HomeMy WebLinkAboutApplicationGarfuId Coanty
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Community Development Department
tOg Osl Stnat. tuita l|01
Glenwood Springs, CO 816CI1
(97O) e45-8212
wwvu,Jra rff e ld -cou nty. com
Dwel Unit -MAXIMUM SIZE OF
hnto$rEDP*ETIES
Property Owner:
MailingAddress:
EmallAddress:
S eaL
b
J s9E @ leLDLlP,
FEET
Phone: { 910 | Qlb' &fi+9
c0 It4
J.t
4
Mansfactured Home lnstaller:Phone:
Mailine Address:
Email Address:
pffllEer
Descrlbe Work:
lob Address:CI}, etvffi
Assesso/s Parcel ltlumher:Lml-Lm - 94- 008
sub. ul,soDEi-\ DEtrl?.r rot S sbct
5zrsa
G,ot AC{@}
Acresl: \b)^\bbSVOwne/s Valuation of lAlork:
Sq. Ft. of Building:
Class of Work:
Height:
Sire {5q. Ft. or
Floors: A!(
NTPT9FGg![rff,IEIN'ilI
Demolition
Manufactured Home or Home or Multi-Level
Residentlal or Reroof
50 tt
Ar€htte* G,F.U} f<RCtftTaCWF€- U,,O phone:
bla b4ArN ffi. tk1ol . ts&6s{0A\E . c0* bitoffirl
Ettr'.utau-o$,,ds\ e G,+tl"tL, rett,{.
Phone: fi19t9@'Vffi
(91o l fptb "44+b
Englneer:lCo uLAe- E I.'.,
MalllngAddress:
Email Address:
&tr.}E-€-{L9 tbLg.
Mailing Address:
Email Address:
Contracts
Mailing Address:
,F
Email Address:
caiEe;
3is6 ,D
RemodeUAlteration
fof
Detached
i*"t,
6
t
pior8cf 8E"rA$.ls
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Permit #:
trORCE
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 nrovirlcrl with this Annliratinn-
Legal Accels, A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Otber Permits. Multiple separate permits may be required: (L) State Electrical Permit, {2) County OWTS Permit,
{3} another perrnit 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.
CERTIHCANOil
I hereby certifo that I have read this Application and that the information contained above is true and correct. I
understand that the Buiiding Division accepts the Application, aiong with the pians anci 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 bv the Building Division. ln
consideratron of the rssuance 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 pennit 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 facjlity{ies}, described above, are not in cornpliance with County Regulation(s) or any other
applir:able 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, includlng wlthout llmltation my architect designer. engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notlce and Certification above, aJ well as, have
provlded the required information which ls correct and accurate to the best of my knowledge.
Property Owner Print and Slgn Date
2:7+9
Permit:
oFFlcrAtuSE
,5e'e a t*ail.a/DIT-/Speclal Condltions:
Adiusted Valuation:
1lQ,\lob,oo l4g l"
Fee:7rPlan Check F)ffii'ts Manu. Home Fee:r\ tR
Misc. Fees:
RtFE6D f2.lo3
'Yi7z:tq Fess Paid: qr ,
OILTL\I "
fl Belancc Due:762725,
BP Nd:ffir-nq8q OWTS No:sffi-sqao
C-onst. Tvoe:
T1>1,
zowlSetbacks:
---
OCC Groun::raL
BUILDING / PTANNING DIVISION :
Slgned Approval Date
PROTECI DETAITS CONT1NUEO
Scptic:
Type o{ lieir\:
sowts
ffNatrtt ffit'rola,'e
Il\unltY
al Gas
tltctt tr.Otlt?r
Ii.' '.
' i{r't'^d
: i,';tnlula'{f iii..[!r\,t\ I \l,l,l'lu ;r,l'$]ir'DrivewaY
lVExc'np\Pcrmlt: VJ
[ 1rllr,\riiiit}{'ll}ri\,{' "',1' i"' 1'I lri,l i 'l'ti'f :l i I "i'''
P(,rnllt ll
NOTICE
for a Duildin8 Pcrmit *ust be sig,ned bY !h(:owner of thP ProPe rty. de:crrbed above,
or an aulho nzed agent. lf th e siBnature below is not that of lhe Owner a sppalala: leller ol authoil\Y, srgned bY
Ac!hqrilY'This spplication
tl\e OwrlLlrr nltlst b() lrrovrtled wrlh llltt APPlrcrli()n
rrlrouf ptout of lrtl'rl 'tllil 'tlJrlq'ril\r: ir{'!c1"' !{) ltlri pr()ertl lol
tgBal Acccls:A llutldlnS, Pdrltl rt catlnQt t,c l5!utd w
purposes of i rrsper!ion5 tlY thP Btrilding, Dtvtstott
be rcqurred (1i gtttL'tl0ctt r,-,rl Pt'rmtt, (2) CovntY OWTS Petmt\'
i3l another Pernlit required for usc orl thQ Propcrly iclcntified cbove, e.B. S lalr or CounlY HtghY'al/ Road Acce5!
