HomeMy WebLinkAboutApplicationGurfteld Cottttty
Fi L: C € FpITITunity Development Department
108 8th Street, Suite 401
APR I / p$l$lenwood Springs, co 81501
19701945-8212. ,. I rltll.rf,lTY '-''-!'-"---,,,,, rr r, r":ip'[fi!{r.W.ea rf ie ld-c
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WPE OF CONSTRUCTION
Commercial/Multi -ramilv
Manufactured Home or Ti ny Home (Single or Multi-Level)
Residential (SF, D lex or Townhome
Accesso Dwelli Unit - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARTIES
olition
if}*-roof
E.A
propertyowner: f t doTToclee ( *'' -' phone: t?fr -ldiA:/Z0L
Mailing Address
Email Address:
Contractor:t-fu-t 3V?'41st
Mailing Address:
Email Address:.@F
Architect:t%_t /.l9"st4a
Mailing Address
Email Address:a)
Engin Phone: 238-l qab-878V
Mailing Address
Email Address:Atzr.tE -tuu8.fr)v-z , B/2
BUILDING PERMIT
APPLICATION
Manufactured Home lnstaller:t//aw Phone: (__)
Describe wo*. /yEU 7-?t &?/2 fu*+& -rWA),+z*77
Mailing Address:
Email Address:
PROJECT DETAILS
Job Address:
Assessor's Parcel Number:2.1q3 dze
sra.hzuUrtzfutal tota&? -Btock---_
5 / f0/A00 ,e 9)tffi"rrrsize (sq. Ft. or Acres): ) orcOwner's Valuation
Sq. Ft. of Building:
Class of Work:
of Work
EW
Heig nt, FlLat/aa # of Ftoors:
dition
Garage:ched
Remodel/Alteration
etached
Septic
Type of Heat:
Driveway
Permit:
PROJECT DETAI LS CONTINUED
WTS Community
Natural Gas Propane Electric Other
mpt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed bythe Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with thls 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
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)). AllCounty 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
acceptance of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I
acknowledge that responslbility for compliance with federal, state and local laws and County Regulations rest with
me and my authorized agents, includingwithout limitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have
ed the reouired informationbH-"'*
read and understand the Notice and Certification above, as well as, have
which is correct and accurate to the best of my knowledge.
,thdz{
oItePropertyPriSign
L-\ -OFFICIAT USE ONtY
speciarconditions:
athde{TOA/€
Adiusted Valuation:4^700,e Plan Check Fee
3Do.27 "i)il"?s Manu. Home Fee Misc. Fees
Totdl Fees:7tl . ag-
fees Paid:
Rcn $a-'uui:w ?-tnF QAra
BP No:OWTS Ng:
Const. rre.,l
R C zonip:Setbacks:OCC Group tRe
BUILDING / PLANNING DIVISION :0ll),'y^l-/^,,
Signed Approval Date
5-l
Gur$eld Courn$t
BUILDING DEPARTMENT
1.08 Eighth Street, suite 401,Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PLAN REVIE W CHECK LIST
Permit No:B/REnt/-A/-?ap
Building lssues Pla n ni ng lZoning lssues
E4gineered :Fou.nda ttcr n
riveway Permit
Surveyed Site Plan
Septic Perm'it and Setbacks
Grade/ Topography 30%
Attach Residential P{an Rer,4ew list
Subdivision PIat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attac h Conditions
vrrv, L/s- u/"ka/e
bel
Property Line Setbacks
35 ft, Stream Setbacks
Flood Plain
Building Height
ZoningSign-Off
-,
/.r72 ne/// f/--
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
mscri
Plan Application
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Application Signed /tuAsanl%
PSF
YE
Nh
OPEN-I{OI-E SOI LS REPORT
IS REQUIRED AT FOOTING
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INSPECTION