HomeMy WebLinkAboutApplicationGa{telcl County
Community Development Department
108 8th Street, Suite 401
'Glenwood Springs, CO 81601
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f]] Commercial/Multi-Family
l--l Manufactured Home or Tiny Home (single or Multi-Level)
I Residential (SF, Duplex or Townhome)
flDemolition
f]neroof
f]] Accessory Dwelling Unit (ADU) - MAXIMUM S|ZE OF 1,2fi) SQUARE FEET
INVOLVED PARTIES
Property Owner:Puma Paw ll, LLC Phone:970 222-4525
Mailing Address: 127 West Berry St., Suite 300, Ft. Wayne, lndiana, 468A2
EmailAddress,@
Contractor: CRB Construction, lnc phone: (970 )618-7493
Mailing Address:PO Box 1798, Carbondale, CO,81623
Email Addresr. crbconstruction@comcast.net
Architect:The PBR Workshop Phone:970 274-0481
Mailing Address: 301 W. Hyman #6, Aspen, CO 81611
Email Address:amos@pbrworkshop.com
Engineer:Studio M Engineers, LLC Phone:970 366-8690
Mailing Address 11 1 East 3rd St. Suite 202, Rifle, CO, 81623
Emait Address. studiom.engineer@gmail.com
Manufactured Home lnstatler: N/A Phone:
PROJECT DETAILS
Describe *or*. Single family, new construction, 1500 SF main levelwith 1500 SF walk out basement
Job Address:County Road 219, Rifle, CO 81650
*0o ftlzld
Mailing Address:
Email Address:
.: :l
Assesso/s Parcel Numb"r, @L
Sub.
Owne/s Valuation
Sq. Ft. of Building:
of Work:300,000
3000 Height:
Class of Work:
Lot- Btock- 3""zsT;Ll R",7g
Property Size (Sq. Ft. or Acres|:40 Ac
20'-6"f of Floors: t'n*o'ns*'**o*"tunt
Addition
DetachedGarage:Attached
Remodel/Alteration
PRO'ECT DETAI Ui CONTINUED
Septic:
Type of Heat:
flowrs
[-ltrtatural
lfF*"'o'
Gas Propane
Community
Electric
Permit #:
I Other
Ilriveway
Permit:
NOTICE
Authorihr. 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.
(Xher Permlts. 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 ryty certification as to accuracy. Assuming completeness
of the submittals and approval of this Application, a BuildingiPermit 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)). All County development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. I aiknowledge 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 facilit(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 propert% 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 Building Division do not constitute an
acceptance of responsibility or liability by the County of erro6 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 f{otice and Certiftcation abovg as well as,.have
provlded the required infonnetbnshkh lscorrectandaccurate to the5estof myknowledge.
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DateProperty Owner Print and Sign
OFFICIAT USE ONLY I
I I C\L \ -AS.5t\
Special Conditions:eee a/*a&e4 Ca/vD /T/O/VS
Adiusted Valuation:iq o909a ,??JhV,VT 'iryry:7s Manu. Home Fee:
-
Misc. Fees:
"'!-t,"t/rL,bq Fees Paid:
\ ocA qL\Balance Due:
t ;tri. -7b BP No:WY-k'OWTS No:ffi,Bsl
Setbad*s: .aL-OCC Group: RL ,o"ttrrrlrB L Zonin?
C)tr*A zwlBUTTDTNG / PTANN|NG D|VTSTON :
Slgned Approval Date
Garficld CowntY
BTJILDING DEPARTMENT
108 Eighth Street Suite 40t, Glemvood Springs, Co 87507
Tel: (970) 945'8272
PI.^AN REVIE c HECKLIS
BrRr-ol-ZLl-BW
T
Permit No:
Building lssues
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Kttruar A 3 -7-//O
dakd 6.9.202z
Engrneered Fou*dat'to*
Driveway Pe rm it hXn7y/rinnt
TTM )
Surveyed Site Plan \-r
;;"i-ii):24-s5ot
Septic Permit and Setbacks
Pla n n ing lToning lssues
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
itding Height
ni
g
Grade/ ropography 4o% (1, Kl tr
Grade/Topography 30%
Attach Residential Plan Review List
SuMivlsion Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Parcell Schedule No.
Planning lssues
Subdivision Plat
Descri ion&S ma
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FLS l6ilx z/,68= /4 ozo
Energy CompliancqPath/Plan Received
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Plan Reviewer to Sign APPlication bas*r*/mK //6/rs@
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