HomeMy WebLinkAboutApplication.pdfGarfield County
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�nmunity Development Department
GPO �} 108 8`h Street, Suite 401
DC 1EI 0 Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family 0 Demolition
❑ Manufactured Home (SF or Duplex)
[i Residential (SF, Duplex, or Townhome) ❑ Reroof
INVOLVED PARTIES
Property Owner: 'od i `\tv ry 3- U �1 N.1 C^t Phone: (Q1-46) l 8 q - Z 131
Mailing Address: 12 H)yV1$2 Ot 6., fwoc ��Z 1 S, Co S\(00
Contractor:
Phone: (
Mailing Address:
Architect:
Mailing Address:
Engineer:
Phone:
)
Phone: (
Mailing Address:
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: AT)- ,v\ i K.0.)611.&
Job Address: IS Z
Assessor's Parcel Number: 2315033O' O( ub. 1J LJ/NoNp A Lot CQ Block
Owner's Valuation of Work: $ 2 2., r+OO Property Size (Sq.Ft or Acres):
Sq.Ft of Building:
Class of Work:
Garage:
Height:
0 New XAIteration Addition
0 Attached
......................................
Septic: ISDS
Type of Heat: piNatural Gas
Driveway Permit: Exempt
0 Propane
# of Floors:
O Repair
0 Move/Relocation
Detached
❑ Community
0 Electric
❑ Permit #:
0 Other
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 n/derstand the Notice and Certification above as well as
have provided the required information
accurate to the best of my knowledge.
0
Property Owner Print and Sign
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
4g,►34•bo
Plan Check Fee:
411.87
Permit Fee:
635.6.5 --
Manu home Fee:
Misc Fees:
Total Fees:
I8¢5.52.
Fees Paid:
23(p •\I
Balance Due:
809.4 t
BP No:
ISDS No:
gam -331q-
1,f\
Setbacks: /
A.-2‘) A spa
OCC Group:
-
Const Type:
.rte
Zoning:
14-,
BUILDING / PLANNING
DIVISION : /�Y' 7 A_
Signed Approval Date
p&k 23(0.1 ! , Mel I 1-'24-14
GaifreId County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
I'S 2 1-Fzrn4-
l..Avy( 47,r.,0 I. oT Ca , T31 k `l
Fill ONLY in the yellow areas
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
=Type of Space
Finished Living Space
(N/A for Manufactured Homes)
Unfinished Basement
Crawl Space
Garage
Covered Patio/Deck
Uncovered Patio/Deck
Misc:
Square Feet
Misc:
Total Valuation
sq_f
snit X
aft
s:.it X
L- ! X
stilt X
sq. t X
s;, 't X
Value Valuation
per sq. ft.
{Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Valuation
Septic
Permit (S73.00)
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 **
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby ackn
checklist.
dg g av- read, understand, and will abide by the requirements of this
1
Prop= ' iwner Pr nt
Building Plan Review
Description of Work: bathroom addition and room remodel
Bin #:
Location Address: 152 HOME PL
GLENWOOD SPRINGS, CO 81601
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -7-14-8020
Parcel: 239503307006
Application Date: 07/24/2014
Owner: I3YCADS
Applicant: BYCADS
Applicant Phone: Email:
Building
P Engineered Foundation
0/ A- Driveway Permit
Surveyed Site Plan
/1/4' Septic Permit and Setbacks
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Grade/Topography 30% / 7oning Sign -off
Attach Residential Plan Review List /Y,4 Road Impact Fees
//V Application Questionnare ��/ ` HOA/DRC Approval
/ Subdivision Plat Notes / Grade/Topography 40%
P/A Fire Department Review / Planning Issues
/ /
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
/ Application Signed
Plan Reviewer To Sign Application
474
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Wednesday, July 30, 2014
Occupancy:
VALUATION FEE DETERMINATION
Applicant William Young Subdivision
Address 152 Home Place Lot/Block
Date 7/30/2014 Contractor
Finished (Livable Area):
Main sq.ft
Upper sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 0 sq.ft
Total Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Other
Total Valuation
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
Garage/Storage (wood framed) sq.ft X $18.00
Conversion of garage to finished living 765 sq.ft X $56.68
Carport sq.fi X $12.00
Other sq.ft X
Total Valuation
Crawl Space
Total
Valuation
Decks/ Patios/Porches
Covered
Open
Convert covered to Bath
Total Valuation
Type of Construction:
Total Valuation
80 sq.ft X $9.00
80
sq.ft X $24.00
sq.ftX $12.00
sq.ft X $50.68
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
Lazy Diamond A
Lot #6
TBD
0.00
0.00
43,360.20
720.00
4,054.40
0.00
Total Valuation 48,134.60