HomeMy WebLinkAboutApplicationGurfield County
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Community Development Department
1OB 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.garfield-cou ntv.com
TYPE OF CONSTRUCTION
Com mercial/Multi-Fa mily
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome) s¡ngle Family
Demolition
F]n"'ãoi
Phone: ( 970
)
920-3255
T
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
TILLOTSON, BROCK REGAN & BERG, EDWARD WI
3946 LK WOOD CT, ARCATA CA 95521
Emait Addresr. luke.gosda@sunriseco.com
contractor: Dockers Construction Phone:970 9873527
Mailing Address:
Emait Addresr. david@dockersconstruction. com
Architect: James Woelke Phone: (_)
Mailing Address: 1002 Old Dutch Mill Road, Colorado Springs, CO 80907
Email Address:
Engi n""r. High Country Engineering Phone:970 945-8676
Mailing Address: 1517 Blake Avenue Glenwood Springs, CO 81601
Emait Addresr. ddennison@hceng.com
BUILDING PERMIT
APPLICATION
Manufactured Home lnstaller:Phone: (_)
Mailing Address
Email Address:
PROJECT DETAITS
Describe ryor¡. Single Family Residential New Home Construction
Job Address:354 Blue Heron Vista, Glenwood Springs, CO 81601
Assessor's Parcel Number: 239501 329284
sub. tRoNBRtDGE puD, eHASE r, FTLTNG I & 2 Lot 284 Block
owner's Valuation of work: S 160,489'92 Property size (sq. Ft. or Acres). .092 Acres
5q. Ft. of Building:1944 Height:23.79 # of Floors: 2
Class of Work:New Addit¡on{
,/Garage Attached
Remodel/Alteration
Detached
PROJECT DETAITS CONT¡NUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
pt Permit #:
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.
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 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
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 O(ner Print and Sign Date
OFFICIAL USE ONLY,-'râ^\"\ = /c,;/cp \l¡ça ÉF,ru n-W
€ee atra¿hal Ø/UD / V Onl SSpecial Conditions:
Adiusted Valuation:
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Plan Check Fee:i 8g1o. ts Permit Fee:#t,a¿3.u Manu. Home Fee:k\lR Misc. Fees:
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otal Fées:
í2,24î, î3T Fees Paid:
sBF1,. lÐ Balance Due
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OWTS No:
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BUILDING / PLANNING DIV]SION :ût/,rf/',
Signed Approval Date
Gørfteld County
BUILÐING DEPARTMENT
708 Eighth Street, Su¡te 401, Glenwood Springs, co 81601
Tel: (970) 945-8212
PLAN REVI E WC HECKLIST
Permit No:BuR۟-^.2725
Building lssues PlanninglZoning lssues PÜD
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Surveyed Site Plan
Septic Permit and Setbacks
Attach Residential Plan Review List,
Subdivision Plat Notes
Fire Department Review
Va luation 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
Engineered Foundation ØM roperty Line Setbacks
30 ft. Stream Setbacks
¿' Flood Plain
lding Height
Zoning Sign-Off
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Descri on&mma
Y æRoad rmpacr Fees Ptr4 êZEO*
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