HomeMy WebLinkAboutApplicationGurfield Coanty
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munity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
19701945-8212
www.ga rfield-cou ntv.com
OF CONSTRUCTION
Commercial/Multi-Fam ilv- _ _il-loàmol¡i¡on
Manufactured Home (single or Multi-Level)
Residential SF D lex or Townhome
Accesso Dwell Unit (ADU)- MAXTMUM SIZE OF 1,000 SQUARE FEET
Reroof
INVOI-VED PARTIES
BUILDING PERMIT
APPLICATION
Daniel & Maria Bucio ,970 .6186192Pnone: I I
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Property Owner:
Mailing Address:239 LafrenzLane
Email Address:ybuciol4@gmail.com
Daniel Bucio Phone: ,970 ,618tP AtlZContractor:
239 Lafrenz LaneMailing Address
Email Address:ybuciol4@gmail.com
Jose Cisneros Galaviz Phone:Architect:
Mailing Address
Email Address:
j-e-c-g @hotmail.com
DB Structual Design 970 19-5934
Engineer:Phone:
Mailing Address:
dustin@dbsd.comEmail Address:
Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
, PROJECT DETAITS
Describe Work:Shop/Garage '- ñ! wor.¡ /â.ol^5
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Job Address:239 Lafrenz Lane
Assessor's Parcel Number:212725100069
Sub.ANTLERS ORCHARD lotT'.36 Btock
owner,sValuationofWork:fuPropertySize(Sq.Ft.orAcres):3,200
Sq. Ft. of Building:Height:
23 ft highest po¡nt r of rloors:-:l--
Class of Workt ition
Garage:
3,200
ched
Remodel/Alteration
Detached
Type of Heat:
PROJECT DETAITS CONTINUED
Septic:Community
atural Gas Fropane Electric Other
Driveway
Perrnitr
NOTICE
Author¡tv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthes¡gnaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
LegalAccess. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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.
i Vo¡d Perm¡t. A Building Permit becomes null and void if the work authorized is not commenced within 180 days
i of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
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CERTIFICATION
I tlere¡v ceitify tlrat f frãvà reaO inis Àppf icaiion 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 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) 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
e eer 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.
Permit #:
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Property Owner Print and Sign Date
oFFrcrAL usE oNry PAiD !CîC ,96 c.c. ô{
Special Conditions:
oee arb^îheL ¿rN Þ,]-7Ót{5
Adiusted Valuation:'7h.*)D^Ø Plan Check Fee:
641 .2q Permit Fee:932.75 Manu, Home Fee:
N/A
*irfn
"'Lti\#,0+Fees Paid:
Itogc, ,8o
Balance Due:
1t7, tg 8P- No:
ßr-RE.11LL
oWtb tuo:
N/^
Setbácks: t -fiL occ Group:
I eL Const. Type:
t. R.C
Zoning:
R, Uß AL
€2722BUILDING / PLANNING DIVISION I
Signed Approval Date
Gørfietú Cowrtty,
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, Glenwood Spt¡ngs, CO 87607
Tel: (970) 94s-8212
PLAN R EVIE WCH E CKLil 5T
a¿Rg-a/-z-ryôêPermit No:
Building lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Nlotes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
ParcellSchedule No'
40# Snowload Letter - Manu' Homes
Soils Report
Pla n n i n g/Zoning lssues Rrt
/Ø Property Line Setbacks
3û ft. Stream Set.backs
Flood Plain
Planning lssues
Subdivision Plat
Des ion &mma
Building Height 231 On , r
Zoning Sign-off
af'll;con"n
*orrvt
Road lmpact Fees
Grade/ TopograPhY 40%
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