HomeMy WebLinkAboutApplicationGarfield County
CommuniÇ Development Department
108 8th Street, Su¡te 401
Glenwood Springs, CO 81601
l970l94s-8212
www.garfield-countv.com
TYPE OFCONSTRUCTIOIS
Commercial/Multi-Fa mily Demolition
Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Unit - MAXIMUM SIZEOF SQUARE FEET
HAZELTON, RTCHARD W & MELISAWEIGLE phone:267-2267
Ëmail Address:rhazel3294@gmail.com
612
582 MESA AVENUE, RIFLE, CO 81650
IÍìIVOLVED PARNES
Property Owner:
Mailing Address:
542 Meadow Creek Drive, Parachute, CO 81635
Contractor:Russell Cartwright
Mailing Address:
Email Address:russecart@gma¡l.com
Phone. t970 $24-4374
3199 F Road Suite 101, Grand Junction, CO 81504
Phone. (970 P41-6782Architect: All Draft
Email Address: office@al ld raft . com
Mailing Address:
199 F Road Suite 101, Grand Junction, CO 81504
241-6782970PhoneEngineer:MSM Engineering Services
Mailing Address:
Email Address:office@alldraft.com
Mailine Address:
Email Address:
Phone: I )Manufactured Home lnstaller:
676 MEADOW CREEK DR, Parachute, CO 81635
PROIÉC?DETAILS
240705303009
23522 SF
Describe Work:New Construction Single Family Home
Job Address:
Height:!q'8"1
Assessol's Parcel Number:
Property Size (Sq. Ft. or Acres)625000
# of Floors
Block 7sub.BATTLEMENTcREEKVILLAGESEc.2 ¡_ot9
Owney's Valuation
Sq. Ft. of Building:
of Work:
2313
Class of Work:
6ara8e:3 6U,"
Remodel/Alteration
Detached
New
Attached
-46
Septic:
DETAII.S CONNNUED
Community
Natural Gas Propane Other
Driveway
Permit:
NOTICE
Authoritv. 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.
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 provísions 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 perm¡ssion 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, díscovered after issuance; or (21stopping
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 constitute än acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibilily for compliance w¡th federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
neer 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 is and accurate the best of my knowledge.
Lt 5-z{- zoz j
Property Owner Print and Sign Date
lflExemnt
Permit #:
I
I ElectricType of Heat:
L)(OFFICIAL USE ONTY
seþ ûê+ûcl?d UNP/n2/1/sSpecial Conditions:
ylf,vilil:'v(Plan Check Fee:
I tq'q,8â Permit Fee: n /
¡- R4tJ."1e
Manu. Home Fee:,-É Misc. Fees:
nïËsË> h.çqsl
ii?'ö.e s Ballnce Due: -¿
l,ßL+4,'le -8tq,BP No:WE OWTS No:'"'1,,'5"44,t1
ton"'ttol'p¿Zonipg:
Yt-LÅ)'"'b'A'rilD OCC Group:tRc
I
\ttír+h 6-lb-23BUTTDTNG / PTANNTNG DIVISION
Signed Approval Date
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegaloccupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby I have rêâd, understand, and will abide by the requirements of this
c
and Sign
Garfield County
SUILDING DEPARTMENT
7A8 Eíghth Street, Su¡te 407, Glenwood Springs, CO 81601
Tel: (97q 5-8272
PLAN REV IEW CHECKLIST
Permit No:6tR€-05-zA- g/42
Pla n ning/Zoning lssuesBuilding lssues
eYemÐL
NA
AIA
t/
,/--7
RDÈ)
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Heíght
Zoning Sign-Off
Grade/ Topography 40%
Planníng lssues
Subdivision Plat
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdívisíon Plat Notes
Fire Department Revíew
Valuation Determínatíon/ Fees
Red Line Plansl Stamps/ Sticker
Attach conditions (ftfil(
Application Signed
fÊ1Road rmpact Fees s,B.Þ. ftrsl/8lo
/
./
/
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Description & Summarv:
pran Reviewer to Sign Application FIS 27tA x 74 , bb= l74zd4' 84
ParceU Schedule No
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