HomeMy WebLinkAboutApplicationRECENED
mun¡ty Development Department
108 8th StreeÇ Suite 401
Glenwood Springs, CO 81601
(9701e45-82L2
www.parfi eld-cou ntv.com
Gørfuld County
BU¡LDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
¡NVOLVED PARTIES
&¿n¿r/1ørwr>q&w-.tT Phone:$7ò )q4.8 &Y+'l
Email Address:
Property Owner:
Mailing Address:
Phone:Û7ötq+eÙe+l
Mailing Address:
Email Address:
I Address: 51^¡¡¿-SO^[ P-9\UM-.'í:{=SI($.1
Phone:
Mailing Address:
tn1Òtvn -9.98Architect:
Emai
Engineer:
Email Address:
Mailing nddress: tl
L,q.JP âv*tttæ* lr..t¿Phone: 3Zo ¡QK 7ó17
Phone: I IManufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAITS
Describe *orn Q,-ffiu{, A4 ffitc€ Aoa11ror1
Height:# of Floors:_
I(
,4<'5'3
Block
roperty Size (Sq. Ft. or Acres)Owner's Valuation of Work:
Sq. Ft. of Building:
Assessor's Parcel Number:
Job Address
XClass of Work:New ffi Remodet/Alterat¡on Addition
Garage:Attached Detached
I
Septic:]WTS
E I ectricType of Heat:Natural Gas Propane
Driveway
Permit:
pt Permit #:
NOTICE
PROJECT DETAILS CONTINUED
Community
Other
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.
Leeal 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, Mult¡ple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property ident¡fied above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
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
construct¡on 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 neer or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information accurate to the best of my knowledge.q-é-z
Property Owner Print and Sign Date
b
oFFrcrArusEoNry pAtD. +600.+.r C.C. O1/o t(Zo,ZZ sã
Special Conditions:.aeeaúh¿rel t/VþlryâMS
Adiusted Valuation:q4.u4ç,o0 Plan Check Fee:hø,+r 'öiïizs Manu. Home Fee
htlA
Misc. Fees: 'p.jrlßD= Þ7i
TotafFees:
1,624,t7
Fees Paid:
*6oo.*$
Balance Due:
Q23.75
BP No:
er-aÉ-'118I
OWTS No:
N/A
Setba-cks:OCC Group:
l. Ê. c.
Const. Type:
| .la.(.Zonine:
R,URÀL
BUltDtNG / PLANNTNG DtVtStON ûh),tl\ -31-Z-
DateSigned Approval
oa
Garfield County
BUILDIN6 DEPARTMENT
1A8 Eighth Street, Suite 4O7,6lenwood Springs, CA 81601
fel: (97O) 94.5-8212
PLAN REVIEW CHECKLIST
PermitNo: E¿<g-Aq-2.q767
Building lssues Planning/Zoning lssues B¿¡ç4 |
Engineered Foundation
Driveway Permit
0a
Gradel Topography 30%
Attach Residential Plan Review Líst
¿/ subdivision Plat Notes
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees >tØÁ
s l/alrø,hrnÀy$a% ¿
,--/r'
,ù??
pogra
Planning lssues
Subdivision Plat
¡
ph
Fire Department Revíew
Val uation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
5tô¿J 3
Description & Summarv:
\î* /3/5x 32- =
FLS 6oO X V/,69
,rr-,
Z,laoryeÊ
afØnlrþ 7'
Plan Revíewer to Sign Application
rcell Schedule No
40# Snowload Letter - Manu. Homes
Soils Report
14, ¿qo. no
v gö9,"o
"9rtk4 b*t/,g
/a lra.rrbv :
g?, qß"od
(
/d
\f¿¿ '
,fu,ú¿þo/ h,n'nay
/ryaáá>=a
Rlr â,8.b #zaø,oo