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Home My WebLink AboutApplication.pdfGarfield County VII I titunity Development Department JIL 108 8th Street, Suite 401 Glenwood Springs, CO 81601 SEP "i NV, (970) 945-8212 GARFIEID COUk tvwww.aarfield-countv.com 'MUNN OUVELOPMIENI TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family ❑ Manufactured Home (SF or Duplex) • Residential (SF, Duplex, or Townhome) BUILDING PERMIT APPLICATIO L❑ Demolition r❑ Reroof INVOLVED PARTIES Property Owner:LRtd1ZE4JCE Avb L IM S/A/(rek Phone: (7Zo ) 2 20 — $YO p Mailing Address: Z 62.1 Cou.vfj 404,10(/OQ 0 /-10o, 4Ie, CO Ea) Z3 Contractor: ,k' it/i S/L4Nbt TE/144L/Nlt STtL.cti.'t€5Phone:( 970 )379- g'002. Mailing Address: /0 /?ex 70g, 114Ei cO g162 3 1 est..'gqd 4 6 3--e i-l�( Architect: 7L/oF Ac. let s tcit/° j4-ruslaiNable PhonL: ( 970 )963 —air/ Mailing Address:t7SOY CRysr4L G/RC(.E, G4RBo,vj 4 i Co 816Z3 Engineer: /f%/,'g The* sr/werlt-deal�.v9 /Nee/ -Phone: ( 470 )?63 -gig/ Mailing Address: 2 9f:, 7 0i4ks /Z1bCa-i" 0A1 c& le/ CD $/ 6 z 3 Manufactured Home Installer: Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION Describe Work: S/i"(- a/ GREE/11 //od,SE gtitve /2q Job Address: 2 2 1 C 01.1 / Oo 100 Cetr- LID e.. CD ; /6? Assessor's Pace -el cel Num3e.3) -313-0 + -02 6 LOT 21 R/e:s Scab - i ✓,'1';64 E/ce/.tpt;'o.d Sub. Lot Block Owner's Valuation of Work: $ il1, 76o. 00 Sq.Ft of Building: 2 3 Z O Height: 2 Class of Work: Garage: 1 New 0 Alteration Septic: Property Size (Sq.Ft or Acres): 3.0 Acres # of Floors: 1 0 Addition 0 Repair f 0 Move/Relocation 0 Attached 1 Detached 1 OWTS ❑ Community Type of Heat: in Natural Gas Driveway Permit: 0 Exempt 0 Propane 0 Electric ❑ Other ❑ Permit #: ENb;Al& PER /Peke Pre%M 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 I have read and understand the Notice and Certification above as well as have provided the required infor ation which ' correct and accurate to the est of y knowledge. vita NC.E Sfrn E// � I Z DI Y %SS 4 iN&e,a Isa_ SI 0.-1^ Property Owner Print and Sign C6l1 It( Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 4'/.766.=° Plan Check Fee: 36f•9Z Permit Fee: 562,9. Manu home Fee: — Misc Fees: __. Total Fees: 926 .8 7 Fees Paid: 365-•' 2 Balance Due: 56 Z ,.95" BP No: OWTS No: B l,RE - 3361 Sm-- 33LfL- Setbacks: F..5iRZ✓i 5/0 OCC Group: —EigG Const Type:Zoning: ... G el BUILDING / PLANNING . L DIVISION : Cpl —s/ di41--- /d Signed Approval Date . * 5id12-j 61- 11-14 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. LAhigest)cO S(4)&E,C La -4w QAsl/y Gi5-4 s'iNGe- S7,15424 Property Owner Print and Sign /2', ZOIy Date $0.001 Total fees Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com 1-At412.ENcE Q.442 L.istar SiN&E/ oT2.z o� 2�tI coo [locos() o� di10��s�� eKlfiio� gf(�Z3 P Fill ONLY in the yellow areas Applicant: Job location: Sub-Lot/Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET Type of Space Square Feet - Value per sq. ft. _ Valuation Finished Living Space (NA for Manufactured Homes) Q sq.ft X $74.68 $0.00 Unfinished Basement p sq.ft X $41.00 $0.00 Crawl Space O sq.ft X $9.00 $0.00 Garage Z 72 0 sq.ft X $18.00 $0.00 Covered Patio/Deck o sq.ft X $24.00 $0.00 Uncovered Patio/Deck 0 sq.ft X $12.00 $0.00 Misc: sq.ft X $0.00 $0.00 Misc: sq ft X $0.00 $0.00 Total Valuation $0.00 Manufactured Home Set -Up Valuation Single level ($400.00) Multi -Level ($600.00) Total Set -Up Fee Septic 'Permit ($123,00) 'Percolation ($150.00) Notal Septic Fee 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 Due at time of Permit Pick -Un $0.00 $0.00 $0.00 ***AII fees are estimates until plan review is completed *** Building Plan Review Description of Work: construction of detached garage and greenhouse building Bin #: Location Address: 2621 CR 100 CARBONDALE, CO 81623 General Information Case Manager: David Bartholomew Plan Case Number: BLDG -9-14-8080 Parcel: 239131300026 Application Date: 09/19/2014 Contacts Owner: Lawrence & Lisa Singer Applicant: Lawrence & Lisa Singer Applicant Phone: (720)220-8400 Email: Building Planning/Zoning Engineered Foundation Property Line Setbacks Driveway Permit 30ft Stream Setbacks Surveyed Site Plan / Flood Plain Septic Permit and Setbacks / Building height Grade/Topography 30% / Zoning Sign -off Attach Residential Plan Review List Al( Road Impact Fees Minimum Application Questionnare NC HOA/DRC Approval Nl '� Subdivision Plat Notes / Grade/Topography 40% NI4 Fire Department Review / Planning Issues Valuation Determination/Fees Red Line Plans/Stamps/Sticker 7 Attach Conditions / Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. /t}/'it 40# Snowload Letter - Manu. Homes Soils Report Subdivision Plat General Comments: 1/141/7 Z 4.06 =1� �/, 760,00 Thursday, October 2, 2014