HomeMy WebLinkAboutApplicationGørfield Coanty
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GARFIELü GOUtÈLüood sprinss, co 81601
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www. garf¡eld-countv.com
BUILDING PERMIT
APPLICATION
TVPE OF CONSTRUCTTOñ|
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
T Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOIVEDPARTIES
Property Owner:
Malling Address:
Dan and Gina Sikora Phone: 1970 ¡ 17l. -Z:Otb
3342 W, Torreys Peak Dr., Superior, CO, 80027
Email Addresr. dsikora@meriwetherco.com; ginasikora@yahoo.com
Contractor:TE Builders, Thad Eshelman phone:(970 | 37q-t5öG
Mailing Address: 7380 County Road 100, Carbondale, CO, 81623
EmailAddress:thad@tebuilders.net
Architect: Untitled Architecture (Brent Sikora + Leo Naegele)Phone:571 ,136 -8e77
Malling Address:8525 S 1000 W, Victor, lD 83455
EmallAddress:brent@untitled-architecture.com; leo @u ntitled-a rch ¡tectu re. co m
Engineer:IMEG Corp Phone:970 949-7768
Mailing Address:PO Box 1597, Avon, CO, 81620
Email Addresr. Leslie.J.Wyse@imegcorp.com
Manufactured Home lnstaller:N/A Phone:
Mailing Address
Email Address:
PROJECT DETAIIS
DescribeIn e.¡. Single Family residence
Job Address: 84 Gossamer Road
Assessorr's Parcel Number: 218731409088
5u¡. Elk Springs Lot 88 Btock
-
owner's Valuation of Work: $ 1'000'000 Property size (Sq. Ft. or Acres): 3'88 Acres
Sq. Ft. of Building:4069.8 Height:24'Max 1#of
Class of Work;,/New Remodel/Alteration Addition
Garage:{Attached Detached
t
TType of Heat:Propane Electric Other
PROJECT DETAII,S CONTINUED
Septic:Community
atural Gas
Driveway
Permlt:I Permit #:
NOTICE
Authoriw. This application for a Building Permit must 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 author¡ty, signed by
the Owner, must be provided with this Application.
Lesal 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 Permlts. 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 grant¡ng
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. ln 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) orany
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to ¡nspect 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
d or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provlded the required information which is correct and accurate to the best of my knowledge.
Ðo.¡t S,.k,,rq 0 /-
Property Owner Print and Sign
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Date
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speciar conditions:,
eo abþac)reà ØNÞ,:iloNs 0F PÉRfn Ff
Adiusted Valuation:
þqffi- ?^?z
Plan Check Fee:.
ê !.5 M.st '&ï"-\raz.rs Manu. Home Fee:ñ/A Misc. Fees:N/A
Total lees:
63,957, Zî Feós Paidi
f t,:rr q.ft Balall/ce Due:
,f z.æQ.-75
BP No:
Bt*e-1zqt
OWTS NO:
C O14 ¡t¡útt t TV
Setbacks:ok OCC Group l.Ê .c.Const. Type,.R c
Zoning;
P. IJ.D.
BUTtDtNG / PTANNtNG DIVISION :0
Signed Approval
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Date
Framing 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, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance 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.
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Property Owner Print and Sign Date
Gurfield Coanty
BUILDING DEPARTMENT
L08 E¡ghth Street Suite 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8272
PLA N REVI EW CHECK LI T
Permit No: B|RE-Ol-ZZ-77q I
Building lssues
w Engineered Foundation
riveway Permit
Nl4
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Pl a n n ing lZoning lssues
/¿*88
----Þ--Pro perty Line Setba cks
gve, I ta 30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
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ll
t/Læ.
Road I pact Fees
â/1/4- /ok* Grad Topography 40%
a'
Planning lssues
Subdivision Plat
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Red Line Pláhs/ StamPs/'strcKer
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
receplion 65177+
b9/77,s
Description & SummarY
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