HomeMy WebLinkAboutApplicationGarfield CounE
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970ls4s-82t2
www.garfi eld-counW.com
BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofIResidential (SF, Duplex or Townhome)
Dwellin . MAXIMUM SIZE OF SQUARE FEETUnit
Phone:r970 )309-6686Property Owner:Benjamin & Theresa Wagenman
Mailing Address:1226 County Road 238, Silt, CO 81652
Email Address:oleoconstruction@gmail. com
Email Address:
Same as above
contractor:Benjamin & Theresa Wagenman Phone
Mailing Address:
Mailing Address:
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(1vo | 3 n - q3o.{
Architect:
Email Address: *
Phone:
5o
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Engineer:\o[$- Lrt't
Mailing Address:
Email Address:
Mailing Address:
Email Address:
N/A
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8106200283
)Phone:I
Describe
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f, i:r
Manufactured Home lnstaller:
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5,5' acrys
Sq. Ft. of Building: 1,6?V Height:
\
,ll
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5ub.Maves Subdivision
Owner's Valuation of Work: $
* 2-"t'ti'{,;'.*'
# of Floors: J,
troo"liliLl (sq. Ft. or Acres):
"gs#s.wde
DetachedAttachedGarage:
(r'
I
TType of Heat:Natural Gas Propane Electric Other
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.
Authority. This application for
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 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. t
further acknowledge that the issuarrce of ttre Bulldlng Permlt 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 certify
I hereby acknowledgc that I have read and understand the Notice and Certification abovc, as well as, have
provided the required information is correct and accurate to the best of
8ar{arnin t0agznman
Property Owner and Sign
my knowledge.q-q"41
4-e-aq
Date
cheal AA/D/TZil/SSpecial Conditions:
see
Adiusted Valuation:r94/-n5z 6F ,iTiLiEZ 'frya"E ?e Manu. Home Fee:Misc. Fees:
RrFru-R b fiL.fr2Totalfees: -ta,q;l. /t Paid:&B
Fees
\\ro2 'f?fi"!ia ffiE-ffia OWTS No:ffi -gm3
Setbdcks:OCC Group:
KC ,ont.rlopo Zoning:
BUITDING / PIANNING DIVISION :9tSir+t
Signed ABproval
Ibl4-202
Date
GwffiE&Cwrewffi
BUILDING DEPARTMENT
108 Eighth Strcet, Suite 401; Gtenwood Springs' CO 8160I
Tel: (970) 945-8272
PLAN REVil EW CFfr EC K LIST
Permit No: 6
Planning/Zoning lssues
Building lssues
-/
//
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Er,gl*ee+ed Fe+"r''d.at'P+
Permit
Site Plan
ptic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
-/ S+lbdivlsiop' Fbt Flates
PropertY Line Setbacks
35 ft. Stream Setbacks
Plain
ilding Height
Zoningsign-Off
Road lmPact Fees
Grade/ TonograohY 40%
Planning lssues
Subdivision Plat
#
Attach Conditions
Application Signed
try?atrt4LT
Energy Cornpliance PathlPtan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
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Descri ption &Su lTl marv;
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