The URL can be used to link to this page

Home My WebLink AboutApplication.pdfGarfield County teIttl\ 108 8`h Street, Suite 401 City Development Department ..... 201, Glenwood Springs, CO 81601 3\1\.. UL 5 (970) 945-8212 GAS? ��,� ns coal. �up tv;E:'�1'r arfield-countv.com c�MM BUILDING PERMIT APPLICATION ,.N1i 1 Lor. ,�C� Property Owner: �y ` L\ (1LickLt v.3 C( Phone: (91 L) ) 3 +9 - :51 -1 -co Mailing Address: QCI FpC,X. 3%, Co-e-bonack_le1 Co i(42 TYPE OF CONSTRUCTION Contractor: Phone: • Commercial/Multi-Family • Demolition lit Manufactured Home (SF or Duplex) Architect: Phone: • Residential (SF, Duplex, or Townhome) • Reroof INVOLVED PARTIES ,�C� Property Owner: �y ` L\ (1LickLt v.3 C( Phone: (91 L) ) 3 +9 - :51 -1 -co Mailing Address: QCI FpC,X. 3%, Co-e-bonack_le1 Co i(42 Contractor: Phone: ( ) Mailing Address: Architect: Phone: ( ) Mailing Address: Engineer: Phone: ( ) Mailing Address: Manufactured Home Installer: Mailing Address: I L' &l j7 \ '1b(YLQ-S Phone: ( c(: C) 145 `' (0367 CkcL9 DVI d OCTA UlUf, IA 3--te bi- 11 PROJECT NAME AND LOCATION Describe Work: Pe'1+ ' )h a- M04-120 O. th)f 9 koi%e____ Job Address: 02.(0 b 12,05e- L ik_Q. CXL1Zbtr\C_QCLk el C C.) (%, l;) Assessor's Parcel Number: Owner's Valuation Sq.Ft of Building: Sub. Lot Block of Work: $ 2I 4' Property Size (Sq.Ft # of Floors: or Acres): 4�`6. R.. Height: Class of Work: gNew • Alteration • Addition • Repair • Move/Relocation Garage: N !n • Attached ■ Detached Septic: PisiSDS • Community Type of Heat: ANatural Gas • Propane • 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 t equired info oration which is correct and accurate to the best of my knowledge. Progrsrty Owner Print and Sign 3— 1 Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: z I Qo Plan Check Fee: : 22:71491( Peerrmiit Fee: Jr 9. z 5 Manu home Fee: i po Coo Misc Fees: 2 -'9 w C l,z3a Total Fees: / 10C17. Ur Fees Paid:35A Balance Due: 7' 9.5 BP No: ISDS No: BLwE-33t - -33(C) Setbacks: OCC Group: Const Type: Zoning: BUILDING /PLANNING DIVISION : / �'� �ned A..roval Date 1i-.o�� /4.?tz - S--)4+ NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. 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 acknowledge I have read, understand, and will abide by the requirements of this checklist. PrgfSerty Owner Print and Sign Date Septic Permit ($73.00) Perculation ($100.00) Total Septic Fee Valuation r 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 62Le Vo C, Lam_C icAtt a-2, CG $/laza Fill ONLY in the vel/ow areas Type of Space Square Feet Value per sq. ft. Valuation Finished Living Space (N/A for Manufactured Homes) (7si : S►d"1, 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 sq.ft X $12.00 Misc: sq.ft X $0.00 Misc: sq ft X $0.00 Total Valuation (0 U Manufactured Home Set -Up Single level ($400.00) Multi -Level ($600.00) Total Set -Up Fee Valuation 10.01) 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'** QUOTE/CONFIRMATION Page 1 of 2 To: 280370 Phone: 970-243-9099 Quote No..: 14619 QNB BONES INC Quote Date: 04/14/2014 DEA: CLARION MSS -GRAVID JUNCTION Sales Rep.: NARK 671 23 ROAD Sales Note: 40'6'5 GRAND JUNCTION. 