HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
RECEIVE DGtenwood Springs, CO 91601
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GARFi[:LU C0Ui\iTY
c0Mi!ufil'rY
Demolition
or Multi-HomeManufactured Home or
Comme ulti-Fami
I Residential lex or TownhomeD Reroof
Dwel Unit - MAXTMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
121 RED BLUFF VISTA GLENWOOD SPRINGS CO 81601
319-5274970MARK C SIMPSON/KLARA SPROJCAROVA
Email Addrerr. mark@designstudiomcs.co
Phone:Property Owner:
Mailing Address;
EmailAddress:
919-5274970Phone:
Mailing Address:
contracror: MARK C SIMPSON
Engineer: Phone:
Mailing Address:
EmailAddress:
Phone: ()Architect:
Mailing Address:
EmailAddress:
EmailAddress:
Phone:Manufactured Home lnstaller:
Mailing Address:
PROJECT DETAIIS
REMODEL OF EXISTING STOFAGE AND DECK AREA TO EXISTING INTERIOR SPACE
Job Address: 4904 COUNTY ROAD 154 GLENWOOD SPR]NGS CO 81601
Sq. Ft. of Building: Height:
Describe Work:
239501 207002
Owner's Valuation of Work:q 10,000
Assessor's Parcel Number:
Sub.IRON MOUNTAIN CONDOS,
Propeny Slre (Sq. Ft. or Acres):1 080
Lot _ Block
--
I
# of Floors: '
{Class of Work:New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAIU' CONTINUED
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is cortect and accurate to the best of my knowledge.
(0/?
and $ign Date
lf
Pro
Septlc:DWTS Community
Gas Propane Electric OtherType of Heat:
Driveway
Permit:
pt Permit #:
NONCE
Authoritv. 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.
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 Permlt, 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.
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 Permitwill 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 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.
CERTIFICANON
OFFICIAT USE ONIY
Special Conditions:
Adjusted Valuatlon:
to.o67\
Plan Check Fee:
rta.9t tBtPermit Fee:.25 Manu. Home Fee:Misc. Fees:
Total Fees:
zq1.oe
Fees Paid:
I ta".6l
Balance Due:
IBt.L5
BP No:
?-l AE<+fs\
OWTS No:
Setbacks:OCC Group:K-2 Const. Tvoe:
V6 Zonine:2<
6-?e-4BU|TDTNG / PTANNTNG DtVtStON :
Date