Oq!1ar-Pormits.Multrpie seParata parmtt5 mily
-v sld-?elrnj!A Building Permit becomes null and void it the work authorired ir nol cornmenied within 18o daYlor a State Wsstewater Oischatge Permit
of the date of issuance and if work i5 susPended o( abandoned lor ;t Period of 180 day: alter commencemPnt
CERTIFICATION
therebycefti{yrhatthavereadthisApplicalionanctiitatthernformationronlitineddbove15trueandcofree\'
I
,nderstand that rhe ur,,o,^r"Jrir'r"''"i.-otr-an" npptlcatio-^, ato^BvJi!h thP planl and ipecrliiar'ton1 and othet dala
Silbmrtted Uy me or on t.ty o*iu't t'ubmrttnlt)' based upor\ ntY cert'lication a5 lo acc\lracY- A5:umrng lqfllplelenell
of the submitral, uno.oorouoi'oiiio oopit..i'"", a Burlding Perrnitwill beissued Eranlrng petmtssron to me' a5
Owner.toconstructtn"tt'ut*lti'i''"i?t"ftt'"ta"tailedJnthcsubmit\alsreviewedbvtheBurldingDivi:ion
ln
consideration of tha ;rrrona" oiii u u,utotn, Permit, I ag,rce tnat I and nrv aB,ent's will tomplY wilh provrs'ron: of any
{ederal, slare, or locar law ,ogroi ^g
rn. *J,t and rhe Grrlield county Buitding code, o\YTt reBulatrofts and
applicabie land use rugurori;;tcoJnry Regulation(s.).}. Atl cotrnrv dcvelopmcnt tcquilinB a permil' exrept iot
residential use5, are ruoiuct'io e.tlcte i otii,e Landuse and 0cvelopnrenr code. I acknorvledge rhat rhe Bur\ding
permir may be suspended ";;;;;;;, ";"n notl.n lrom the couniy, it the tocition. tonctruclion or ute ol the
structure(slandfaciliry(ies),describedabovc'arenotincompliarrcervi\lrCountYReBulntionts)otlnYothel
in::;l';:T ,ermission to the suirdins.Dr"i,lo: l: ::l1lii'-1yl',:,il,lTllll li,ill;j?,,l.iii:X,irT: '
further acknowtcdge that ,i" *"r"." i thc Building Pcrmit does not prcvcn\ the suilding otfrcia\ {rom: 11) requr-i-":
the correction o( errors in the submirrarr, if any, tli:covered o[ter issuoncei or t?) stopprnB, con:truction or use c":
structure{s} or facilitytiesJ if suc,h is in violation of county Regutarionls! or arry othet app\tcsble law' Review ol it :
Applicalion, including ,ru*lti.ir, uno inspcctions of the work try t5e Btrilding Division do no\' consliture an
acceplanceo{rerponsibiliiyorliabilitybythecountY.oI crrot:,Qntt::ion:,ordirrrepancies' Astheowner,l
acknowledge ,n., ,.roonr,o'tity ror comptlance with lerleral' state lnd locol laws and countY Regulations rest wr:
neandmyauthorircdugon,r,''.,.,uO,nBwithoutlirnitationfllYor(hitecttleSigner'engineerandlorbuildtr'
I hereby acknowledge that I have read and understand the Notlce and certification above'
provided the requlred inf ormotion which ls correct and accurate to the best of my knowledge'
Pro Sign Date
OFFICIAL LY
v
as vrell t$. '..
Misc. Fees.
703
Special Conditions:
5ee attacr/)ea/uNb T7
Manu. Home FeelPermit Fee:Plan Check Fee:Adjusted Valuation:
Total Fees:
OWTSFtI:
5etbacks:
Balance Due:Fees Paid:
Const, TYPe
OCC Group:
BP Nol
EUILDING / PI"ANNING DIVISION
Slgned f\DProva\'
z-7-re
'I\
Garfteld Coanty
BUILDING DEPARTMENT
708 Eighth Stteet, Suite 401, Glenwood Springs, CO 87607
Tel: (970) 94s-8212
P LAN REVIEW CHECKLIST
BLR 6- t t-Zl-8?89 5 passetrPermit No:
Building lssues Planning/Zoning lssues
C2ilf septic Permit and setbacks
Engineered Foundation
Driveway Perm
Su an
Grade/ Topography 30%
Attach Residential Plan Review List
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
W:iWiJW)ot,rt"fO)
Fire Deoartment Revipw Yattadz4
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Y4 Road rmpact Fees R I F EED
Grade/ Topography 40%
Planning lssues
Subdivision Plat
+L{@e /e*o/3
7a3.oo
mor.,n l*:l ZJ56x 7,b8-- 17, ?1b,o8
ry;f:*, z44tt 74,6e= q,ilb/,ez-
catlr
+/d
/,/4/Y 7Z= e6/6og.o"'92ox /g z qf@.@
a?.Zi7x /g = /2,ffi,4
e75 tr lZ = z{ 3D,oo
Soils Report
0pEh{-HOtE soil-s REPoRT
IS REQUIRED AT FOOTING
rNsPEOTtoli.-l,2D wr
Applicationn%l
rgy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/schedule No.
Snowload Letter - Manuf. Homes
$igned,tb(2-74
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