HomeMy WebLinkAboutApplicationGarføeld Coaarety
RECËWpiUffi iñlFlextí-.i.lrri-ìfi iínettft eplintrn--ren':'.
1iûr8 Lìrh streê'¿u Sr*dû-eg 401
, . .(jllerrtiri.tqr,rc:¡icl"¡lrtiìlr¡g¡s,,,ii..í(.ì¡:ìl','..]l,l
GARFTELD couNTy
-i'r. I'j '-;i'r Ì
comMUNtTynrvrlW
WP€,$F CÕNSYRU€TåCIN
,eonn rnetl"e iaiu,i llvl r:llti -F¡ar,i¡iii
lrrr,1.'¿r¡f¡,r'i:1i ¡ ra.:d H,:ont're i.i.-s[ r,
i.)r,r¡.::ll:
íì,[, :i]' ..¡llfii. !'tr.¡ef
Ei.- í ..t r:;0.r sí;i.j.,nlÌE {FIEF-
ôNT'T{VED F,AßTBES
[d ror p :e iäy (l)v.vr¡xe i' ;
|t.\lì ar i ì 1 n g l^ì el i,jl ;'re.. ss :
Ë¡r,îa d i A¡d el riesss r
erÞmËraeÈ$r:
6" nr r:a¿ \JiCøruCLC- ,)'Ì,ä,1¡*: tfra ::k¿ a43a
Çí.0. c i sr a' \\\C<rvre ìn
ä*Ëailå+lg Atlc$ress
Err*ail ,Àdclness;
r\reij,,rr,¡,,s,i:-:t Pç 5o hn Son ,Archilec{.^ç-.\\Lp''"i,on.": uclTa ! 625- aEæ
Irvll.:riJìng A,crtijreiss: \3L €^Sl 'fhlld 3\*e\- Q; il" (o, ? [ ("EO
E¡iqr¿¡il r\r,ldr i¡:s., ")C.{-f æ J).crf Cb i|e¿ltJ-. a\ '.eÐçn
ll trr:Li:! I !
irr¡¡¡rr,¡il Ani[¡lri+üs] . . . .
rrlRì(ailllÞii :'r r))i! j1 /¡\l{l:.:.
BUILDING PERMIT
APPLICAT¡ON
DreÌnelii:ifjrrì
h'eiÈ.11Få
M*ìii:ig áJdi¡*¡=: 3O k X Ll L\
L,staË: Â<ìdres u, /( | ke @ One d t'(€Sews (<. c eö{]
*, ?Ð .--- ir,tr:+;¡e, tffie-¡ -3O 6 1çreEttgi:-re.on:\Ji\\e
Edr¡*nôS, Lo 8lL3Z
[¡srerlbe Wo¡kr Me*:Csn-3\.uc\ìon- - Alqglø- É.'ni\f¿ \\crne._
J¡¡i¡ Addisss:
Âsseçtcr"s Pe¡eeÊ frdl¡ n¡l¡er:
Sqiȡ"r*tl4 -biu--,l--
Ç:s¡¡eg''s VelçætBe¡¡¡ +ir ïÀrcik; å Lqq, rL
tr.vFr=. i¡ -'.1+ rr;- i!-- i t ¿i";ge>i
Sq. Fì. o'1Êìuâ[+liagr eËgì:';lß'5tt ;, *f .1.*.*l : 7
--eiass of We¡û,üc:
z196
¡,i0T' r:ri,3 li.'",. Ti { irl, r:!ì
ilu:tarh:er.¡
:septña:()w i9_--__ -È\
iN¿¡tun;¡l .:ìfi'cF..ÈåÌ fri.)Eflectníc:Clthcn'ìlyipe of He;atlr
Ðrt:rnn¡t.$Drfivzeu,lray
fÐreärnnfrlì;
@yeeÞ
{Nr@1tl]G{Ê
,.Ar¡fthorifty, Tñris appfiîr:atlon .for a Euifliiirrg trenin:t nn:ist :s sign"ed hy t'l* {Jwnen of tf;re prope!"ty, e.ieserîbed above,
otn arnr ar¡lìh¡onîzed agent" lt1Î tin,e signatlure lb"qlc,,'u is npt llh;t a,'tÌto" O,',,'",,"rÌ', ãì seËìara{(e letter r¡f aultf'retrity, sîgrnerd by
tlhe C)wn¡en, nnustl he prnovieeoì wìttth thls ,\ppìie;.tie,:r.
fi.egqt4ç€g€gs A Eraífiding Fermit eannrt be issued vi¡í:her;¡-t praef of .egæff arie adeeuate êceess to the prelpenty for
puriposes otl înspectìorns try tihr,e Euilkcìng )ìwf5jsp.
