HomeMy WebLinkAboutApplication., Garfield Count)' l
Community Development Department
108 8"' Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-9212
w, ww.garfieldcountyco. ou
TYPE OF CONSTRLKT10N
Commercial/Multi•Family�� T Demolition w
Manufactured Home or Tiny Home (Single or Multi -Level)
Residential (SF, Duplex orTownhome)
T-7Reroof
[� Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
wmLvEO PARTIES
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Property Owner. James Passchier ,
Phone: ( 970 1366-2586
Mailing Address: 422 Rose Lane Carbondale, CO 81623
Email Address: James.levelbuildco@gmail.com
Contractor: Native Waste Solutions, LLC
phone: (970 6184444
Mailing Address: 2801 County Road 233 Rifle, CO 81650
Email Address: shawn@nativewaste.com
Architect::— _
Phone:
Mailing Address:
Email Address:
Engineer:
Phone: ( j
Mailing Address: - T
Email Address:
Manufactured Home installer:
Phone: L�l
Mailing Address:
_
Email Address:
PROJECT DETAILS
Describe work: Demolish double wide trailer by wrecking
Job Address: 422 Rose Lane Carbondale, Co 81623
Assessor's Parcel Number:. 239335200011
sub. Lot Block
Owner's Valuatign of Work: $ 10000 f Property Size (Sq. Ft. or Acres): 2,61
Sq. Ft. of Building: 970 Height: 15 M of Floors: 1
Class of Work: New nRemodel/Aiteration I Addition
Garage: Attached I bs t:tr hed
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PROJECT inE_TAILS CONTINUED
sntait:
110wrs
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TvIse o" Feat:
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Natural Gas Propane
❑Exempt
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'NOTICE
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❑ Electric
❑ Permit p:
Lj—I Other
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c t one 1'1' the Bcildine D:v
i Lier Permits. "irt�p!r- seml'at0 pern,its !n'ry be rv(ICurCd- l.l.) St,•!tCCtnC,ji FIE rrYi)i, Oi County CPPlF Nr:r,s:.
pr=i.n t'r_-rw ed on thr property idertiflud !hove, c'-t. ;tjtte or Cour;ty Acce5S
Si•'.�' 1 �E;stcWatc1 Disch arge Permit.
Void Permit. ,1 Permit becomes null and veld if thr wor;.: authori�/ec! I•, not cornmenrec! within 1?'0 d=:ys
issuance and if work is suspended or abandoned for tr period of 180 day:, after commencerner r
CERTIFICATION — — - — - - —
e tiny that i have read this Application and that the information contained above is true and corrE,-!,
t11e Building Division accepts the Application, along with the plans and specification; and othF•.r [! 1G0
by 1ne or on my behalf ;submittals), based upon my certification as to accuracy. Assuming complet-n, !
t c s:a :,,it:a s and approval of this Application, a Building Permit will be issued granting permission to rne, ris
e -, construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division- in
c s c_.-a'icn of the issuance of the Building Permit, I agree that 1 and my agents will comply with provisions of am/
e or local !ay., regulating the work and the Garfield County Building Code, OWTS regulations and
:and use regulations :County. Regulation(s))- All County development requiring a permit, except for
oe° ;a ises are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building
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cr na be suspended or revoked, upon notice from the County, if the location, construction or use of the
and fac!I'rty(les), described above, are not in compliance with County Regulation(s) or any other
r`eW grant permission to the Building Division to enter the property, described above, to inspect the work. !
r ... -. a;a<nowl edge that the issuance of the Building Permit does not prevent the Building Official from: (1) requimng
ectlen of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of. he
or facility(lies) If such is in violation of County Regulation(s) or any other applicable law. Review of this
pp+ ca,ion, including submittals, and inspections of the work by the Building Division do not constitute an
accer—nce of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I
;nov ledge that responsibility for compliance with federal, state and local laws and County Regulations rest with
me and! sny 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.
Property Owner Print and Sign Date
OFFICIAL USE ONLY
S ecial Conditions:
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Adjusted Valuation:
Plan Check Fee:
Permit Fee:
Manu. Home Fee:
Misc. Fee .
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Total Fees:
Fees Paid: p0
Balance Due:
BP No:
OWTS No:
�d
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Setbacks:
OCC Group:
Const. ype:
zoning:
BUILDING / PLANNING DIVISION:_
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Signe Approval
Date
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