HomeMy WebLinkAboutApplication.pdfItECVANT
ca 0 61014
Community Development Department
GAR�hp CO ���{{ 108 8th
Street, Suite 401
�MMIj 4\T OEVEI�pM�NGlenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
Garfield County
TYPE OF CONSTRUCTION
O Commercial/Multi-Family
0 Demolition
❑ Manufactured Home (SF or Duplex)
Residential (SF, Duplex, or Townhome) 0 Reroof
INVOLVED PARTIES
Property Owner:
A1Rk CT-:MAI11Ti G I1 Phone: ( `t7°) 379 - 02/9
Mailing Address: `2qS �{( 22..? t Vit' , 6:;) 14(0.5a
Contractor:
6//4•8 (> grnivt l✓)C-- Phone: ( 1)) /R0\5 7
Mailing Address: /'3( 4/JR ?OKI'
Architect: 1't 1Gt4 C_1tt-KTFX ,014akin A144 Phone: ( c17(',) 6a5- 05&6
Mailing Address: JE. ?AA 1Et?C.f ('o Vl)„'c.)
Engineer: (Lpot 4aojj iii t/,G12tf C Cj) JE //JC . Phone: ( C170) 94-03
Mailing Address: P(7 -KIN
Rroa,c
Manufactured Home Installer:
Mailing Address:
Phone:
PROJECT NAME AND LOCATION
Describe Work: » tJ S/tJc t- Fif-A1/ [ y fW1 Jaf ion4 . 4 c'J IBJ
Job Address: ..t. ! . R t.
Assessor's Parcel Number: �Sub. Lot Block
Owner's Valuation of Work: $ 44(013r. Property Size (Sq.Ft or Acres):
Sq.Ft of Building: PI Height: # of Floors: oC
Class of Work:
1' New
❑ Alteration 0 Addition
L_
Garage:
IE Attached
O Repair
0 Move/Relocation
O Detached
Septic:
I OWTS
0 Community
Type of Heat:
0 Natural Gas
r Propane
0 Electric
Driveway Permit: �,f�Exempt
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 OWTS 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 1 and my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
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 informationich is correct and accurate to the best of my knowledge.
traz, 6
Property Owner Print and Sign
oe/tooji
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
199 00.60
Plan Check Fee:
? � & $�
Permit Fee:
f 4 R 7..75
Manu home Fee:
Misc Fe s:
Pr -
Total Fees:
24 7 r . Z Q
Fees Paid:
qcq . vi.
Balance Due:
14.72 . z.7
BP No:
OWTS No.
VV12' 33 j
(\''
Setbacks: i
F a 510 /
OCC Group:Const
RC
Type:
-L 1�Cp...,
-
Zoning:
BUILDING / PLANNING
DIVISION : /
B/�/¢
Signed Approval Date
�GthD.vz� ✓� ImS-nli (6 (a III
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.
MO Gybe 0a
Property Owner Print and Sign
G8 OG
Dat
y
FE 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
6 /A-A.P mc.
rt, (R ;a3 R 1 Fz-p 6o V4,5-0
Fill ONLY in the yellow areas
Type of Space
Square Feet
Value
per sq. ft.
Valuation
Finished Living Space
/N/A for Manufactured Homes)
a o 4c)
sq ft X
$74.68
/(pA g150 $0.00
Unfinished Basement
sq (i X
$41.00
$0.00
Crawl Space
/„,0p
sq. it X
$9.00
f c/ gdp $0.00
876)Garage g�
sq It X
$18.00
l �!� SAD $0.00
Covered Patio/Deck
.2spg”
;:; It X
$24.00
1.01A, $0.00
Uncovered Patio/Deck
X
$12.00
$0.00
Misc:
$0.00
$0.00
Misc:
$0.00
$0.00
Total Valuation
4 l 9' (677 a 60.00
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($123.00)
Percolation ($150.00)
Total Septic Fee
Valuation
$0.00
Total fees
atESEMISX
Valuation
$0.00
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 $0.00
Due at time of Permit Pick -Up $0.00
$0.00
***AII fees are estimates until plan review is completed ***
Occupancy:
Applicant
Address
Date
VALUATION FEE DETERMINATION
Gube Residence
895 CR 223, Rifle
8/25/2014
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 1183 sq.ft
Upper 687 sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 1870 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
Antlers Orchard
TR 25
Giard Homes
139,651.60
0.00
Garage/Storage (wood framed) 810 sq.ft X $18.00
Conversion of garage to finished living sq.ft X $56.68
Carport sq.ft X $12.00
Other: Unfin/Cond. Office above Garage 418 sq.ft X $41.00
Total Valuation 31,718.00
Crawl Space 1183 sq.ft X $9.00
Total Valuation 10,647.00
Decks/Patios/Porches
Covered
Open
Other
Total Valuation
Type of Construction:
Total Valuation
228
130
sq.ft X $24.00
sq.ft X $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
7,032.00
0.00
Total Valuation 189,048.60
Building Plan Review
Description of Work: new S/F dwelling, wood framed, two-story structure
Bin #:
Location Address: 895 CR 223
RIFLE, CO 81650
s.
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -8-14-8032
Parcel: 217701200263
Application Date: 08/06/2014
Owner: Mark & Stephanie Gube
Applicant: Mark & Stephanie Gube
Applicant Phone: (970)379-6214 Email:
Building
% Engineered Foundation
NI Driveway Permit
Surveyed Site Plan
Z -k157/)1 -t/ Septic Permit and Setbacks
Grade/Topography 30%
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
/ Building height
7oning Sign -off
/ Attach Residential Plan Review List �/ Road Impact Fees
/ Minimum Application Questionnare P/4 HOA/DRC Approval
/ Subdivision Plat Notes / Grade/Topography 40%
/U/A Fire Department Review / Planning Issues
I
/ Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
_Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
/ Soils Report
Monday, August 25, 2014
O