HomeMy WebLinkAboutApplicationGa.rfîefd Cot¿rt
I0B BtÌ' Street, Suite 401, Glenwood Springs, CO BI60t
Ph:970-945-82 1 2 Fx:970-384-3440 Inspection Line: B8B-868-5306
www. garfi eld-couutv.com
BUILDING PERMIT APPLICATION A-s
1 ParcelNo: (thisinformationisavailableattheassessorsoffce9T0-945-9134)
2401-093-00-01 1
Lot No: Block No: Subd./ Exemption:
2 Job Address: (d an address has not been assigned, please prot,ide CR, IffrA or St¡'eet Name &. City) or and legal descliption
0233 County Road 336 Silt, CO 81652
Ph:
s70-876-5453
AIt Ph:J Ow ner, (p rop erty own e r)
Gary D. & Karen K. Hill
Mailing Address:
2473 Counly Road 336 Silt, CO 81652
Ph:
(303) 260-4503
AIt Ph:4 Contractor:
Bargath LLC
Mailing Address:
1001 17th Street, Suite 1200
Ph:Lic #:5 Manufacfurcd home installer:Mailing Address
Ph:AIt Ph:6 Architect:
NA
Mailing Address
Ph:
303-291-0355
AIt Ph:7 Engineer:
Judith Secary P.E.#34664- Harris Group, lnc.
Mailing Address:
1999 Broadway, Suite 1500 Denver, CO 80202
Height:
B'-6.
No. of Floors:
1
8 Sq. Ft. of Building:
B0 s.f.
Sq. Ft. orAcres ofLot;
1035.48
9 Use of tsuilding:
HResidential ØCommercial [Other
Class of Work:
lTfNew l-lAlteratiott ERdclition lRepair ÜDemo lMove
t0 Describe Work:
Foundation construction and installation of a CDOH approved buildìng. Please call Phil Vaughan at 970-625-5350 when the permit is ready
11 Garage:
EAttached [Detached fllsns DCommunity
Septic:
E[Nat. Gas f]Propanc mElectric Eother
Type ofHeat:
12 DrivewayPermit: NIA
Owners valuation of Work:.l'trl Nc\N-N\
letter ofauthority, signed by the Owner, must be provided with this Application.
LegâlAcc€ss. ABuildingPermitcamotbeissuedwithôutproofoflegalandadequateaccesstothÈpröpertytbrpurposesÒfinspectionsbytheBuildingDepartment.
County Highwayl Road Access or a State Wastewater Discharge Pemit.
days after commencement
.ERTIFI.ATI'N
and specifications and othor data submitted by me or on my behalf(submittals), based upon my certificatiôn as to accurâcy.
the subnittals revicrvcd by thc Building Depâúnent.
constnction ôr use ofthe structure(s) and lâciliry(ies), described above, are not in compliânce with County Regutation(s) or any other applical¡le larv.
ofCounty Re$llâtion(s) or any other âpplicable larv.
limilation my architect designcr, enginecr and/ or builder.
NOTICE
SIGN
-ù 7r20t11
DAT'E
] HEREBY THAT I HAVE READ AND UNDERSTAND THE NOTICE & CDRTIFICÄTION ABOVE:
À.t
Special Conditions:
Manu home Fee:Lloo, g Misc Fees:Adjusted Vâluâtion:
7Zc>.&
Plan Check Fee:
ZI. LL
Permit Fee:
72.61
Balance Due:q97. 6ô
BP No & Issuc l)¿tc:
wù-åtåq-
ISDS No & Issued Date:Total Fees:tr,ç3. 87
Fees P¡id
tb ).+
Zoningt
R
Setbacks:OCC Group:
r-x
Const Type:vE
DATE DATE
/
STAFF USE ONLY
Description of Wolk lnstallaüon of CDOH approved buiHing'
Bin #:
Loc¡tion Address: 2473 CR 336
SILT, CO
Building Plan Review
Crse Menagcr: David Bartlrolomew
Pl¡n C¡se Number: BLDG-7-Il-6941
P¡rcçl¡ 24010930m11
Application Drtarz M l22f20l I
Owner: Gary& Karen Hill
Applicrn& Crty & Karert Hill
Appllcant Phone 87êá453 Emaih
( lont¿rcts(ìr:ner'¿tl lnfor ttt¿tltot t
Foundation
Permit
Surveyed Site Plan
Plann
/Property Line Setbacks
30fr Stream Setbacks
/ Flood Plain
Elrr ilding height
Buildinq
P/rt s"pt¡"
ü/rl
N/t,
Permit and Setbacks
30o/o
p//t Attach Residential Plan Review List
Minimum ApPlication Questionnarc
ê..bdivision Plat Notes
/ -"ning sign-off
lmpact Fees
Approval
,/' GradelTopognphy &To
/
Planning lssues/
-Subdivision
Plat
Fire Department Review
n ReviewerTo Sign Application
ParceUSchedule No.
40# Snowload Letter - Manu. Homes
/ u^luation DeterminationtFees
, / *"d Line Planststamps/sticker
/ o*ch Gonditions
,// \pplication Signed
Gene¡al
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Report
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