HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ol94s-82t2
www.Rarfield-countv.com
Commercial/Multi-Famil
Manufactured Home S¡or Multi-Level
BUILDING PERMIT
APPLICATION
Demolition
¡Residential Du lex or Townhome New Single Family Residence Reroof
Dwell Unit U - MAXIMUM SIZE OF SQUARE FEET
720 982-9814
Emait Addres.. hdallakoti@hotmail.com
Phone
Mailing Address: 2457 W. Sunset Drive, Littleton, CO 80120
Phone: ( )
INVOLVED PANTIES
Property Owner:Hari and Christy Dallakoti
Contractor
Mailing Address
Email Address:
& kurt@focalstudioarch. com
Architect: Focal Studio LLC (Jordan Borkovec)379-3371970Phone
311 Fawn Dr., Carbondale,co 81Mailing Address:
Email Addresr. lordan@focalstudioarch
Describe *orn. Ground up single family construction on vacant lot
JobAddress: 95 Vista Place, Glenwood Springs, CO 81601
owner,sValuationofWork:s-PropertySize(Sq.Ft'orAcres):
DB Structural Design LTD 31 9-5934Phone: ( 970
)
1229 Sage Ct., Rifle, CO 81650
Phone:
PROJECT DETAIIS
218535113037
2.64 AC
20'-8"# of Floors: 1Height:
tot 37 Block
Email Addresr. dustin@dbsd.com
Mailing Address:
Engineer
Manufactured Home lnstaller:
Sq. Ft. of Building . 3,e24 (GSF)
Assessor's Parcel Number:
sub. Elk Springs, Flg 9
Mailing Address
Email Address:
Class of Work:
Garage:
Remodel/Alteration
Attached
ew Addition
Detached
3
DETAII.s CONTINUED
Type of Heat:
i Driveway
Permit:
Natural Gas
Exempt
Propane
Community
El ectric
Permit #:
Other
1
NOTICE
Authoritv. This application fora Building Permit must be signed bythe Ownerof 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.
Lesal 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 L80 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 constructthe structure(s) and facilities detailed on the submittals reviewed by
the Building Division. ln consideration of the issuance of the Building Permit, lagreethat land my agentswill
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 th¡s Application, including submittals, and inspections of the work by the Building
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
des ner,neer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
to the best of my knowledge
o4-12-23
provided the required information which iqcorrect and accurate
1 / .-.--.t/2,.,),f,/.-€
Property Owner Print and Sign Date
11(OFFICIAT USE ONIY
6?ß attaohed ØNÞ /no/{sSpecial Conditions:
Misc. Fees: fllF |tI,/A
çh^Å- Ann l0=D,o
Adiusted Valuation:-?qz/.-7tilo.Ø
Plan Chec mit Fee q,9Fee
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Manu. Home Fee:
ø-#
OWT$ No:Total Fées:f i.ç2q,57
Fees Paid:qgceDue2 BP No:
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Setbícks:
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Ll27-23
BUILDING / PLANNING DIVISION
Signed Approval
,
Date
Gørfield County
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 401, Glenwood Sprlngs, CO 81æ1
Tel: (970) 5-8212
PLAN REVIEW HECKLIST
permit Noz g LB g_OU-ZA -60é Z
Building lssues Planning/Zoning lssues PUÞ
!/wÈ
NA
t/
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
Red Line Plans/ Stampsl Sticker
ch Conditions
ApplicatÍon Signed
Plan Reviewer to Sign Application
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
NA rM7,{rø/0= 0.Ø
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Ftv 1, /ot 3/
Property Line Setbacks
35 ft. Stream Setbacks
nlfr Ftood Ptaín
L/ Buitding Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planníng lssues
Subdivísion Plat
802
Description & Summarv:
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