HomeMy WebLinkAboutApplicationGarfield County
f:i t":Development Department
(-.rn , ^ 108 8th Street, Suite 401i'hH T h ffi*Jh*ood springs, co 81601
tjit, :; i':::l i i r I,:i;:, . 19701945-8212
r , '"i"r i, ' www.garfield-countv.com
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BUILDING PERMIT
APPLICATION
W,PEOFCONSTRUCTNON
DemolitionCommercial/Multi-Family
Manufactured Home orTiny Home {single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
33 Four Wheel Drive Rd, Carbondale, CO 81623
- MN(IMUM SIZE OF 1,200 SQUARE FEETDwelliUnit
319-0775
Email Address:shankbasalt@gmail.com
Scott & Susan Hankinson Phone:970Propcrty Owner:
Mailing Addressl
Mailing Address:
Email Address:
N/A Phone: { )Contractor:
Architect:Elise Wolf (Landscape Architect)
Email Address:elise.fagan@gmail.com
Phone: { )
MailingAddress:1303 Barber Drive, Carbondale, CO 81623
1338 Grand Avenue #316, Glenwood Springs, CO 81601
EmailAddress:i nfo@americangeoservices.com
970 436-7050
Mailing Address:
Engineer:American GeoServices Phone:
Mailing Address:
Phone: { )
Email Address:
Manufactured Home lnstall"r: N/A
ln-ground spa in back yard patio area. 11 x 14 non-rectangle-
shape, 44" deep, sitting on 6" cement pad, CMU (block) construction with elec
33 Four Wheel Drive Rd, Carbondale, CO 81623
239311400011
4.45 acres
Describe Work:
Job Address:
Owner's Valuation of Work:30,000
0
Assessor's Parcel Number:
Property Size (Sq. Ft, or Acres):
200 sqft
Remodel/Alteration
Height:
Garage:Attached
5q. Ft. of Building:
Class of Work:Addition
Detached
sur. UP CATTLE CREEK SUB t-ot 1 1 Block
f of Floors: 0
-
Electricatural Gas
Driveway
PROJECT DETAIIS CONTINUED
Septic:Community
Type of Heat:Propane Other
Permit #
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NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, descri bed 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 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 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 acknowledge that the Building
permit may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe
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 ofthe
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 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 and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Ce rtification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge'
/oi)tu {2o2CO
Property Owner Print and Sign Date
4OFFICIALUSE ONLY
k*arSpecial Conditions:
n0
Misc. Feesc
A/.11'2e o""hlw""Tt:w*'^otrl.h'6frfion:
J
OWTS No:Balance Due:qv.75 BP No:
Bt-OE -gsa1( o2, ,A\
re-es daid:Total fees:46/6/,
zo?{c:Const."f'p-Locc Group: RLSetbacks:
E*l ^
BUITDING / PTANNING DIVISION :
Signed Approval Date
'rT%
Gurfield CountY
BUILD'NG DEPARTMENI
7O8 Eighth Street Suite 40I, Glenwood Springs, CO 87607
rel: (970) 945-8212
PI.^AN R IE CH ECK LIST
Permit No:0/4E-oz-2bgr*a
Building lssues
Engisreered Foundatlon
Driveway Permit
Pl a n ni ng I Zaning lssues u
bb //
P Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhv 40%
Planning lssues
Subdivision Plat
wry
Surveved Site Plani4rs/
Septic Permit'and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
€/ Subdivision Ptat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
ParcellSchedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
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