HomeMy WebLinkAboutApplicationGarfield County
BUILDING PERMIT
APPLICATION
RECE
Comm Development Department
,{lJ{i I 3
GARFIELI)
COM.:IUNITY DEVE
8th Street, Suite 401
Springs, CO 81601
tJ tl 945-82L2
Demolitionulti-FaComme
Manufactured Home or or MuHome
ReroofIResidential (SF, Duplex or Townhome)
Dwelli Unit (AD - MAXTMUM SIZE OF 1,200 FEETAcce
Mike Scrivens
P.O. Box 8812 Avon, CO 81620
Phone
Email Address:mi ke@transwestconstruction.com
{970 }Property Ownen
Mailing Address:
P.O. Box BB12 Avon, CO 81620
Phone
Email Address:mi ke@transwestcon struction. com
r97O I
Mailing Address:
contractor: Mike Scrivens
56 Edwards Village Blvd, Suite 210, Edwards, CO 81632
PhoneArchitect:TAB Associates, lnc - Greg Macik
Email Address:greg@tabassociates. com
. r97O )
Mailing Address:
Sound Structural - Joe O MalleyEngineer:Phone:
Mailing Address 45705 Highway 6, Glenwood Springs, CO 81601
Email Address . joe@soundstructural.com
t97O 1 3766543
owner,s Valuation of Work: S
'1'064,000 Property Size (Sq. Ft. or Acres):
New ResidenceDescribe Work:
52 Elk Tract Lane
2393204A4024
25,505 sf
)
22',-0Height:
Phone:I
1
Job Address:
Manufactured Home lnstaller:
Sq. Ft. of Building:4,606 fof
Assessor's Parcel Number:
,uo. Aspen Glen Lot D-24 Block
-
Mailing Address
Email Address:
RemodellAlterationr'NewClass of Work:
Garage:Attached Detached
Septic:
Type of Heat:
Driveway
Permit:
rmit #:
OtherElectricPropa neNatural Gas
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty/
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterof authority,signedby
the Owner, must be provided with this Appiication.
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 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'
described above,
I hereby certify that I have read this Application and that the information contained above is true and
understand that the Building Division accepts the Application, along with the plans and specifications
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 regulatingthe 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 Llses, 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 correctign of errors in the submittals, if any, discovered after issuance;or (21stopping 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.
correct. I
and other data
I hereby acknowledge that I have read and understand the Notice and Ce rtification above, as well as, have
correct and accurate to the best of my knowledge'providedffi"*n''-il
'E-S r t /1 ,aC.1
Property Owner Print and Date
Special Conditions 5ea
Misc. Fees:
ntr€.
Man FeePermit Fee:q5Val
I
OWTS NO:Pees Paid:l4 Balance rz/',d,2Total57I2,
ing:Const.OCC Group:
0d|,"hBUTtDTNG / PLANNING DIVISION
Signed Approval Date
Gwrfu{d A*r*mfy
BUILDING DEPARTMENT
IOB Eighth Street Saite 40!, Gtenwood Springs' CO 8160I
Tel: (97O) 945-8272
P LAN EVIE WC HE
FtaE4&24*g8ia
CKLI T
Permit No:
Planning/Zoning lssues
Building lssues fljZ >2
glbd"ivisiro+ Plat ilbtes , , /nan-Ftbeprt2K/rea(
Fire DePartment Hevlew
Eag+,aeered fu *rcoid,at'srl
DriverruaY Pernrit
Surveyed Site Plan
Septic Permit and Setbacks
GraCte/ ToPograPhY 3A%
Attach Residential Plan Review List
Valuation Determination/ Fees
Red Line Flans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Cornpliailce Path/Pla n Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf" Homes
Soils Repont
PropertY Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees EE>
Gradel ToPograPhY 40%
Planning lssues
Subdivision Plat
q7639D
KIP EED:,rnD
Descri ion & 5u m[na rv:
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