00 81503 Model f...: 9380141603AN14 Model Series: Retail Goat: RICE IRC/NOD Model Nan: RC4060A - Financed By: Drawing 1 : Print Date: 7 03 E ADAMS 60' 2430 RIGHT INC NOD 20.14- 10 QINNANUPACTURIING WEST. INC. 2700 GOOEY, 86 SQ FT ALIBREMO1U5. NN 87102 CWICE Ordered by: RIQ{A1D/NA1Q 29 AN Phone No: 505-242-5580 Opt.f Description Qty Price Opt.f Description Qty Price 126010 SPECIAL - RECORD SALES ENERGY SAVER PLUS 1STD 086030 086223 DINING ONANDELIER - BRUSHED NICKEL PENDANT LIGHT OVER SNACK BAR USB CHARGER OUTLET IN KITCHEN 1 3 1 75 285 - 206500 206510 066011 136000 186009 136119 286046 286301 289999 139999 EXTERIOR BODY COLOR - OAKLEY BROWN TRIM BIT COLOR - BRUSHWOOD HOUSE WRAP VAPOR BARRIER SMART PANEL SIDING 8 1/2' SIDEWALL WITH PLAT CEILINGS WEATHER WOOD -ATLAS PINNACLE SHINGLE STD DORMER MODEL SPECIFIC 9' DORMER OVER BEDROOM 63 OMIT STD 20' DORMER AND INSTALL 25' DORMER OVER THE FRONT DOOR LAP SIDING FRONT DOOR SIDE ONLY 3/4 THE WAY UP SIDEWALL PLUS BOARD & BAIT ELEVATION. 25' DORMER OVER FRONT DOOR W (2) 216 BUILD OUTS. ISTD 1STD 1STD 1STD 1STD 1 - 1STD 1 1 1 608 395 - - 089999 256149 276001 276091 anTQr DREAM KIT ICE COLLECTS PACK-GAS/8LJC 26CP REFER WRS526SIAB GAS RANGE WFG540IlOAE DISHWASHER WDT71OPAYE MICROWAVE WMH53520CP MILLENIUM BRUSHED NIQCEL FAUCETS 9' BLACK ACRYLIC SINK 1 1 1 1 1 ISTD 1 2,145 45 066035 066029 066900 186600 186014 186023 STRUCTURAUTRERHAL OKITKIT R2 INSULATION 60/ GROUND SNOW LOAD (CO IRC) R50 CEILING - IRC 2X10 FLOOR JOIST - OFF PRAME'IRC 2%6 EXTERIOR WALLS W/R19 EXT INSUL 5/8" OSB FLOOR DECKING 1 60 1 1 132D 1 437 - 4.200 292 - - 156001 156201 156077 186601 146012 166017 INTERIOR 2.25' BASEBOARD AND DOOR TRIM WHITE INTERIOR PAINT & COVE PACKAGE ANTIQUE LINEN - INTERIOR WALLS CEILING 6 COVE - HIGH HIDING WHITE 4.25"COVE IN LIVING AREAS & 2.25' COVE IN NON -LIVING AREAS EXCEPT CLOSETS AND PANTRY CASED AND TRIMOiD WINDOWS T/O ROUNDED TOP ARCHWAY AT FOYER PRAM OUT FOR WOOD FIRE PLACE SHIP TILE SURROUND LOOSE. WILL BE INSTALLED ON SITE. RAISED HEARTH SHEETROCK SHIP TILE LOOSE WILL BE INSTALLED ON SITE 1 1 1 1STD 1 1 1 STD 695 - 125 495 295 276014 126016 BATES GLAMOUR BATE W/60' FG SHOWER TOWEL BAR & TISSUE HOLDER ALL BATHS 1 1 - STD 146015 146053 146022 106015 106060 106019 DOORS/WINDOWS LOW -E VINYL WINDOWS THROUGHOUT 36%12 TRANSOM WINDOW W/GRIDS MST WARDROBE & MST END WALL 46'X8' GUN SLOT WINDOW OVER TUB SHOWER GUEST BATH RAISED PANEL INT PASSAGE DOORS REAR DOOR WITH WINDOW SLIDING GLASS DOOR IPO 2 WINDOWS 1STD 2 1 1 1 1 150 115 STD 145 425 296002 026011 026015 FLOOR COVERING OMIT STANDARD LINO NW DY CARP COLOR- BROWNSTONE REBOND CARPET PAD S; 864 1 1STD 86- 608 096019 096023 096026 156012 15601d 156019 156021 096010 COTOY MEATH LAM C -TOP - ITALIAN WHITE GRATH LAM C -TOP - WINTER CARNIVAL BATHS IAM TOP - WINTER CARNIVAL FULL HEIGHT SUBWAY - ARTISAN BROWN MEATH 2 ROW W/CRSNT EDGE - ARCWHITE OBATH 2 ROW W/CRSNT EDGE - ART BRWN BAT1N3 2 ROW W/CRSNT EDGE - ART HAWN SOLID SURFACE CTOP SANDED VERMILLON WITH BACKSPLASB IN RQTONEN ONLY 1STD ISTD 1 1 1 1 1 30 - 595 275 95 95 1.650 166025 166074 276068 UTILITY/PLUMBING PERIMETER DUCT SYSTEM HI EPP GAS FURNACE-M7-RL72 50 GAL GAS WATER HEATER CO AXIAL 1STD 1 1 - 395 126146 DECOR 2'VINYL BLINDS IPO DECOR & 1"BLINDS 19 380 246029 246015 236012 500%8 BRAKE AXLE UNDERSLUNG AXLES RECESSED CHASSIS 1 1 1 125 - 116001 116040 116044 116084 116050 116110 116000 116100 116003 116095 CABINETRY BANK OF DRAWERS IN MEATH - STANDARD CITY SCAPB CABS OVER RANGE/REFER - XITCHEN CABINETS - RP SNOTTY ALDER BATH CABINET -KNOTTY ALDER 45'TALL OH KITCHEN CABINETS 6"UPGRADED CABINETS PULLS T/O 2.75'STAINED CAB CROWN MOULDING KITCHEN ISLAND 3' 36' BASS CABINET HEIGHT MASTER BATE SELF ABOVE WASHER/DRYER 1 1 1 2 1 1 1STD 1 1STD 1 STD T 735 - 565 STD 186031 CUSTOM VEATURES CONDITIONED CRAWL SPACE 1 150 MLSC6LLAlIDOUS 395 STD (Continued on Page 2) 086010 086012 086022 086115 186125 086530 086018 086203 166003 086026 ELECTRICAL • CO DETECTOR COACT FLOURESCENT LIGHTING T/O DEDICATED RECEPT 1N UTILITY ROOM OMIT STANDARD KITCHEN LIGHTING TV PREP INC CHASE. OUILET,& BRACING OVER PINE PLACE USB OUTLET 1N KITCHEN - STANDARD 200 AMP SERVICE - GAS HONE 6' RECESSED CAN LIGHT W/ DIMMER PROGRAMMABLE THERMOSTAT CEILING PAN - BRUSHED NICKEL 2 1STD 1 1 1 1STD 1STD 5 1STD 3 150 95 - 150 325 375 e• IMPORTANT: Manager aunt sign and date this confirmation in order for beam to be sabedulad and built. as " PAX No: 505-242-3084 Please Sign and FAX X Date QUOTE/CONFIRMATION UOTE/CONFIRMATION Page 2 of 2 To: 280370 Phone: 970-243-9039 Quote No..: 14619 CMH ROUES INC Quote Date: 04/14/2014 MA: CLAXTON RQ1ES-GRAND JUNCTION Sales Rep.: NAARX R 671 23 MAD Sales Note: 40'667: GRAND JUNCTION. CO 81503 Model i...: 93ROd41603A1114 Model Series: Retail Cast: RICE IRC/ttOD Nadel Negro: RCA040A Financed By: Drawing i : Print Data: 7/03/2014- ADAMS 60' 2430 RIOT OHOIOE WIG 110D 10 QD BAt10FACavxuio WEST. INC. Alpyqu r4ye 2700 EARlTEN COCRT, 8E 8Q FT ALBUQUERQUE. NM 87102 Ordered by: RICEARD/NABE 233 AIPhone No: 303.242-5580 0144 Description Qty Price - Opti Description - Qty Pries. 126085 246013 126030 126029 126028 126029 IRC FEES - COLORADO TIRE & AXLE SURCHARGE ENGINEERING FEES MOVE WATER HEATER FROM MASTERBED WARDROBE TO UTILITY ROOM SEE PRINT RETURN PRAM FREIGHT 1 & 10 KARSTEN WARRANTY RETURN PRANE PREIGHT 1 1 1 1 1 1 1.950 100 500 2,430 STD - MISOELLANEOUS OPTIONS COLORS SPECIAL INSTRUCTIONS FREIGHT IS ONLY AN ESTIMATE TO BASALT, CO FROM BENNETT TRANSPORT " IMPORTANT: Reneger must sign and data this confirmation in. order for hone to be scheduled and built. " FAX No: 303-242-3084 Plume sign and FAX X Data QUOTE//CONFIRMATION