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Home My WebLink AboutApplication.pdfGarfield County `If Il ' e �-unity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 GARFIELD COUNTY (970) 945-8212 )MMUNITY DEVELOPMENTwww• I 2014 garfield-county.com TYPE OF CONSTRUCTION • Commercial/Multi-Family • Demolition _ Manufactured Home (SF or Duplex) Residential (SF, Duplex, or Townhome) • Reroof INVOLVED PARTIES COO ,'rj, , G$Oy_' C'6�t'l Property Owner: 0-r7 et <,Lti1. , \)citi he,l. ' UU1Dhone: (C-1 141 ) (1`14)-. 1 t el? c 14trittk Mailing Address: ( 132 . iv a.-1 Lain. tc.. , (-i U.) ?> i t,0 1 Contractor: Phone: ( ) Mailing Address: Architect: Phone: ) Mailing Address: Engineer: Phone: ( Mailing Address: Manufactured Home Installer: Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION Describe Work: '( V '" t 11X1-1 Co veveA Job Address: 11.3i 1A,)P.-l"Deceit lC Assessor's Parcel Number: Owner's Valuation of Work: $ Sq.Ft of Building: Class of Work: 0 New 0 Alteration 10001).' Sub. W ei,{it.0Lot 19 Block �� Property Size (Sq.Ft or Acres): t . D' 'Cr' Height: # of Floors: Ei Addition Garage: 0 Attached Septic: Type of Heat: Driveway Permit: U'v 0 OWTS O Natural Gas O Exempt 0 Propane O Repair I 0 Move/Relocation I Detached O Community 0 Electric 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 I 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 1 have read and understand the Notice and Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. i .__ i �O'tAbtA,. (CA, Irl"\ -1. - Prope Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 0/5,a96.vb Plan Check Fee: l7Z,¢! Permit Fee: 165.z5-- Manu home Fee: Misc Fees: .,. Total Fees: 43 7 6.6 Fees Paid: I I- AI Balance Due: 3' 9.6'5 BP No: OWTS No: - 311 Setbacks: fz /14/ Sia ! OCC Group: S' g -G Const Type: __rgG Zoning: 12S BUILDING / PLANNING DIVISION : le e�9r�� 94l Signed Approval Date 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. PropeftyO�iunerPrint and Sign Date Garfield County Community Development Department 1088th Sreet, Suite 401 Genwood Springs, 0081601 (970) 945-8212 www.narfield-county.com BUILDING PERM IT 111 ESI I MATE WORKSHEET Applicant:Usi.sta'Set^ '� pp Abject Address l t3Z 1A1C5�'Szu+t 1-44 3ibdivsfon: Mafia Fhone: e1D "qqs- -nen Lot: Bode: Hnidied Lwin. •. ace n/afor Manufactured Homes -x74.68 Unfinished Basement - x41 Crawl •.-..: -x9 Ga•" -x18 Covered Patio/Ded< MIIL'/' x24 Uncovered Patio/Deck nil l x 12 Mise: mix: Total Total Valuation This Section Determined by Garfield County Flan Fbview Fee building Permit Fee Manufactured Home Set -Up Fee Septic Fee Total Fees Due """AI fees are estimates until final plans are reviewed""" Building Plan Review Description of Work: building 21x42 deck (14x14 covered) Bin #: Location Address: 1132 WESTBANK RD GLENWOOD SPRINGS, CO 81601 General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -9-14-8059 Parcel: 218535401009 Application Date: 09/02/2014 Owner: S & J VanDerusen Family Trust Applicant: S & J VanDerusen Family Trust Applicant Phone: (970)945-7799 Email: Building f` -/A Engineered Foundation N/A Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions Planning/Zoning Property Line Setbacks l ` 30ft Stream Setbacks Flood Plain / Building height Toning Sign -off Road Impact Fees N/lit HOA/DRC Approval Grade/Topography 40% / Planning Issues Subdivision Plat General Comments: 0/a//1°-/1 Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. N/,4 40# Snowload Letter - Manu. Homes Al//1 Soils Report 866x/2:oo 92- /764,e Od -• i 70� t /L. 0,6 Friday, September 19, 2014