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HomeMy WebLinkAboutApplication.pdfGarfield County ���o ��gM J \ lf �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