HomeMy WebLinkAboutApplicationDocusign Envelope lD: AD8F3860-C391 -47 8.2-897 0-81 D84,4097F55
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.ga rfield-countv.com
WPE OF CONSTRUCTION
Garfield County
BUILDING PERMIT
APPLICATION
I DemolitionCommercial/M ulti-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
Reroofex or TownhomeIResidential (SF Du
Dwelli Unit - MAXIMUM SIZE OF E FEET
INVOLVED PARTIES
Property Owne ,. Sunlight Valley Holdings LLC Phone: (718 )7539606
Mailing Address:251 Little Falls Drive Wilmington DE 19808
EmaitAddresr. thale@ broadbrookrealty.com
Contractor:Phone:(
Mailing Address:
Email Address:
Architect:PEAK Architecture LLC Dustin Anderson phone:(970 )
279-5485
Mailing Address PO Box 1087 Basalt, CO 81621
Email Address:d usti n@peakarch itectu re. com
Engineer:Phone: {
Mailing Address
Email Address:
Manufactured Home lnstaller:Phone:()
Mailing Address:
Email Address
PROJECT DETAITS
Describe Work:Deconstruct existing south section of existing SFR due to structural concerns
from prior plumbing. Lift north section of home for new foundation for planned addition
Job Address:6094 CR320 Rifle, CO 81650
Assessor,s parcet Numbe r' 217526400177
Sub Lot Block
Owner's Valuation of Work: S 50,000 Property Size (Sq. Ft. or Acres):1340.127
Sq. Ft. of Building:2230 Height:25ft # of Floors: 2
Class of Work:New {Remodel/Alteration ,/Addition
Garage:Attached Detached
Docusign Envelope lD: AD8F3860-C391-4782-897O-81 D844097F55
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. Multi ple 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.
CERTIFlCATION
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 willcomply 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 enterthe property, described above, to inspect the work. I
lurIher ackrrowledge 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 atter 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 required information which is correct and accurate to the best of my knowledge.
r l.rr ,L{
f+/{ [ tf"3/ Y v '{ V/' Harold Stevenson, Vice Presicient July 25,2024
Property Owner Print and Sign Date
PROJECT DETAITS CONTINUED
Septic:
Type of Heat:Tral Gas Propane]ttlatu
Community
E lectric Other
Driveway
Permit:
Permit #
OFFICIAT USE ONtY
3(-b(L.€r't55s€D
Special Conditions:
(-'l -
Adjusteri Vaiuation Pian Cheek Fee:-H5lbo Manu. Home Fee Mise. Fees:
T I'.Tioo 'ff'€'1oo Balance Due:+BP No:
TYrtr,n -sku OWTS No:
Setbacks OCC Group:Const. Type:Zonine:t{-
7-31.27BUILDING / PLANNING DIVISION :
Date