HomeMy WebLinkAboutApplication.pdf✓� Garfield County
RECti
P Community Development Department
108 8th Street, Suite 401
JUL 0 1 7014 Glenwood Springs, CO 81601
(970) 945-8212
GARFIELD COlJ www.garfield-county.com
)IMMUNITY
TYPE OF CONSTRUCTION
O Commercial/Multi-Family
❑ Manufactured Home (SF or Duplex)
Residential (SF, Duplex, or Townhome)
BUILDING PERMIT 4111
APPLICATION
O Demolition
❑ Reroof
INVOLVED PARTIES
Property Owner: Jp n 1;&d v/e/z, ae. Phone: ( (170 ) 92g- Ole/
Mailing Address: ( J )7 ,9�2-oon-1 %>6ft,• -7IcA 00 G/ ( prin / eo ghee/
k4,..14D/�s ue 1oh l c��, 1e,/T/��P A Phone: (�70 ) 94 g4.6-5
Contractor:
Mailing Address: 0-8 lei//q %/y
Architect: Phone:
Mailing Address:
)
Engineer: Phone:
Mailing Address:
Manufactured Home Installer: Phone:
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: f; A/ .f / \/(3/9 -
Job
/
Job Address: 402/ in 402-004/
Assessor's Parcel Number: Sub.
Owner's Valuation of Work: $ , 1)((G>
(-7/en uroa Ci
r/765, CO •
Lot Block
Property Size (Sq.Ft or Acres):
Sq.Ft of Building: Height:
Class of Work:
O New
Garage:
IS�Alteration
# of Floors:
0 Addition
O Repair
0 Move/Relocation
0 Attached
Septic:
Type of Heat:
❑ ISDS
O Detached
Eli/Natural Gas 0 Propane
Driveway Permit:
O Exempt
O Community
0 Electric 0 Other
O 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 N • tice and Certification above as well as
have provided the required information which is5 • 'rfccui. to to the best of my knowledge.
EieL
Property Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
7-1-/%
Date
Adjusted Valuation:
636,40
Total Fees:
SSetb?b3, 35-
Setbacks:
acks:
Plan Check Fee:
CIO
i' 00
Fees Paid:
q3 /Oa
Permit Fee:
663.35
Balance Due:
663.35
OCC Group:
BUILDING / PLANNING DIVISION : /fil
'6.. -0(-15
630. °°
Manu home Fee:
IEWNo
30Qa
Const Type:
i R l_.
Signed Approval
Misc Fees:
ISDS No:
Zoning:
-7/9At
Date
Building Plan Review
Description of Work: basement finish
Bin #:
Location Address: 321 MAROON DR
GLENWOOD SPRINGS, CO
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -7-14-7989
Parcel: 218527316039
Application Date: 07/01/2014
Owner: John & Tara Stelzreide
Applicant: John & Tara Stelzreide
Applicant Phone: (970)928-8261 Email:
Building
° I Engineered Foundation
I
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
N/A
Minimum Application Questionnare
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
N%A 40# Snowload Letter - Manu. Homes
N�0 Soils Report
Planninq/Zoninq
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Toning Sign -off
Road Impact Fees
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat
General Comments:
/40/7o74
/ 555 6e-",):‘36 46
Wednesday, July 9, 2014
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
f/A5ky eon 61-R..tie%o,v, 2 -/VC . A/.,/(7, /Juf'5/e
4a-/ /i' & ,v bk.. (27/e,i,v-oma° 4ric)(5.s , CA *1670 /
Type of Space
Fill ONLY in the yellow areas
Square Feet Value
per sq. ft.
Finished Living Space
(N/A for Manufactured Homes,
Unfinished Basement
Crawl Space
Garage
Covered Patio/Deck
Uncovered Patio/Deck
Misc: XY\Qf\ -'q�(\
Misc:
Total Valuation
sq.ft X
sq.ft X
sq.ft X
sq.ft X
sq.ft X
sq.ft X
sq.ft X
sq.ft X
$74.68
$41.00
$9.00
$18.00
$24.00
$12.00
$0.00
$0.00
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Valuation
Total Set -Up Fee
Valuation
Septic
Permit ($73.00)
Perculation ($100.00)
Total Septic Fee
Valuation
Total fees
This section will be determined by Garfield County.
Plan Review Fee
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 ***