HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www.garfield-cou ntv.com
BUILDING PERMIT
APPLICATION
Demolitionulti-Fami
Manufactured Home (Single or Multi-Level)
I ReroofResidential (SF, Duplex or Townhome)
Dwelli Unit - MAXTMUM S|ZE OF 1,000 SQUARE FEET
970 404-5045Phone:
Email Address:heather. hill68@yahoo. com
Heather Hill
43 Wild Rose Drive
Property Owner:
Mailing Address:
Foundation Repair of Western Colorado phone:970 243-0929Contractor:
Mailing Address: 2575 Highway 6 & 50 , Unit A
Email Address: i nfo@repai rcracks.com
nrch¡tect N/A Phone: I )
Mailing Address:
Email Address:
1010 W 24th St Rifle, Colorado 81650
462-8853Engineer:bwr.pe - Brian Rossiter Phone:970
Emait Addresr. bwr@bwr.Pe
Mailing Address:
Mailing Address:
Email Address:
tnsbll 34 Push PtsEfÞm tnside the unt¡nlshd bessm€nt. lnshll six 0'lntellljãcks et lhÊ6nd ofeach main beañ. lnsbll 4 Hêll€l PleF und6rthefont porch @lumns.
Describe Work:
JobAddress: 43 Wild Rose Drive
owner's Valuation of Work:s $1 10,940.68 D
Phone: I )
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x /.a #ollloors 2Sq. Ft. of Building:Èt/^Height:
Property Size (Sq. Ft. or Acres):
Assessor's Parcel Number:
Sub.
Manufactured Home lnrt"ll"rt N/A
øt tlL Block_
{Remodel/Alteration AdditionClass of Work:New
Attached DetachedGarage:
l
PROJECf DETAITS CONTINUED
CommunitySeptic:
Propane Electric OtherType of Heat:Natural Gas
Permit #:Driveway
Permit:t Exempt
NOTICE
Author¡W. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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.
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. ln consideration of the issuance of the Suilding 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 noticefrom the County, if the location, construct¡on 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
CERTIFICATION
designer, engineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Sign Date
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Special Conditions:
Adiusted Valuation¡
tio,44o. Ø3 ""ålä:ff'Permit Fee:LAñ,35 Manu. Home Fee:
l¡l¡.
Misc. Fees: ,
NFT
tótafpeei:
1,741,v7
Fees Paid:
+ G85,qt
lalance Due:
/,o55.7ê
BP No:
6,çvE-tZSL
OWTS No:
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Set6acks:OCC Group:
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Const. Type:
r. R. C.
Zoning:
P.u,Þ
22/-ZzBUITDING / PLANNING DIVISION :
Signed Approval
".4tL
Date
Gørfield County
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8212
PLAN REVIE W CHECK LIST
Permit No: B(RE - ôZ-ZZ-.7 AZL
Building Issues
út Pt '¿¡rgþff Pla nni ng lToning lssues
NO A€Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Description & Summary:
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