HomeMy WebLinkAboutApplicationCounty
Commfrnity Development Department
. r' I *:. Lu (OSSRSt?tet, Suite 401
, ì., iri ¡ u U I'J i I'Y HUli{¡nfOU gpri ngs, CO g160 1
l970l94s-8212
www.earfield-cou nW.com
BUILDING PERMIT
APPLICATION
I DemolitionCommercial/Multi-Family
Manufactured Home (Sinele or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelline Un¡t (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
CCC-B LLLP p¡on".1970 )309-0123
132 PARKAVE, BASALT, CO 81621
Email Address:ch ris@ruddconstruction. com
Property Ownen
Mailing Address:
0145 COUNTY ROAD 225, RIFLE, CO 81650
TALLY HO CONSTRUCTION Phone:
Email Address:jeff@ta I lyhoconstruction. com
(970 ì625-0208
Mailing Address:
Contractor:
23280 Two Rivers Road, Ste. 1, Basalt, CO 81621
prrone: t970 p27-3167Architect:Theodore K. Guy Associates PC
Mailing Address
Emait Addresr. tedg@tkga. net
Engineering & Technical Sevices, lnc. phone. (605 )498-1290
Email Address:
Engineer:
Mailing Address: 27121469th Ave, Tea, SD 57064
Email Address:
Construction of a pre-engineered building - Bldg. C
0062 County Road 113, Carbondale, CO 81623
2393-181-00-358
12,250
Describe Work:
Job Address:
Owne/s Valuation of Work: S 700,000.00
sq. Ft. of Buitding: W tZ,î9 Height:19'- 6*1
Phone: { )
Lot Block
Property Size (Sq. Ft. or Acres):
Manufactured Home lnstaller:
Mailing Address:
# of Floors
Assesso/s Parcel Number:
Sub.
r'New RemodeUAlteration AdditionClass of Work:
Attached DetachedGarage:
I
. PROJECT DETAILS CONTINUED
-1
Septic:
Propane
Community
Electric Other
l
I
.'
l
Type of Heat:Natural Gas
Driveway
Permit:
pt Permit #:
-1
NOTICE
Authorítv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 L80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I herebycertifythat I have read thisApplication and thatthe information contained above istrue 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 not¡ce 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 BuildÌng 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¡ld¡ng
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
designer, engineer a or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Wayne Rudd o5t25t2023
Property Owner rint and Sign Date
T
OFFICIAT USE ONtY
('?.uP f^^e*l
Special Conditions:
$4isc. Fees: \ -/
?Õ5ô.ctòAdiusted Valuationt77 tLS
OWTS No:
ôEÑ.ß14<,
Total Fees:
1?A[,óf
Manu. Home Fee:¡t
5i Due:BalancePaid:Fees
L
Çhqck Fe¡l:
1
Setbacks:occGroup: 5 _t Const. Type:IE '"Tl'L-.
l2-4.23BUILDING / PLANNING DIVISION
Date