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HomeMy WebLinkAboutApplication.pdfGarfield County Community Development Depa rtment 108 81h Street, Suite 401 fl "if r ijl irv If l\ Glenwood Springs, CO 81601 .~\\ ~,) l _, r...1 l !Fi _; (910) 945-8212 sc:r 1 , zo14 www.garfield-county.com r1i\RFlt]ll C~iy,:~F CONSTRUCTION i · 'UNI.,, :'rw:wp~M; 11 •· • ' • ;.1 • L:.J Co mercial/Multi-Family Q Manufactured Home (SF or Dupl ex ) ~ Re si dential (SF, Duple x, or To w nhome) INVOLVED PARTIES 0 Demo lition 0 Re roof Property Owner: ~;Cl VI Ct f hvt~~ Phone:(_) Mailing Address : ' ·1 ~=~ =~':): =&\Q .,C CJ> ~ \ (::>~'""' °'.\)\(a · Cf7o-Zl!?/-.$'7B/ Contractor: (Y'i.g v e ~ Co11si\oL;bQV\. IA yLLe. Phone :(~) is~ ·96 4 2 Mailing Address : 560 S l~ MrYH1C1 ~ .t-( b fq .,iJ ~)At.:tw1,,1 (O XJQS Architect: _________________ Phone: ( __ ) _____ _ Mailing Address :-------------------------- Engineer: fvk-fl1 , '1\1\'\ V' Phone: (j_]Q_) Gaz?; -5 1( 3 Mailing Address: S? ·O . §toy (961-, £1 ~\!:?rWO\(i() q J /d s j Manufactured Home Installer:-----------Phone : ( __ ) _____ _ Mailing Address :-------------------------- .. PROJECT NAME AND LOCATION ' Describe Work: ' ~ 2-' c c\ o..... -:2.> \ ./ ") ., )'' '\ \( oo:ev--, ~ \.1. e-n ,"'(>\. ...,.._ r . ;-' r, ' ') I , Cu f3 1b sv ·-9o u, Job Address: \ C, O ~ +J ~4 1"L~">t 2 2 £ ]?i'f (e, 1 '°J rr /)JO Assessor's Parcel Number: d 17..J ·S fc ·lD Sub . -~,("'"'J_A__,__ ____ Lot __ Block Owner's Valuation of Work:$ J <>o, '-\AA . 2§.. Property Size (Sq .Ft or Acres): _S"""""-D~-- Sq.Ft of Building:, \ 10(). 0 Height:------#of Floors: _____ _ Class of Work: 0 New 0 Alteration ~dd i t ion 0 Repa ir 0 Move/Relocation Garage : D Attached 0 Detached Septic : OOWTS 0 Commun ity Type of Heat: 0 Natural Gas D Pro pane D Electric D Other . Driveway Permit: · D Exempt D Permit#: ______ _ NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, descr ibed above, or an authorized agent. If the signa ture 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 lega l and adequate access to th e property for purposes of inspections by the Building Division . Other Permits. Multiple separa te permits may be required: (1) State Electrical Pe rm it, (2) Coun t y OW TS Perm it, (3) another permit required for use on the property identified above, e.g . State or County Highway/ Road Access or a State Wastewater Dis charge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the d ate of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION -- 1 hereby certify that I ha ve read this Application and that the information contained above is true and correct. I u nde rstand that the Building Division accept s the Application, along with the plans and specifica tions and ot her d ata sub mitted by me or on my beha lf (submittals), based upon my ce rtification as to accuracy. Assum ing completeness of the submittals and approval of this Application, a Bui l ding Permit will be issued granting permission to me, as Owner, to construct the structure(s) and faci lities detailed on the submittals reviewed by the Building Divi sion. In co n si deration of the issuance of the Building Perm it, I agree that I and my agents will comp ly w ith provisions of any fed era l, state or loca l law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Bui lding Permit may be sus pended or revoked , upon notice from the County, if t h e location, construction or u se of the structure(s) and facility(ies), d escr ibed above, are not in compliance with County Regula t ion(s) or any other a pp licab l e law. I hereby grant permission to the Building Divis ion to enter the property, des cribed above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not p revent the Building Official from: (1) requiring the correction of errors in the submittal s, if any, discove red after iss uance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in viola tion of County Regu lation(s) or any other app licab le law. Review of this App lica tion, including submitta ls, and inspections of t he work by the Bui lding Divis ion do not co nstitute an acce ptance of res ponsibility or lia bility 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 Reg ulatio ns re st with me and my au tho rized agents, including w ithout limitation my architect designer, engineer and/ or bu i lder. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required information which is corr t and accurate to the best of my knowledge. Property Owner Print and Sign OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee : Permit Fee : Manu home Fee : Total Fees: Balance Due: 167.0I Setbacks: , OCC Group: Pz5"uf' 51tJ' L~ Const Type: .r.e-c.,. BUILDING/PLANNING DIVISION ' ;IP~ Signed Approval Date Misc Fees : VALUATION FEE DETERMINATION Applicant Address Date _N_a_n ..... cy_J_o_h_ns_o_n __ , A_d_d_it_io_n ______ Subdivision _1_70_H_wy_.