HomeMy WebLinkAboutApplicationGurfield County
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Community Development Department
,r,lli.f r! i4 tii7t,108 8th Street, Suite 401
:'r' ri "'Glenwood Springs, CO 81601
ti._".,r.ir:[ u r,.. (gzo) 945_8212
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BUILDING PERMIT
APPLICATION
OF
T Commercial/M ulti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelli Unit - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOIVED PARTIES
Property owner: Public Service Company dba XCEL Phone. (g7o )314-1501
Mailing Address:1800 Larimer St Suite 100 Denver, CO 80202
Email Address:keith. r.owens@xcelenergy.com
contracto, Mears Group Phone:
Mailing Address:9701 E 102 2nd Ave Henderson CO
Email Address:m i ke. den n ison@ mears. net
Architect:Phone:
Mailins Address:
Email Address:
Engin ""r.
Entrust Solution Group Phone: (_)_
Mailing Address:9777 Pyramid Court ST 300 Englewood CO 80112
Email Address:bg riffi n@entrustsol. com
Manufactured Ho me tnstaler: Wood Group USA Phone:
Mailing Address:4057 Camelot Circle, Longmont CO 80504
Email Address:
PROJECT DETAII.S
Describe Work:8'-6" x 16'-6" Prefabricated Steel Building
Job Address:770 CR 264
Assessor's Parcel Number: 2177 18200287
5r5. None Lot _ Block
Owner/s Valuation
Sq. Ft. of Building:
of Work:
140.25
Property Size (Sq. Ft. or Acres):.59 acres
Height:9'# of Floors: 1
Class of Work:r'New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAITS CONTINUED
Septic:CWTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
pt Permit #:
NOTICE
Authoritv. 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinL80days
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 thisApplication, 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.
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 Certification above, as well as, have
provided the required information which is correct and accurate to the of knowledge.
l,abl
Property Owner Print and " i Z.^{/.1^t.",F
d"."
OFFICIAL USE ONtY \
'e"T,Special Conditions
Tl;:|:2i''""'Manu. Home Fee {alq.6Misc. Fees
Total Fees:
722,G
Check Fee:itPerm?i 'qi
id 'r4 W,in-gtas
OWTS No:
Setbacks:occ Group: 5-z Const. Type:v5 tonKl
_
f ez.4BUITDING / PLANNING DIVISION :
Date