HomeMy WebLinkAboutApplicationGaffield County
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Access Dwellin Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Address: 4865 county road 309, Parachute co 81635
970 930-5867Phone:
Emait Addresr. jmahaffey@terraep.com
Property owne, Justin Mahaffey
Mailing
Address: 4865 county road 309, Parachute co 81635
contractor: Justin Mahaffey Phone:870-l 930-5867
Emait Addres' jmahaffey@terraep.com
Mailing
Address: 10'1 3rd ave, Grand Junction, CO 81501
Architect: Great Western Buildings Phone: ( 800
)
497-2135
Emait Addresr. contact@gwbuildings.com
Mailing
Address: 5012 Co rd 154, Glenwood Springs, CO 81601
Kurtz & Associates 945-6305Engineer:
Emait Addresr. kurtzengineer@yahoo.com
970Phone
Mailing
Phone:
Mailing Address:N/A
Manufactured Home lnstaller: N/A
Email Address: NiA
PROJECT DETAITS
,/Class of Work:New Remodel/Alteration Addition
Garage:Attached Deta ch ed
Describe yyorp. lnstall a 40x7Ax16 Great Western Building on a concrete slab at
residence to use as storage,
JobAddress: 4865 county road 309, Parachute co B'1635
Assessor's Parcel Number:
sub. 6S95W section 36
21 7336300033
Owner's Valuation of Work:
2800
Lot N/A Btock N/A
Property Size (Sq. Ft. or Acres)J, -J
Sq. Ft. of Building:Height:16 # of Floors: 1
35
l.
PROJECT DETAII-S CONTINUED
Septic:Community
Type of Heat:-lNaturalGas Propane E lectric Other
Driveway
Permit:I Exempt Permit #
NOTICE
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.
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 andvoidiftheworkauthorizedisnotcommencedwithinlB0days
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 constructthe structure(s) and facilities detailed on the submittals reviewed bythe 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.
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 Iaw. 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 e;required information which is correct and accurate to the best of my knowledge.
erty Owner an
.+^4 \t.1. !.+:ob
OFFICIAL USE ONLY
Special Conditions:
aee a tt'adt€l CSNP / 77dNS
Dl-h l^h^-|, E^^a'4rYt.'3-Y D^.-:+ E^^.'+'i q'75
/ /2 f t
l\"4e:':u. -uare Fcs:
AI A nn i-- E^6..."N74
'""[JhL,q Fees Paid:s"A.lrl Try"A:a'
BP No:
B-t-(E-StrS
OWTS No
Setb-acks occ Group:
tRO
t"""'lpc-Zoninek"
/,il/,(v2V2BUTLDTNG / PLANNTNG D|VIS|ON
Signed Approval Date
G*ffi&&C*wwtg,
BUILDING DEPARTIUIENT
log Eighth Strca Suite 401i Gtenwood Sprlngs' CO 8J:607
Tet: (970) 945-8272
PLA NR EVI E wc HE CK rilsT
Permit No: 0 LRE-2b-4t/- 97',5e
Planning lZon ing lssues RumBuilding lssues
Surveved Site Plan
na wbw^e^ttr
Septic Permit dnd Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
9"pbdi.r*'*sle+' P lat $lo'tes
Fire DePartment Review
Valuation Determinationl Fees
Red Line Plans/ Stamps/ Sticker
h Conditions
Energy CornPliance Path/Plan
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf' Homes
Soils Report
Praparly Llne Sethacks
35 ft. Stream Setbacks
Flood Plain
Building Height
^Lil:f;;];ry "LtA u:ke a7oo r e4: fi6f 2@,e
Zoning Sign-Off
N/A Road I
fio
Planning lssues
Subdivision Plat
Des fi ion &unnffl
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