HomeMy WebLinkAboutApplication.pdfGarfield County
- ts unity Development Department
_.+ i 108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
GARf 1;1D COUNTY
9MIJNi7Y OFIZL.CJ
TYPE OF CONSTRUCTION
MAY 2 7 2014
BUILDING PERMIT
APPLICATION
O Commercial/Multi-Family
❑ Manufactured Home (SF or Duplex)
Residential (SF, Duplex, orTownhome)
O Demolition
O Reroof
INVOLVED PARTIES\
q„,
Property Owner: Qyrk,3 A 0Q -v‘ it) Phone: ( Q17.4) ) alo -..a."13/
Mailing Address: ( (8. aT.frcC()-2-.Ppn) D � CO V 623
Contractor:
Phone: ( )
Mailing Address:
t
Architect: I
Phone: (
)
Mailing Address:
\;
gineer:
Phone:
Mai g Address:
I
Manufact7d Homeilnstaller: Phone: ( )
MailingAdes :
PROJECT NAM 1 \‘ N ' LOCATION
Describe Work: t,,,, ,f..3
Ni`2 C' .0 1`
Job Address: (�OT f} &f Z C(j$.(t/bN)-LL ` Co ct103
Assessor's Parcel Number: i Sub. • V)-K-ti.F)- Lot Block
Owner's Valuation of Work: $ (o / 663 Property Size (Sq.Ft or Acres):
Sq.Ft of Building: Height: # of Floors:
Class of Work:lew
• Alteration
• Addition
• Repair
• Move/Relocation
Garage:
• Attached
• Detached
Septic:
• ISDS
• Community
Type of Heat:
• Natural Gas
• Propane
I • Electric
• Other
Driveway Permit:
• Exempt
• Permit #:
NOTICE
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.
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.
?ynA3 RJB,0
Property Owner Print and Sign
5/2.-t 1(.1
Date
OFFICIAL USE ONLY
Special Conditions: 1
Ekie`71- mac° /di,J, 0'0Yoip4, 0fZa'/z SPS,64/ roc ,2/03. z.
Adjusted Valuation:
Plan Check Fee:
Permit Fee:
Manu home Fee:
1.)/t1
Misc Fees:
Total Fees:
Fes Paid}__
490.P I e-
Balance Due:
1244;441
BP No:
ISDS No:
N I.2L- SSI(\
I rA
Setbacks:
OCC Group:
Const Type:
Zoning:
i
BUILDING / PLANNING
DIVISION : /."
6---,--A-04,1^' 6/0
Signed Approval Date
\�. a7
3 '.
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Fill ONLY in the yellow areas
Type of Space
Square Feet
Value
per sq. ft.
Valuation
Finished Living Space
(N/A for Manufactured Homes)
sq.ft X
$74.68
Unfinished Basement
sq.ft X
$41.00
Crawl Space
sq.ft X
$9.00
Garage
sq.ft X
$18.00
Covered Patio/Deck
sq.ft X
$24.00
Uncovered Patio/Deck
53
sq.ft X
$12.00
Misc:
sq.ft X
$0.00
Misc:
sq.ft X
$0.00
Total Valuation
I
la J 2 o ()
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($73.00)
Perculation ($100.00)
Total Septic Fee
Valuation
17/1
1
Valuation
Total fees
This section will be determined by Garfield County. yy��
Plan Review Fe $9O,, J
Building Permit Fee
Pay separately with Cash or Check only (Road impact fees)- Other
Due at time of Application Submittal
Due at time of Permit Pick -Up
***AII fees are estimates until plan review is completed'
Building Plan Review
Description of Work: construct new uncovered 530 sq ft. deck
Bin #:
Location Address: 138 DAKOTA MEADOWS DR
CARBONDALE, CO
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -5-14-7946
1'a reel: 23 9133203023
Application Date: 05/27/2014
Owner: Ryan Austin
Applicant: Ryan Austin
Applicant Phone: (970)270-2771 Email:
Building
Planning/Zoning
Engineered Foundation t(' Property Line Setbacks
Driveway Permit 1 30ft Stream Setbacks
i1
Surveyed Site Plan 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 HOA/DRC Approval
Subdivision Plat Notes Grade/Topography 40%
Fire Department Review 1 Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
.7tiefre;/// 4;2-4-7 fri,-/-4;/71
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Wednesday, June 4, 2014