HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
log 8th street, Suite 401
Glenwood Springs, CO 81501
le7ol94s-82t2
www.ga rfield-countv.com
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Com mercial/M u lti-Fa mily retecommunications shelter Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelline Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Address: 810 Pitkin Ave, Glenwood Springs, CO
Phone,(970 )456-5593Property Owner:Garfield County
Mailing
Email Address . shenriksen@garfieldcountyco.gov
NeuComm Solutions phone:{303 )829-0023
18168 E Weaver Dr, Aurora, CO 80016
Email Address karen@neucommsolutions.com
Contractor:
Mailing Address:
Ema il Address: bryce@rdgline.com
Mailing Address 1600 Washington Ave,#2, Golden, CO 80401
Architect: Ridgeline Engineering Company Phone:(303 )638-1394
Phone: ( 303
)
638-1 394
Emait Addres' joel@rdgline.com
Enginee ,. Ridgeline Engineering Company
Mailing Address 1600 Washington Ave,#2, Golden, CO 80401
Phone: ( )
Email Address:
Manufactured Home lnstaller: N/A
Mailing Address
./Remodel/Alteration
lnstall prefabricated 8'x12' concrete shelter for use by Garfield County
as a fiber hub. Outdoor back-up propane-powered generator will use existing fuel tank
PRO'ECT DETAILS
Assessor,s parcel Numbe r, 217520100187
250,000.00 259 acres
11
Sub.
Height:
ition
Desgibe Work:
Job Address:0075-112 County Road 246, Rifle, CO 81650
96
of Work:
fl of Floors: 1
Property Size (Sq. Ft. or Acres):
Lot Block
Owne/s Valuation
Sg. Ft. of Building:
Class of Work:
DetachedGarageAttached
Septic:
N/A
)WTS
PROJECT DETAITS CONTINUED
Community
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 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.
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,
Type of Heat:al Gas Propane Other
N/A
N/A flExemnt
Electric
Permit S:Driveway
Permit:
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}). All County development requiring a permit, except for
residential uses are stbject 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, ifthe location, construction or use ofthe
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
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.
CERTIFICATION
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required i which is correct and accurate to the best of my knowledge.
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Property Print and Date
OFFICIAT USE ONIY (
\
Special Conditions:Y
Permit Fee:
,u lft Manu. Home Fee:Misc. Fees:Adjusted Valuation:'''nirff'""'
BP No:
ft-crl qAry+OWTS NolTotal Fees:Fees Pai{owO
Balance Due
.*
Const. Type VKSetbacks:OCC Group:u 'a'i*
5. tz-5BUILDING / PLANNING DIVISION :
Date
The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
|-ls -zos
Property Print and Sign Date