HomeMy WebLinkAboutApplicationGarfield County
n" : -' (trilhttfu.nity Development Department
108 8th Street, Suite 401
it'ttl.l{ ,:? 7 26l.Anwood springs, co 81601
-, t-.". . . (9701 945-82t2
www.ga rfi eld-cou nW.com
BUILDING PERMIT
APPLICATION
ICom mercial/M ulti-Family Demolition
Manufactured Home or Tiny Home {Single or Multi-Level)
Residential or TownhomeFD Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
Susan and Todd Christman
EmailAddress:todd @u n i o n prope rtyca pita l. com
Phone. {415 )260-4165Property Owner:
Mailing Address:
contractor: The Home Group - Jack Wheeler V phone: (970 f19-7378
1B3 North 12th Street, Carbondale, CO. 81623Mailing Address:
EmailAddress:Jackv@thehomegrou pi nc.com
812 Grand Ave, ste 201, GWS, CO. 81601
EmailAddress:ku rt@h i n ge-a rch itects. com
phone, (970 | 309-4432
Mailing Address
Architect: kurt carruth
1001 Grand Ave, Ste 211, GWS, CO. 81601
319-5934
Emait Addresr. dustin@dbsd.com
Mailing Address:
Engineer:DB Structural Phone: (970 )
Describe work: R€ffiove existing wood framed residence.
N/A
5970 CR 109, Carbondale, CO
239328318001
2.438ac
. N/AN/ASq. Ft. of Building:
Lot Block
Height
Owner's Valuation of Work: $$50,000
# of Floors
Phone: { )
.2
Job Address:
Manufactured Home lnstaller:
Assessor's Parcel Number
Sub.
Property Size (Sq. Ft. or Acres):
Mailing Address:
Email Address:
Class of Work:New Remodel/Alteration Addition
Garage:Attached Detached
PRO'ECT DETAIIS CONTINUED
iSe ptic:Community
Type of Heat:Electric Other
Driveway
Permit:
NONCE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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'
CERTIFICANON
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, 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework' 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 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 Certification above, as well as, have
provided the req information which is and accurate to the of knowledge.
v7
Property Owner Print and Sign
Permit #:
PropaneNatural Gas
Exempt
i
OFFICIAT USE ONLY
Special Conditions:
Misc. Fees:Permit Fee:Manu. Home Fee:Plan Check Fee:Adjusted Valuation:
OWTS No:Balance Due:1+-BP No:
\zJr"n -&ffi'"n'Eo.'&Total Fees:
zonipConst. Type:OCC Group:Setbacks:
3'n'Z\BUILDING / PTANNING DIVISION :
Date