HomeMy WebLinkAboutApplicationGarficld County
#{,'€pmmunityDevelopmentDepartment
108 8th Street, Suite 401
" Fr' , ;r J$fliclenwood springs, co 81501
.r{: (970194s-82L2
www- garfi eld-countv.com, ,.ll t,
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Dwell Unit - MAXIMUM SIZE OF AFEET
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
DemolitionCommercial/M ulti-Family
Manufactured Home or Tiny Home (Single or Multi-Level)I
ReroofResidential (SF, Duplex or Townhome)
INVOTVED PARTIES
Property Owner:Tio V,phone: (9?0 | -17L- I tl5b
Mailing Address: PO. Pnk 31L AVOIJ, CO Elbzo
Email Address:
Contractor:Vnvnrmn he,Yt LIJ Phone:(qlD ) glb-Hqb
Mailing Address:P.6.8^X ILIL A\hN ,Lb A L20
Email Address:
Architect:Phone: ( q?D )- l"?rc,u
MaitingAddress: P.O- EOi t{77t1 EACIJ CO Blt3l
Email Address:Al', r-t/. O rraUlS -arth\. tbrY\
Engineer:MtchLr- Srrnnr Phone: (qTO r 7D5- ltlo
Mailing Address:
Email Address:
Manufactured Home lnstallen Phone: (_)
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
Job Address:'l-BD Lohrrr.r Raep 156 evPsnm co A|63?
Assessor's Parcel Numbe l |Ab3L3LOCD71
Sub.Lot Block
Owner's Valuation of Work:Property Size (Sq. Ft. or Acres):
5q. Ft. of Building:t.I'lb Height:?i to"f of Floors:
3l ncre$
Class of Work:NewIX Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAILS CONTINUED
Septie:Community
Type of Heat Electric Other
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
zlqlnts
Property Owner Print and Sign Date
ral Gas Propane
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbvtheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinL80days
of the date of issuance and if work is suspended or abandoned for a period of 1"80 days after commencement.
Permit #:
NOTICE
Driveway
Permit:
CERTIFICATION
I hereby certifythat I have read this Application and thatthe 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 detaiieci on the submittals revieweci by the Builciing Division. in
consideration of the issuance of the Building Permit, I agree that I and my agents willcomply 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
acceptanceof responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, I
acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with
me and my authorized agents, including without lirnitation my architect designer, engineer and/ or builder.
OFFICIAI USE ONLY
Special Conditions: I t -^^ -,( ,,t /.zttr€aEtuhe4LAND/TIA/r \-
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Fees Paid:
ts+r.be iwi;v5 BP No:
Rf F-rto+r
OWTS No:Sm.90+A
Setb-acks:occ Group:
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BUTLDTNG / PLANNTNG D|VTSTON Q,4),' 'L/, -
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Garfield County
BUILDING DEPARTMENT
1OB Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PLAN REVI EW CHEC KLIST
Permit No: Et-Rg -OZ- Z5-?A f/ 4DLL
Building
/u,+
Planning/Zoning lssues
au/n2r 7-- 2-/-2/ 7
Engin
Su
e
rm
Property Line Setbacks
35 ft. Stream Setbacks
Grade/ TopographY 30%
-
Attach Residential Plan Review List
/' subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
ttach Conditions
Flood Plain
-/ Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Application Signedfua*rua/f,?
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aatu)/e &nasfbadaryn7sro/o*zu/t/A/
Description & Summarvi -
Ene Compliange lan Received
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manuf. Homes
FtS /tf6 y 1o0,/Z //sro/,v, t2
t227 x 32 3?24b/oua.q4r
"4td 279 x t8 4zs(o'
Soils Report
OPEN+IOLE$OILS REPORT
IS REQUIRED AT FOOTING
-D-20
f /6 t b//' ?z-
TNSPECT|AN e 500 PSF
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