HomeMy WebLinkAboutApplicationAZ�G7arfidd County
RFOE19eunity Development Department
108 8th Street, Suite 401
5 2.025ilenwood Springs, CO 81601
(970) 945-8212
I.7,! o.-FIELD COl)
nr,.,,i 0 garfieldcountyco.gov
"lM1,1M1!N17Y .
TYPE OF CONSTRUCTION_
0 Commercial/Multi-Fami
Manufactured Home or
[5iZResldential (SF, Duplex
—IAcressory Dwe I I ine. U n it
Tiny. Home (Single or Multi -Level)
or Townhome)
(ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
IrmDemolition
Reroof
INVOLVED PARTIES
Property Owner: MlE Aj `'INJAr'1' Phone: (. 70 ) C?6: —T 7T
Mailing Address: 1gC°CJL ✓r '►ep� ��I� �IQ A5/('tMI � 91623
Email Address: C I M C) 604f 6 * tiJE
Contractor: L ak zL y i Co S i �� "�' L `^'r/e6l4one: fro )
Mailing Address: % cbL- O
Email Address: 01-r WIGiC-
• GO t✓t Cp
e T�Nv c{ 3n.
uhix t: v'�1 0 S Phone: (_
Mailing Address: 3 L S� a- ► S I �
Email Address: P S V (GI
Engineer:
Mailing Address:
Phone: { id t"
�7IJr)r) Lk C-CD
Email Address: -�� r d J1 • (�
Manufactured Home Installer: Phone:
Mailing Address: .
Fmnil Arlrlracc-
PROJECT DETAILS
Describe Work: 0 S
Job Address: l :) D I_,Z;) —vr l ( r+ ti ? O
Assessor's Parcel Number: 3-:1 - L4 1-( o a 0 y !e_
Sub. Lot f [a. Block 7
Owner's Valuation of Work: $ L i "� Property Size (Sq. Ft. or Acres): 7 ��
Sq. Ft. of Building: --5-+0 � Height: (D �# of Floors: ---I--
Class of Work: New Remodel/Alteration Addition
Garage: nAttached M Detached
PROJECT DETAILS CONTINUED TT
Septic: OWTS Community
Type of Heat: ❑Natural Gas f ❑ Propane ❑ Electric
Driveway ❑L•xempt ❑ Permit #:
Permit:
NOTICE _ R
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If 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.
CERTIFICATION - — --
❑ Other
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. 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
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
provided the required information which is correct and accurate to the best of my knowledge.
2oZ57
Property Owner Print and S" Date
OFFICIAL USE ONLY
'
Special Conditions:
G 91V-P 7 14' JcS
Adjusted Valuation:
00
Plan C eck e :
7
Permit Fee:
(, 7 ,Z7
Manu. Home Fee:
Misc. Fees:
Tot Fees:
CZ 9b
Fees Paid:
g. V
Balance Due:
/6
BP No:
OWTS No:
—
Setbacks: _
OCC Group:
Const. T
Iv g:
BUILDING / PLANNING DIVISION:
Signed Approval Date
[C:���fteldCaunly BUILDING DEPARTMENT
108 Eighth Street Suite 401, Glenwood Springs, Co 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: L9Z_RE--/Z�zS-9�jl9
Building Issues _ Planning/Zoning Issues
.F.ngi,nP_PrP�,Foi.ndatlon _Property Line Setbacks
' Driveway Permit _�35 ft. Stream Setbacks
rptti
eyed Site Plan Flood Plain
dew cPerermit and Setbacks � 'Buiit�ing''rieigh�
Zoning Sign -Off
Grade / TO P ographv 30%
_ Ro-ad .irn-pact fees '/O Fes+✓
Attach f'i'Csi"ueritiai Plan Review Lispt AQ_
Subdivision Plat Notes
- Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
�tach Conditions
Grade/ Topography 40%
Planning Issues
Subdivision Plat
Application Signed Descri Lion & Summar :
�I'll���� 3 � �j Q Qf�� ray
bA—( Compliance Path/Plan Received ®J� x ,� [� UV i
_ Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter — Manuf. Homes
Soils Report