HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
1OB 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.ga rfield-cou ntv.com
BUITDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
tr Commercial/Multi-Family tr Demolition
tr Manufactured Home or Tiny Home (Single or Multi-Level)
D Residential (SF, Duplex or Townhome)tr Reroof
tr Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOIVED PARTIES
Property Owner:Edward & Salley Baker Phone: (970)-309-0188
Mailing Address:Po Box 284, Parachute,81635
Email Address: bakeedburdicked@yahoo.com
Contractor: Copper Creek Buildi Phone: _97 0-249 -I148_Mailing Address:
mail Address:
Architect:Phone: (_)
Mailing Address
Email Address:
Engineer: Steart Walter(Eng) Phone:
Mailing Address:Email Address:
Manufactured/ Tiny Home lnstaller:Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAITS
Job Address: 744L CR 301, Parachute
Description of Work: Set Manufactured Home
Assessor's Parcel Number: 240506400088
Sub.Lot Block _
Owner's Valuation of Work: S-Property Size (Sq. Ft. or Acres):
# of Floors: 1Sq. Ft. of Building: 1980- Height:
Class of Work:E New El Remodel/Alteration E Addition E Repair tr Move/Relocation
Garage:E Attached E Detached
PROIECT DETAIIS CONNNU ED
Septic:Community
[i:e"" 'I Propane
Driveway
Permit:I Permit #:
NONCE
Authoriw. 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.
Lesal 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
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 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)). 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 (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 nie and my authorized agents, including without limitation my architect
neer 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
ral Gas Electric Other
GRB 21-D-1
which is correct and accurate
J,,A,/ ^-
to the best of my knowledge.
Edward Baker u^,,t
Property Owner Print and Date
OFFICIAT USE ONLY t
6ee atba$e/ a/UD/V4VgSpecial Conditions:
Misc. Fees:
Rttr ;TZD=6t-Sqn
Adiusted Valuation:;35b+O.b Plan Check Fee:
39h.5A
Permit Fee:
6op . a5
Manu. Home Fee:L{cro 9o
OWTS No:
ffiffi-qry1s-FI';2s,68
Fees Paid ool-ho a
g,ngBalance Due:g8
I ffie'gqd+
Setbicks:
F
O€C Group
,RC
ton"tlp-Zoning:6tn
[,uJi,r-l4n E-71*aulBUITDING / PTANNING DIVISION :
Signed Approval Date
Garfield ComrctY
BUILDINo DEPA.RTMENT
IO8 Eighth Sirjef Suite 4Ot, Glenwood Springi' CO 8160I
Tel: (970) 945-8272
PtAN REVIE wc HE CKL rsr
Permit No: ELrhF- a?-44 -g?4
Planning lTaning lssues <Building lssues
E*g}lreered Foar*dat'P*
riveway Permit OPFQ/-D-Z
PropertY Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Road ImPact Fees
Surveyed Site PIan-JeEo?-4-2log
Septic Permit and Setbacks
Gradel ToPograPhY 30%
Attach Residential Plan Review List
Subdivlsion Plat $lotes
Fire DePartment Review
Valuation Determ ination/ Fees
Red Line Plans/ StamPs/ Sticker
Conditions
Application Signed
Energy Cornpliance Path/Plan Received
Plan Reviewer to Sign APPlication
ParcellSchedule No.
40# Snowload Letter - Manuf' Homes
K*A z4-7-/z/
Grade/ ToPograPhY 40%
Planning lssues
Subdivision Plat
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