HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8" Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www. arfieldcount cv. ov
TYPE OF CONSTRUCTIONED _
Commercial/Multi-Family
0 Manufactured Home or Tiny Home (Single or Mufti-1
Residential (SF, Duplex or Townhome)
d AccessoryDwelling Unit ( L-- MAXIMUM SIZE OF
i
Demalition
Reroof
SQUARE FEET
INVOLVEb PARTIES
f Property Owner: �
Mailing Address: xd-tivhone.L270)
co
Email Address: G't,� (yyl, �2� @ �y.J.I �, /��t' •�
Contractor:
Phone: { L � 1 418 • L & 1
Mailing Address: � � �Oct-
f co
Email Address: Lam/m G 5 -
Architect:
Mailing Address:
Email Address:
j Engineer: 7 vice - PIC
f Mailing Address:
i
I Email Address:
Phone:
Phone: (S-70) yL �q8 y
Manufactured Home Installer:
Mailing Address: Phone: {�
Email Address:
PROJECT pETAliiS
Describe Work: t784J h&me_ hct& 4 651
Job Address: (IQ-�
Assessor's Parcel Number: �� SL�Z�
' 3� 133 t/04/0
Sub. p4asf
Lot ^111—� Block
Owner's Valuation of Work: $ � r�
Sq. Ft. of Building;
Property Size (Sq. Ft. or Acres): -5, 6 ��
-� ,
Height: # of Floors:
Class of Work.
Remodel/Alteration Addition
Garage: Attached
Detached
PROJECT DETAILS CONTINUED
Septic: ,r-1-MArrc
Type of Heat: -InNatural Gas
Driveway
Permit:
�Community
Propane Electric f I
fr7 Other �
Permit #: j
NOTICE
Authority This application for a Building Permit must be signed by the Owner of the pro ert de
or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by
p V, scribed above,
the Owner, must be provided with this Application.
Le al 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: R) State Electrical Permit, (2) County OWTS Permit,
(B) 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— P� 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.
CER71FICA77ON
I hereby certify that I have read this Application and that the information contained above is true and correct. 1
and other data
submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness
understand that the Building Division accepts the Application, along with the plans and specifications
of the submittals and approval of this Application, a Building Permit will be issued granting
permission
Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by he Building D vision In
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 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
i the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the
Application, including submittals, and inspections of the work by the Building Division do not constitute an
structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this
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
provided the required information which is correct and accurate to the best of my knowledge. have
Property Owner Print and Sig i 3 2
OFFICIAL USE ONLY Date
Special Conditions:
wee ��/[/�
Adjusted ValuatiorlQ � c Fe : Permit Fee 7�
7 ASS c� Manu. Home Fee: Misc. Fees:
Tot Fees: 8� F es Pai :'
Gq Balance Du Bp No- � �,Cr^ OWTS No:
Set asks:
OCC Group: Const. Type:
�G Wing:
BUILDING / PLANNING DIVISION: ` 7
�4
Signed Approval Dates
Garfield Cemnty
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:
Building Issues
3�.IQ� I/-ZS-960�
E.slg i neere.Fo-up da tl o n
Driveway Permi exetwp -
J
Surveyed Site Plan
y. Septic Permit and Setbacks
—f —Grade/ Topography 30%
i i tack
Rcsiuential Plan Review List
Subdivision Plat Dotes ll
T f Fie.�r�� =
__rff� exer rtMent Review
Valuation Determination/ Oees
Red Line Plans/ Stamps/ Sticker
jl��Ittach Conditions
Ap lication 5i ned
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/ Schedule No.
Planning/Zoning Issues
.� L�-)=7 ale
—.-ff:777 Pro.peM Line Setbacks
�35 ft. Stream Setbacks
— Flood Plain E,4610
Bui'iding'Heigh-t
Zoning Sign -Off
R-o- d lm-pact Feat '' / /✓ �/
Grade/ Topography 40%
—Planning Issues
Subdivision Plat
Description & Summa►
FL ///36 X /7a, 9d
cy-4wl 6,15x 20
G)P/al
40# Snowload Letter— Manuf. Homes
Soils Report
X 32,
2�1
7-7b;, $