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HomeMy WebLinkAboutApplicationGurfuld County RECE AUt; GAT"{I-IELU CCI COMriUlll'l'Y DEVEL. 945-82L2 Community Development Department Ll5 2I)2 108 8th Street, Suite 401 Springs, CO 81601 U 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. /?bO 9 a,erebru/aa( ?-y'-2o2 -butliln2 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 ---' /vA 757 fb x /78= A/uea/ /r,//,;og ",lo/nrrh'u^ /t/4 4/ Le5.oo Exbhba Can/a //a,L iZ ba% renafu/an/