HomeMy WebLinkAboutApplicationGurfuld County
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GAT"{I-IELU CCI
COMriUlll'l'Y DEVEL.
945-82L2
Community Development Department
Ll5 2I)2 108 8th Street, Suite 401
Springs, CO 81601
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCNON
Commercial/Mu lti-Fam ily Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
T Residential (SF, Duplex or Townhome)Reroof
Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARilES
p1,on".1402 .452'4780
Email Address:
Property owner: Living Land Company LLC
Mailing Address:1326 Ridgewood Avenue, Omaha, NE 68124
contractor: Hernandez Const. Co, LLC p66n".1970 ) 366-9098
Emaif Address. galaxyan i20 I 2@gmail. com
Mailing Address:840 Ballard Ave, Silt, CO 81652
Phone:Architect:
Mailing Address:
Email Address:
Phone: ( )Engineer:
Mailing Address:
Email Address:
Phone:
Email Address:
Manufactured Home lnstaller:
Mailing Addressr
Describe 111or1. Remodel bathroom, lnstall shower stall, move toilet, new vanity,
PRoJECTDETAIIS
new sheetrock, doors, and flooring
JobAddress: 11101 117 County Rd #F2
Assessor,s parcet Number. 23953330301 1
5u6. Brettelberg Condos Iot
Height:
Owne/s Valuation of Work:q 10,000.00
Sq. Ft. of Building:
Property Size (Sq. Ft. or Acres):
# of Floors:_
Block _
Remodel/Alteration ition
Garage:ed Detached
?
Class of Work:
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
NOTICE
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.
Leqal 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.
CERTIFICATION
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 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.
I hereby that I have read and understand the Notice and Certification above, as well as, have
information which is correct and accurate to the best of my knowledge.
Print and Sign Date
Permit #:
-b-USE ONIY I
6ee a#adey'hrVDrflat/SSpecial Conditions:
Adiusted Valuation:
,Q-b,15 ea 'wir,il*'Permit Fee:R,4,^5 Manu. Home Fee:Misc. Fees:
TotafFees:/327b Fees Paid:4L.ll q3Balance Due:25 ffoe-s$n OWTS No
,'TT-Setbacks:OCC Group:Const.
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Lil'r-uBUILDING / PTANNING DIVISION
Signed Approval Date
Gwrfie&&CwrewftY
IOB Eigfih Street, Suite 407;
BUILDING DEPARTNNEN'T
Gtenwood SPrings, CO 81:607
Tel: (97o) 94s-8272
P LAN REV EW CFfrH CK rfrsTil
Permit No: 6UKe -@-2/- gg27
Planning /Z,aning lssues
Building lssues
Engi*eered Fot**datlor>
DrivewaY Ferrnit
Surveyed Site Plan
Septic Permit and Setbacks
Grade,/ ToPograPhY 3o%
Attach Residentlal PIan Review List
Sr"*bdivisi n Flat Slotes
Red Line Flans/ StamPs/ Sticker
ttach Conditions
Application Signed
Energy Cornplia'nce PathlPlan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf' Homes
Soils RePort
Prope-rtY Une Setbacks
35 ft. Stream Setbacks
Flood Flain
Building Height
Zoning sign-off aa /hor€as"/
Road lmPact Fees F/-S
Grarlel TooograPhY 40%
Planning lssues
Subdivision Flat
Des ri ior"r &Sunnma
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