HomeMy WebLinkAboutApplication-q
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.garf¡eld-counW.com
BUILDING PERMIT
APPL¡CATION
I Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
618-8372
Emait Addres.. trevor@umbrel la-roofing.com
970Phone:
Mailing Address: PO Box 1717 , Carbondale, CO 81623
Property Owner:Loose Cannon, LLC
contractor: Loose Cannon, LLC 618-8372Phone: ( 970
)
Emait Addres.. trevor@umbrel la-roofing.com
Mailing Address: PO Box 1717, Carbondale, CO 81623
Address: 82 Weant Blvd, Carbondale, CO 81623
Emait Addresr. jeff@energya ndsu stai na bledesi g n. com
618-3146970Phone:Architect:Jeff Dickinson/Energy&Sustainable Design
Mailing
Address: 812 Pitkin Ave, Glenwood Springs, CO 81601
Glenwood Structural & Civil, lnc.928-0r 35Engineer:
Emait Address. gsc@sopris.net
970
Mailing
Phone:
Manufactured Home Installer: Phone:
Describe *or¡. Build 9000 sq ft manufactured steel building
800,000
Height:24
Job Address:
Owner's Valuation of Work: S
Sq. Ft. of Building:9000
Property Size (Sq. Ft. or Acres)2 acres
Block
Mailing Address:
Email Address:
f of Floors:2
Assessor"s parcet Number: 239501 100099
SUb. soctlon:lrownshlp:7Ransê:s9TRlNLoTsEXcÉPr.ø4Ac.FoRRD.
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Garage:Attached Detached
I
IType of Heat:Natural Gas Propane Electric Other
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AuthoriW. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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 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) orany
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 Bu¡lding
Division do not const¡tute 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 requ which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign Date
Special Conditions:
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Ad¡usted Valuation:
t¿5 11Ò
Plan Check Fee:
Lt5 t.t+Permit Fee: -3io1,.'15
Manu. Home Fee:\\ /A Misc. Fees:
1.8U8
Total Fees:{5ry¡ oq öltt,9.eþFees Paid piffii:ä6
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OWTS No:
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3-7 -23BUITDING / PLANNING DIVISION :
Dateproval
Gørfield County
BUILDING DEPARWENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 81607
Tel: (970) 945-8212
PLAN REVI EW CHECKLIST
Permitwo:f]uco-71Ô8
Building lssues Pla n n i ng lZoning lssues
Engineered Foundation
*l¿Driveway Permit 6Xttnt¿-
Surveyed Site Plan
\/' Septic Permit and Setbacks
Grade/ TopograPhY 30%
trl ¿ Attach Residential Plan Review List
Subdivision Plat Notes
Property Line Setbacks
A ft.5tream Setbacks
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Flood Plain
Fire Department Revie e# t
Building Height Cø;/fvuâ¿'Tae' V{}
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ZoningSign-Off
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Road lmpact Fees -
Grade/ Topography 40lo .
Planning lssues -¿'t*1L49 txrTìf
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Subdivision PlatfitÃIValuation Determ¡nation/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
"/ Application signed
\/ Plan Reviewer to Sign Application
Description & Summarv:
Parcel/Schedule No.
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