 44 T h' - 1411(04J/ k' K{c' lie 1-0 I
} A-Ocit i I iioctA k \IA i4,o tlu ev-i t e -/-; re Ai e (/k k -/ Y
Job Address: '2 q Oak LiA-K .e, G l e tt woo d S Pe '\1 s ,(C% S f 60 /
Assessor's ParcelaNumber: o� 1p5 b 22 01027
Sub.t 9"1-4u K EC kct KC h Lot -2--g Block 2, ell c'.'
Property Size (Sq. Ft. or Acres):"' '
Owner's Valuation of Work: $ 7 57 0. 417
Sq. Ft. of Building: ? 3 ?
Class of Work: 'ONew
Garage: n Attached
Height:
Remodel/Alteration
# of Floors:
Addition
Detached
7•
PROTECT DETAILS CONTINUED
Septic: r1DWTS
Type of Heat:
Natural Gas
❑ Propane
Community
❑ Electric
Driveway Exempt
Permit:
[I
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.
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.
L hereby acknowledge L have read, understand and will abide by the requirements of this
chkifst. ot s
Property caner Prinitand Sign
7./Z /
Date
Special Conditions:
justed Valuation:
437?S00.Q6
Pan Check Fee:
plan Check
permit Fee:
�I 2
Manu. e Fee:
%
Misc. Fees:
N/�
Total Fees:
£ 2 ✓2.8(
iees Paid:
` ?f 2.giv
�alance Due:
0. 00 -
BP No:
OWTS No:
F.ie- (v(
EIs r4&
Setbacks:, , `
OCCGroup: (i?G
Const Type: IQc
Zoning: ^. ,�, • ,
BUILDING / PLANNING
DIVISION : ' i` I
Signed Approval Date
2.51.0) e-c) I I Z2j717u
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: PIA—Oi- 2(- leG%
Building Issues
NA Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
NA Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
NA
Red Line Plans/ Stamps/ Sticker
/
N/A
NIA
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
Planning/Zoning Issues
r/a
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
eefhli04141 R.61410161 VAd 4ovl
60, 91/101'14i11452,)