__3_2_,5,"""R_i_fl_e _______ Lot/Block 10/9/2014 Co ntractor Finished (Livable Area): Main Upper Lower Other Total Total Basement: Unfini shed Square Feet Valuation Conversion of Unfinished to Finished Other Total Valuation Garage/Storage (wood framed) Co nvers io n of garage to finished livin g Carport Other Total Craw l Space Total Valu ation Valuation Decks!Pa tios/Porc hes Cove red Open Other Total Valuation Type of Construction: Occupancy : Total Valuation Total Valuation - 768 sq.ft sq .ft sq.ft sq.ft X $74.68 768 sq.ft 768 sq.ft X $41.00 sq.ft X $33.68 sq.ftX sq.ft X $18.00 sq.ft X $56.68 sq.ft X $12.00 sq.ftX sq .ft X $9.00 378 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 NI A NIA Maves Con struction, Kyle 57,354.24 31,488.00 0.00 0.00 9,072.00 0.00 97,914.24 Building Plan Review Description of Work: adding a 31' x 24' living room & basement onto existing hom e Bin#: Location Address: 17 0 Hwy 325 RI FLE, CO Ca se Manager: David Bartholomew Plan C ase Number: BLD G-9-14-80 78 P a rcel: 212 73 12000 I 0 Application Date: 09/17/20 14 Building __ _;/ ___ Engineered Foundation ,_I/ It Driveway Permit / Surveyed Site Plan ~(~ Septic Permit and Setbacks / Grade/Topography 30% / Attach Residential Plan Review List / Minimum Application Questionnare r--1/A Subdivision Plat Notes 1'-1/ A Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker / Attach Conditions / Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. tJ/A 40# Snowload Letter -Manu. Homes JJ)A Soils Report Thursday, October 9, 2014 Contacts Owner: Nancy Joh nson Applicant: Nancy John son Applicant Phone: Email: Planning/Zoning I Property Line Setbacks I 30ft Stream Setbacks / Flood Plain I Building height / Zoning Sign-off ff/A Road Impact Fees IV/If HOA/DRC Approval / Grade/Topography 40% 11 Planning Issues I Subdivision Plat General Comments: cG Garfield County Community Development Department 108 81 h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST In order to understand the scope of work intended and to expedite the issuance of a permit, it is important that complete information be provided. Please review this document to determine if you have adequate information to design your project and to facilitate a plan review. APPLICATION FORM: Please make sure the following information is provided on the application. • Parcel number obtained from the County Assessor's Office. -C'v,\\,, ( • Job address (assigned physical address) • Legal Description: lot, block, filing, subdivision or tract, section , township and range. • Owners name, mailing address, phone, fax, or cell. • Contactors name, mailing address, phone, fax, or cell. ~ • ArchitecUEngineer's name, mailing address, phone, fax or cell. • Building size, height, number of stories, lot size . • Use of building (residential) • Class of Work (new, addition, alteration, repair, demo, move, other) • Description of work . • Type of heating (natural gas, propane, electric, other). • Sewer system (Community or OWTS), also see other items below. • Garage (attached or detached). • Driveway permit (please see other items below) • Valuation (labor and materials) see attached worksheet. OTHER ITEMS: --If you anticipate obtaining a water-tap from the City of Rifle, please provide a letter indicating that the City will provide water service. (Required to submit building permit application). ISDS requires a septic permit application to be submitted with the building permit application. • A separate electrical permit must be obtained from the State of Colorado Electrical Board . ..-. At the time of building permit submittal, you are required to show proof of legal and adequate access to the site. This may include proof of right to use a private easement, County Road & Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The ~ _ County Road & Bridge Department can be reached at 970-625-8601. r.) If you anticipate excavating or grading prior to issuance of a building permit, you will be required to obtain a seRarate gradil]g per_mit. - _-•,,..-If you belong to a Homeowners Association (HOA), it is your responsibility to obtain written approval , if required . ..--Provide copies of any Resolutions and/or Land Use Permits associated with this property . ..... ~ Additional Dwelling Units may require Administrative Review. • Minimum dwelling dimension is 20 ft wide x 20 feet long . • A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups, unless the homeowner is performing the work.