HomeMy WebLinkAboutApplication.pdfGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.marfield-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
0 Commercial/Multi-Family
O Manufactured Home (SF or Duplex)
0 Demolition
O Residential (SF, Dupiex, orTownhome) ❑ Reroof
INVOLVED PARTIES
Property Owner: i4f?Ny .cJ/�1/4/JY4 11'• if-`A/4(X
Mailing Address:
Contractor:
ti MJ / ONE
Phone:(
Mailing Address:
Architect: Phone: (
Mailing Address:
Engineer: _ Phone: (
Mailing Address:
Manufactured Horne Installer:
Mailing Address:
Phone: (
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PROJECT NAME AND LOCATION
Describe Work:
b-ovip axie4 E47-#42,6 e7
Job Address:
97a1 pow P /1-1/11-5 i/ / 4,,} (k i"72 i'dev"'
Assessor's Parcel Number: ,-),,ub. Lot Block
SHO.
pi
,
Owner's Valuation of Work: $ 511 SalO. Property Size (Sq.Ft or Acres): 0i' /
,, r
Sq.Ft of Building: ,,,i---„745):90,,,i---„745):90vvd Height: # of Floors:
Class of Work:
New
0 Alteration
0 Addition
O Repair
Garage: 0 Attached
Septic: ❑ ISDS
0 Move/Relocation
Detached
Type of Heat: ❑ Natural Gas
O Community
Driveway Permit
Propane
[U,Exempt ,Cy/$ -7'//j/
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 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.
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 information which is correct and accurate to the best of my knowledge.
LA.Wd0//511/6
Property Owner Print a • 'ign
Date
OFFICIAL USE ONLY
Special Conditions:
kev/cwPa arni?r. ge 5ee i ds ei�://i/i/ /9,41eA/1743:,j s ,
Adjusted Valuation:
/ 14. 8
Plan Check Fee:
70o.54
Permit Fee:
i 0 7 7.7 5'
Manu home Fee:
IVlisc Fees:
Total Fees:
1778.2?
Fees Paid: tRi,
*959.
OCC Group:
Balance Due: no
alli�+�Qg'7
s r
171___P No:
'\.. -2.,19a
Type:
ISDS No:
3EW3i9S
Zoning:
Setba „ks: ,
rz>; )225,5 J Dire
Const
BUILDING / PLANNING
DIVISION :iJ`'s i.) f
Signed Approval Dat
Tao q
95S t oat 00»
X39. l
Building Plan Review
Description of Work: construction of new equipment garage wl bathroom
Bin #:
Location Address: 1479 CR 306
PARACHUTE, CO
1
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -4-14-7895
Parcel: 244703100082
Application Date: 04/18/2014
Owner: Larry Knox
Applicant: Larry Knox
Applicant Phone: (720)225-4025 Email:
Building
Planning/Zoning
rJyA Engineered Foundation / Property Line Setbacks
f Driveway Permit ! 30ft Stream Setbacks
/ Surveyed Site Plan / Flood Plain
/ Septic Permit and Setbacks _ Building height
/ /
Grade/Topography 30% Zoning Sign -off
PP Attach Residential Plan Review List NM Road Impact Fees
/ Minimum Application Questionnare it)/// HOAIDRC Approval
trilf Subdivision Plat Notes / Grade/Topography 40%
f Fire Department Review lanning Issues
/
Valuation Determination/Fees Subdivision Plat
/
Red Line Plans/StampslSticker General Comments:
Attach Conditions
_Application Signed
Plan Reviewer To Sign Application
ParcellSchedule No.
AP" 40# Snowload Letter - Manu. Homes
Soils Report
Thursday, May 1, 2014
l
S-1
Applicant
Address
Date
VALUATION FEE DETERMINATION
Larry Knox
975 Juniper Hills Dr. Parachute
5/1/2014
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main sq.ft
Upper sq ft
Lower sqft
Other sq.fl X $74.68
Total Square Feet 0 sq.ft
Total Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Other
Total Valuation
Garage/Storage (wood framed)
Conversion of garage to finished living
Carport
Other
Total Valuation
Crawl Space
Total
Valuation
Decks/ Patios/Porches
Covered
Open
Other
Total Valuation
Type of Construction: V B
Occupancy:
Total Valuation
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq,it X $18.00
sq.ft X $56.68
sq.ft X $12.00
sq.lt X
sq.ft X $9.00
sq.ft X 524.00
sq.ft X $12.00
sq.ft X
Commercial
2880
sf X
sf X
sf X
sf X
sf X
sf X
$39.88
N/A
N/A
Owner
0.00
0.00
0.00
0.00
0.00
114,854.40
Total Valuation 114,854.40