{3} another permlt nequîned fo¡- use on È[:a prop.^rtï ic*nti:,'ice abave, e.g. State or eounty t{ighwaVl Road Acsess
ron a State \¡\lasllewa{len Diseinangre 2enrnf,:l.
Vq!qd..,Pgf.nn't& ,A Eurliding Pcnnrit hreeoñri€s nuii an,ot Ë'¡ris i:=tì: ,l+e "fli a.ltne¡¡lzecf. is n.ot ec.nilrm,eneed v.rithin 18Cl rdays
of the date of [ssu¡aurce and i,f o.vonk üs suspe nelee ,er ahane.cneo fo: a pe:ioel oif 180 datys after eommencemcg'ìt.
GERMFI@ffi@N
l[lren,ebycentìfythafilhav'eneaejl th[s,Ap¡oûi,ca':ion-'aie thatthc nlie:rmationcontaineel] aboveÍstn¡eandl ece¡rrect" I
undlenstan.al that thte Flulle ìng Divisi¡ln ace,ep:s uh,re Âpp,l¡eali¡on',. ale 'lg'r,,u¡[il.l tüt'e plai"ts and speeífiealtltons an¡d] o'ùhen
data s¡:binitted hy rne or o,n mV behatrî {s{.ihr,ltta$si, hase* upori my eertífleat¡Ðn as f:@ aeeuraey" Assuaming
connpJe't'eness of t[he subn:rilitals ,Etndl atppr¡,eryr¿¡ iolf fthis ,{g:¡:hcatlon,. ¡r 3ulrldling Pernrít t¡¡tl,ì be issued grant[ng
pe¡missiotrr t.o ri.le, as ,C)wnren, ¡ro c rìs'trLre:1Ìh,e struelluneisi and faeilirÌies e ,e1Ta[ûrecl on tÛre subnnittafis neviewed ü:y
the B¡.!¡!ci¡ng Division¡. ln eonsidenation oí':lne issuanee af t|:e iir¡iid,n:g Per"ru'rit, û agree that ! anal rny agents wili
eornply wlth pnovisirons o1i any iFeekera[, stäì:e rÕrr' [e¡eall Ía'o.u n'egula:ing thc uoirer]k anrdl lÌhe Gar-fieiel eorurì1ty Ettiüding
eode, OWTS n"egullations arild appiieahÍe iand use :eguiat:ens {e ;:rtr;i Reguiatíon{s}}. I acknrou"rfedge that the
ßui[eling p)enrnit nnay ûte sulspencJ,e'd1 o;R Rev,oke,eì, urper: rleties:'no:¡ lth:e e,ou!ì1ty, [i'tl\e l]roeatiron, eorìsilrLlclllonr o!" i.ise
other appiıeablc iav"r"
ret¡r.rirång t-*re corree;llår¡n rif er¡çrs !r: the suiimitte[r,;, i:'a:ty, iirsc:¡r'*rei* ai"ter åsst*anec; e¡r'{2} ste-rp-lí:inp,
rr.llirrsiì gnr-r r, r-' r'l¿[ n ccl l' ;w t¡:],f ¡ t r t-r,1. i I ii,l e i'
¡¡rrrrrTìti^etfi re.t¡uìretd
(trw¡rr,.ri ¡;a¡1¡iq ¡ìnsl iJfl¡irn
.É.}FFfl Cfl AÊ- Ë.BSH @ruilY
floeeia li eo¡nd fi tiolr-rs :
n¡lf l¡-h i: ,.rtit¡f-fa+a::f ì;'h:i.f :¡..,irrr-:.fer fe: ti5¡e hie:,,:t ctË ffly f<nr¡m¡Fr+fi$e,
+/zalzozl cla ,5-Í
1_z_l
Zorningr
PV Þ
lD¡,¡:jlr-"
5-!2:21
fì4lisc;. lÊcee:ss'
Pttr= lßqø,Ao1 i ursfleel Va l.Lr a{t¡!o) n I
iqq^ 142. t2 Tïáji:'Ëa il öeri]ss H/r
['v;la iÌ r"r " ii sr¡rirg Fee:
Fees Paid:
t qqt .oa
: Ea*enee tlce: : BP fijo;i tnn,q I BLRe.6gt+
G$fll5 Ne¡x/¡2,521o,73
Tota8 Fées:
5teillþt,"rc ks;ÔIL C.tnSiÌ. TÌ,.ijle.i laL{OíC|C ítìroup r r¿c
6 U F LÐF nC G / FJF-,.qnq n1 f, m G DSIí I *qFOF{
Sígned ;rippriiiua!lDalte
Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 407, Glenwood
'pt¡ngs,
CO 81607
Tel: (970) 945-8212
PLAN REVI EW CHEC KLIST
Perrnit No:BLRtr-04-21-6â[7
Building lssues Planning fZoníntg lssues P ú>
t/ Engineered Foundation
NÈ Driveway Permit
+vp, P.-/ Subdivision Plát Ncites
?lalNoþrFu
0feJs0fè'Vclrrø
NA Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Sígned
Plan Reviewer to Sign APPlication
ta Parcel/ Schedule No.
