HomeMy WebLinkAboutApplicationGarfuld CounSt
Community Dorelopment Department
108 8d' Street Suite ¡101
Glenrrood Spring¡, CO 81801
(9701:lfs{212
wunr¡. garfi eld-counw.com
BUILDING PERMIT
APPLICATION
Demolitionft mrnercial/Multi-Farnily
Manufractured Home {Single or û{ufti-Level}
¡ReroofResidential {SF, Duplex or Townhome)
Accessory Dwelling tgnit (ADti) - MAXhdUM SIZE OF I'(Xn SQUARE FEET
p¡on..1970 l94B-5319M¡ke/ Sarah Premich
220 Red BluffVista
Email Address:whiteriverconstructionco@g mai l.com
PropertyOuner:
MailingAddress:
Foundation Repair of Westem Colorado phone:
2575 U.S. 6 & 50 Unit A, Grand Junction, CO 81501
C.ontractof:1970 ,628-3738
Mailing Address:
Email Address:i n fo@ repa i rcrae,ks.com
Architect Phone:l I
MailingAddress:
Email Address:
720 440-9450Phone:Ëngineer:DL Engineering lnc
MailingAddress:9100 W. Jewell Ave, Lakewood, CO 80232
Email Address;jslama@d lengineer.com
MaifingAddress:.
Emaif Addresst
IPhone:{Manufactured Home lnstalþr:
Sub. a-ot 2Ô5 Bbck-
n Sfa-l 24 sn rs {'r¡rDescribe Work:
22O Red Bluff Vista
b
?þÇ
Property Size {Sq. Ft. or Acresl:c)()5
LAq r r¿L
Job Address:
Sq. Ft. of Euilding:t.?8q ú
Assessor's Parcel Number:
Owne/s Valuation of Work:
Heicht: fi of Floors: t
RemodeíAlterationClass of Worft:New IV
Garage:Detached
lcSeptk:3WT5
hlatural Gas Fropane ElectricType of Heat:Other
flrxernrt
#:Oriveuray
Permit:
PROTECT DETAI I.s COTf N ilUED
ilONGE
Authoritv. This application for a Building Perrn¡t rnust be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, rnust be provided with tl'rris Application.
Legal Access. A Building Perrnit cannot be issued witt¡out proof of legal and adequate access tr the property for
p{¡rposes of inspections by the Building Division.
Other Permils. Mu|t¡ple separåte pernnits may be required: {1} State ENectrical Perrnit, {2} County ûWTS Fenrnit,
{3} another perrnit required for use on the property identified above, e.g" State or Cûunty l-lighwayl Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Perrnit becomes null and void if the work authori¿ed ís not cornmenced witlrín 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after cornrnencement.
CERNFrcÂilON
I hereby cert¡fy that I have read this Application and ttrat tl¡e information contained above is true and correct. I
q.¡nderstand that the Building Division accepts the Application, along with tl¡e plans and specifications and other
data sr¡bnnitted by rne or on my behalf {sr,lbmittals}, based upon my certification as to acc$racy- Assuming
conepleteness of ttre subnnittals and approval of tttis Application, a Buifding Pennit will be isst¡ed granting
penrnission to rne, as Owner, to construct the structune(s) and facilities detailed on the sub¡nittals neviewed by
ttre Eurildäng Division" ln cosrsideration of the issuar¡ce of the Building Permit, I agree that I and rny agents will
cornply with pnovisions of any fede¡-al, state or local law regulating the work and the Garfield County Building
Code, OWTS regulations and applicable land use regr-rlations iCounty Regulation(sl!. I acknowledge that the
Building Fenmit may he suspended or revokec!, upon notice f¡'orn the County" ûf the location, constructíon or tise
of the structure(s) and facility{ies}, described ahove, are not in compliance with County Regulation{s} or any
other applícable iaw.
I heneby grant perntission to the Building Division to enter the propefty, descrihed above, to inspect the work. I
fq.¡nther acknowledge that the issuance of the Building Permit does noï pr€vent the Buífding Official from: (1|
nequùring the correction of errors in the submittals, if an¿ discovered after issq.rance; or (2) stopplng
construction or use of the structure(s) or facility(ies) if such ís in violation of Cor.lnty Regulation{s} or any other
applicable law. Review of thÉs Application, including subrnittals, and ínspections of the work by the Burilding
DivisËon do not constûtute an acceptance of responsibility or liability by the County of errors, omissíons or
discrepancies, As the Owneç I acknowledge that responsibility for compliance wiitå¡ federal, state and local laws
and County Reg¡¡lations rest witl¡ me and my authorized agents, includñng withor¡t limitation my architect
and/ or builder
I hereby acknosrl€dge that I have read and understand the Notice and Certification above, as well as, have
information which is corr€ct and accurate to the best of my knowledge.
{'1 2
Property Owner Sign Date
oFFTGIALUSEoNLY ?a. * tlt!.31 qC lô/rq/zozl€5æ
Soecial Conditions:-'-=st ;rirrral reøtþs on/tr
Adiusted Valuation: -6Ee.Ø9.Øa
Plan ChecktFee:
à46q. e?
Permit Fee: f
ß'lalo,76
Manu. Home Fee:tth Misc. Fees:N/A
Total Feés:öt rcaJ¿f
Fees Paid:
t qsq. eq
Balance Due:
.ó ro¿.75
BP No:
ßue e--t I 1t
ovurS n¡o:
éo r¡rwtr¡ N tTY
Setbãcks:N/A OCC Group:
tÈc
Const. Type:
tc.q
Zaning:
PÚD
/tؿ**t/h t0,29,2 IBUtLD|NG / PLANNtilG DTV|S|ON
Signed Approval Ilate
DocuSign Envelope tDl 1 F978957-E932-4F 1 B-85C2-381 F4071 CEET
Framíng plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, þraced wall línes, shear wall schedule, location and hold downs,
NOTE: lf any required informatÍon is missing, delays in issuing the permit are to be expected, lf
determined by the Buildlng Official that addítional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the lssuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
by:
ü^túúrl fvt,,naiú"ro/7/202L
Print and Sign Date
a
a