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Home My WebLink AboutApplication.pdf!!;._b Garfield County PfA.y 2 3 Z)tlpmmunity Development Department 108 8th Street, Suite 401 GAi GUUP` Glenwood Springs, CO 81601 )MMI!;. )Pla : r (970) 945-8212 www.garfield-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION O Commercial/Multi-Family ❑ Manufactured Home (SF or Duplex) 0 Demolition Residential (SF, Duplex, or Townhome) 0 Reroof rdse, INVOLVED PARTIES Property Owner: Mailing Address: Contractor: nJce/J&I l f� t .179 C�rre��f�0 /� Phone: ( 0 ); 79 l/' (K. 62/1 S Phone: (/?0 ) 577 /37y Mailing Address: 2 Z /Ge. f&, Th//162-eo ( 5Jk, ( 9 Architect: /G�C/� wmIII� Phone: V—,79 ) 2)7'. l 7 ,r'AKc it4/6v/ /6P/ Mailing Address: Engineer: Mailing Address: C_i Phone: (770 ) //Z`l 0/,n, 'ei<%, 0 ( ilt.et9 c/ /)fs/ Manufactured Home Installer: Mailing Address: Phone: ( PROJECT NAME AND LOCATION Describe Work: V11c1 ', Zr/?� — Ci,( -i, Oaf"L��f'e. wi y -. -,1 C � Jt� 1-e o- -z i Ab.-- c >7-�Yic�p X11 ritiji Kiri cJ Job Address: 2-2- en L' 6F/I.f/tet 21, A?, , / 3) (Ple-NiLi/ .k.9 . co ieof Assessor's Parcel Number: Z/Z.3'2¢-O''/5i§ub. 31/7/,70)?S _Ael 'Lot / Block Owner's Valuation of Work: $ G 3 J 22_(3 Property Size (Sq.Ft or Acres): i. _L t t' . S Sq.Ft of Building: IgaO .0 Height: # of Floors: / Class of Work: New 0 Alteration Garage: 0 Attached � Septic:nlSf' ISDS Type of Heat: 0 Natural Gas Driveway Permit: 0 Exempt 6)9 ST 0 Addition 0 Repair 1 0 Move/Relocation 0 Propane Detached O Community 0 Electric O Permit #: rNOTICE Authority. 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 ISDS 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 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, ISDS regulations and applicable land use regulations (County Regulation(s)). 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. 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 acknowled - that I have read and understand the Notice and Certification above as well as have prov - . th- equire• ' formation which is correct and accurate to the best of my knowledge. Propiert Owner Print and Sign TLt 7�t17'&60( r:570 /q" -- Date v OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 30 OZ -1'. 00 Plan Check Fee: 09 3.10 Permit Fee: 451.85' Manu home Fee: , Misc Fees: -- Total Fees: -71-5,5C Fees Paid: Z0'.(1 Balance Due: 50,j , 44. BP Na: 15D5 No: 13w -E-3/7,3 Nfri Setbacks:, rz3ja.5,sid OCC Group: s Const Type: Tic Zoning: R BUILDING / PLANNING DIVISION :/ `- • 6 Signed Approval Dat 1)66d /2-009-S — ?loth c%eci 1290 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com Applicant: Job location: Sub-Lot/Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET Fill ONLY in the yellow areas Type of Space 1 Finished Living Space (N/A for Manufactured Homes) Unfinished Basement Crawl Space Garage Covered Patio/Deck Uncovered Patio/Deck Mise: Misc: Total Valuatio Manufactured Home Set -Up Single level ($400.00) Multi -Level ($600.00) Square Feet Value per sq. ft. sq.ft X $74.68 sq.ft X $41.00 sq.ft X $9.00 sq.ft X $18.00 sq.ft X $24.00 sq.ft X $12.00 sq.ft X $0.00 sq.ft X $0 00 Valuation $0.00 $0.00 $0.00 $23,220.00 $0.00 $0.00 $0.00 $0.00 $23,220.00 Valuation Total Set -Up Fee $0.00 Septic Permit ($73.00) Perculation ($100.00) Total Septic Fee Valuation $0.00 Total fees This section will be determined by Garfield County. Plan Review Fee Building Permit Fee (Road impact fees)- Other Pay separately with Cash or Check only $236.11 Due at time of Application Submittal $236.11 Due at time of Permit Pick -Up $236.11 ***All fees are estimates until plan review is completed *** Building Plan Review Description of Work: Detached 2 car garage with storage loft, wood frame on slab on grac Bin #: Location Address: 2068 CR 137 GLENWOOD SPRINGS, CO General Information 1Case Manager: David Bartholomew Plan Case Number: BLDG -5-14-7943 Parcel: 212324300158 Application Date: 05/23/2014 Contacts Owner: Terrell Tankersley Applicant: Terrell Tankersley Applicant Phone: Email: Building Planning/Zoning Engineered Foundation property Line Setbacks lJ/A Driveway Permit 30ft Stream Setbacks Surveyed Site Plan 7 Flood Plain Septic Permit and Setbacks Building height Grade/Topography 30% Toning Sign -off Attach Residential Plan Review List Road Impact Fees Minimum Application Questionnare /04HOA/DRC Approval Subdivision Plat Notes Grade/Topography 40% /vf Fire Department Review Planning Issues Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Subdivision Plat General Comments: 1 Vrtiiiihov/ 29.5=7_ oa /669. PI` /;0 oZ9 °a Tuesday, June 3, 2014