40# Snowload Letterft
Property Line Setbacks
1^ À a¡--^- c^tl^^l--JU il.. Jtf edlf I JeludLKS
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
l/Surveyed Site Plan
r.lA Septic Permit and Setbacks
A Grade/ TopograPhY 30%
Attach Residential Plan Review List
woctbvrn
^/A
'/ Planning lssues
Subdivision Plat
Descri ion &ITI
Et.S. zaoq x 74,bØ =f t5o,o3z.lz
/ soils Report
lrdàleton\erq 740'21
?roi ozwø-døt
l6h fr/eu^+roe+
yûrûle 5qø v ıL z
- Manu' Homes .?ø Ltß x lg =
crw)l ,3q5 x 18=
AàJ' . Bwitdrl ng V a,luüon 4
lq/Ab,0o
8(c4,oô
ll0,oô
la l+2,1L
Rlr (s.v,b)
f rarnäng piaris Tr¡r eae:$r íb*gr ievel ai¡ci rscf. ¡rBå **æn'¡*, csËaJrnns, jerEsËs, raftcrs ane3 trusses
Fnarnñng leonnoetñon detaíîs, bracerJ lçãFF fm-es, shoe-r weii seheeitt[o, foeatrr:n anei hoÊd elom¡ms
NffiTffi: Ëf any nequined inferrnation is rnissing, deËa3:s in issurng the perrnit are ia be expeetee$^ Ef
detenn"nined lby the Burlding L)f'fôelal that aelditi¡¡nal intÎ,airna-tñon is il€iÇessarl'/ to revnew thre appfiicationt
anei/on pfians ferr oormpiianoe, the applieatnon may he pFaeed on holn{ n-lntifthe requrined rnforr¡latnoni is
pnovirded. Work may not proeeæd with*uå the issqiari+* of e penn"lit.
The ßq¡iidtmg Dåvåsion wiål eolicct a *lan RevFeu., fec ai 1åme of appEieatËetn su¡bmittæå. The penrnÉt fee, as
w,eü[as any Rclad lnnpaei fees n¡ì]l he e,oitected wl**n tne perrniì is ñsst¡cd"
The perrnit appåecation nrust be slgncd by the +wlrcfl +n by pers+n hai¡Ëng wiitten authontty fnom the ownetr
te¡ aet as the¡n nepnesentatËi'.re,
Building cannot be oeeulpied until a eee'Êifícate ef Gceupancy {r*}Oi is issueei. Using the büå8dång uv[thout a
CCI wcHË be eonstdened anr ðlf,egal oce¡,¡pa1'"Èey end :'na_ii oe grieuntJs fon rvacataRg the pnemãses. (FånalleO
inspeetion nequãrernents w¡Fl be aÊtaehed to i¡e¡un ãppio;r¡eef ÍieËei set of p[ans.]
E heneby aeke"¡owledge å årax,re Eeæd, a¡ndcrsËand and wãËå aþ!æe by Èhe requinemenÊs of ÈF¡ås
c&¡eakBãst.
a
o
Ò3- c?-zt
Frimt arid Srgn