HomeMy WebLinkAboutApplicationGurfield County
Community Development Department
,.EC,Ë1V-n[ '1OA 8th Street, Su¡te 4O1
Glenwood Springs, CO 81601
;t¡' r (970) 945-8212
Commerci milY Demolition
Manufactured Home or Multi-Level)
Residential lex or Townhome)Reroof
Unit - MAXTMUM S|ZE OF L20O SqUARE FEET
Kim C. & Rebecca-Rhea Benson phone. t970 )618-8651
GARï;thl-.i.¡
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PropefiOwner:
Mailing Address:493 Ponderosa Cir. Parachute, CO 81635
, Email Address:ksbenson94@gmail.com
BUILDING PERMIT
APPLICATION
contractor: Same as above Phone:l)
Archltect:
Maillng Address:
Email Address:
Phone:
Mailing Address:
EmailAddress: ,
Englneer:Studio M Engineers, LLC.Phone:(97O t366-8690
Mailing Address:
EmailAddress:
111 East 3rd St. Rifle, CO 81650
:
r Mailing Address:
: EmailAddress:
: Manufactured Home lnstaller: Phone:
Describe Work:14x20 addionon south side of house joing the east and outh facing exterior walls.
.lob Address:493 Ponderosa Cir. Parachute, CO 81635
Assessor's Parcel Number:240718309010
Sub.Monument Creek Villiage ¡.ot 10 Btock 9
owne¡rs valuation of work S 30'000 Property Size (sq. Ft. or Acresf :7,853
Sq. Ft. of Building:
,lHeight: # of Floors:-!-
Class of Work:Addition
Garage:
280
ëw Remodel/Alterätion
Detached
t
I Natural Gas Propane Electric Other
Community
Type of Heat:
,l{OTICE
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.
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 Perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another perm¡t required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permlt. A Building Permit becomes null and void if the work authorized is not commenced withín 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 Divisíon 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 grantíng permission to me, as
Owner, to construct the structure{s} and facilities detai¡ed 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 provisíons of any
federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and
applicable land use regulations (Çounty Regulation{s}). All County development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. 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 submíttals, 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 const¡tute an
acceptance of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I
acknowledge that responsibil¡ty for compliance w¡th 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 ! have read and understand the Notice and Certification above, as well as, have
is correct and accurate to the best of my
Ploperty Dateand
Special Conditions:
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TotlFees:29úæ,
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Setbacks O occ Group:
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BUTTD|NG / PLANNTNG D|V|STON
Signed Approval Date
Gørfteld County
BUILD,NG DEPARTMENT
708 Etghth Street, suite 407, Glenwood Spríngs, cA 8¿607
Tel: (97A) 945-8212
PLAN REVI CHECK LISTEW
úrte*Ø-z-82/3Permit No:
Building lssues Planning/Zoning lssues*4 L>R
Engineered Foundatíon
D ri vew ay e
", ^r{eXe*n 7b)\
Surveyed Site Plan
Septic Permit and Setbacks
Gradel Topography 30%
Attach Residentíal Plan Review List
Subdivisíon Plat Notes
Fire Department Review
Val uation Determ ination/ Fees
Red Line Plans/ Stampsl Sticker
Attach Condítions
Application Signed
Plan Reviewer to Sign Applícation
/ Parcellschedule No.
Property Líne Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Gradel Topography 40%
Planning lssues
Subdivision Plat
ry
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Description & Summarv
40# Snowload Letter - Manu. Homes
Soils Report
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