HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401I! Glenwood SPrings, CO 81501
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BUILDING PERMIT
APPLICATION
TYPE OFCONSTRUCTION
ulti-Fami Demolition
Manufactured Home or Multi-Level
Residential (SF, Duplex or Townhome)Reroof
Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Julia L Knowles Phone:703 66-2422
P.O. Box 301, Gunnison, CO 81230
Email Address:jknowlesS 1 65@9mail.com
Contractor:Phone: ( )
Mailing Address:
Email Address:
Architect:N/A Phone )
Mailing Address
Email Addressi
Engineer:N/A Phone:
Mailing Address:
Email Address:
Manufactured Home lnstaller:N/A Phone: ( )
Mailing Address:
Email Addressl
PROJECT DETAIIS
Describe Workl Finish the basement and add a Porch on the north and west side oI!
Job Address:456 CR 294, Rifle, CO 81650
Assessor's Parcel Number:217709400016
Sub.Lot Block
Owner's Valuation of 11yorL. g45,000 Property Size (Sq. Ft. or Acres):.47 acres
Sq. Ft. of Building:1,564 Height:# of Floors:1
Class of Workl New {Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAITS CONTINUED
Community
ural Gas Propane Other
xempt Permit #:
NOTICE
Authoritv Thic annliref inn fnr a Rr rildind Darmi+ mr rci h6 cionarl hrr rha t.\rrrnar nf +h- nr^n-rrrr r.locrriharl ahnrra
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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 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, lagreethat land myagentswill complywith 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 acknowledgethat 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
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lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required which is correct and accurate to the best of my knowledge.
3.aa".25
Owner Print Date
Electric
I
I
Septicr
Type of Heat:
Driveway
Permitr
OFFICIAT USE ONIY I
SpecialConditions: { p(-aXtf o-t:r=S lS5oc=5 rn./-ZalT fS -nr.r@
f*s Rfn ^C&S rJe!€)'2- caosFfl- f*rs,or-nflJs 78 ucrvLr * t-rk5r,trer_
Adjusted Valuation:Plan Check Fee:','6 \ffi""oo Manu. Home Fee:Misc. Fees:
Total Fees
CtO\ CIC)\cn id:ooFees Pa Balance Due:
€)
BP No:
I,a'-9-.r'qU"q
OWTS No:
Setbacks:OCC Grouo:i-2t,Const. Tvoe:il(l t""ff
+-( -25BUTLDTNG / PLANNING DtVtStON
roval Date