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HomeMy WebLinkAboutApplication>EFulz,-,ãÍL sü ôHJ>uJt r¡- 5É.= óã Community Development Department 1OB 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-8212 www.ga rf ield-cou nty.com Gurfield County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION n Commercial/Multi-Family Demolition ! Manufactured Home (Single or Multi-Level) I Residential (SF, DuplexorTownhome)Reroof INVOTVED PARTIES Louise Marron & Timothy Hasselmann Phone: P70 ) 443-2015 Property Owner: Mailing Address;PO Box 157, Carbondale, CO 81623 Email Address:lamarron42 1 @hotmail,com contractor: Mathew Daugherty ptrone, (970 ) 309-7181 Mailing Address:420 Mesa Dr, Rifle, CO 81650 Emait Addresr. m.dconsulting@hotmail.com Architect: Jack Palomino Phone: (970 ) 379-9239 Mailing Address: 919 Palmer Ave, Glenwood Springs, CO 81601 Email Address:jackpalomino5S@gmail.com Weeks & Associates 970 225-2422 Engineer:Phone: Mailing Address:4730 South College Ave, Fort Collins, CO 80525 Email Address:evan@weeksinc.com Manufactured Home lnstaller:Phone: Mailing Address: Email Address: PROJECT DETAITS Describe Work:New build, residential home on 35+ acre lot Single level home with a loft. Unfinished basemenUconditioned crawlspace for future development Job Address:pending assignment Assessor'sparcetNumber Zl Bt l9lO Olap Sub.Mountain Springs Ranch totT Block _ Owner's Valuation of Work: S 400,000 Property Size (Sq, Ft. or Acres):35 acres Sq. Ft. of Building:1183 fìn¡shed, 950 unf¡nished Height 17 ft g,1¡¡r.rr.1 +loft Class of Work:I tttew l_JAlteration E Rddition ! nepair | | Move/Relocation Garage:!Rttached ll Detached PROJECÍ DETAIIS CONTINUED I CommunityOWTSSeptic: ! Propane Electric l_lotnerType of Heat:I I Natural Gas I lPermit #:Driveway Permit:Exempt NOTICE Authoritv. 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. 'orÈrcnrusEoNLy ?àtr. S7ft.8b c.(. èTltt /zszz ¿æ rÊa&dtuWþ¡WtNSSpecial Conditions:â€e 4 Misc Fees:RwÆD þt.¿/', Plan y3 I Check ru^{ì':)'s'Zv€Manu home Fee: t{/rAdiusted Valuation¡¿ lþiz¿/.2ß4,ff t BP No: 8LRE. ?¿138 OWTS No: sEPl -1{39 Fees Paid: | 7t1.os Balance Due:- -þ/,aî,*J'ìi'.âäb,nr Const Type:tQl,t Zoning:ßv:,euSefbacks: ,AL OCC Groupl TQî,, BUTTDTNG / PTANNTNG DlVlSlON : Signed Approval Date Ut)6"2 ¡"#*W, 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 granting permission to me, as Owner, to constructthe 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 desi nd/ or builder edge that I have read a nderstand the Notice and Certification above, as well as, haveI hereby provided ation wh and accurate to the best of my knowledge. +1,/zz Print and Sign lár. /