HomeMy WebLinkAboutApplication.pdf2
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6 Architect:
7 Engineer:
8 Sq. FL of Building:
9 Use of Building :
108 lf' Street, Suite ./OJ, Glemvood Springs, CO 81601
Ph :970-9./5-82 I 2 fa: 970-38./-3./40 Inspection Line:888-868-5306
www.garfield-countv.com
BUILDING PERMIT APPLICATION
Lot No: Block No :
/0
Moiling Address: Ph:
Mailing Address: Ph:
Sq . Ft. or Acres of Lot:
3.S-
Height:
Class of Work :
MAY 2 4 2012
GARF1EUJ COUNTY
RI Ill \)ING & PUNNING c.-;;i..
e () 'fi'I ~ O l
Alt Ph:
C/70 -96.3 -5"9
Lie#:
Alt Ph:
Alt Ph:
No . qi: Floors:
l'..i.
esidential Ocommercial OOthcr ew DAlteration DAddition DRepnir DDemo DMove
IO Describe Work : ~c~s f1( U(!_(I OA..l
II Garage : f'JO,.,; Type of Heat:
DAttnched ODetached OCommunity ONat. Gas DElectric OOther
12 Driveway Permit:
N .A.
Owne
NOTICE
A!!!!w:i!l· This application for a Building Permit must be: signed by the Owner of the propcny, described above . or an authorized agent , If the signature below is not that of the Owner, a sqiarnte
letter of authority, signed by the Owner, must bc: provided with this Application
l.sgal Asms, A Building Penn it '8nnot be: issued without proof of legal and adcqu111e access to the propcny for purposes of inspections by the Building Department.
Other Permits. Multiple separate permits may be: required (I) Stale Electrical Permit , (2) County ISDS Permit . (3) another permit required for use on the Pfopcny identified above. e g. State or
County Highway! Road Access or a State Wastewater Discharge Permit
Vold Prrmlt. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the dale of issuance and if work is SUSPendcd or abandoned for a period of 180
days after commencement.
CERTIFICATION
I hereby certify that I have rcad this Application 1111d that the informlllion conlaincd above is true and correct. I understand that the Building Deparlment accepts the Application, along with the plans
and spcC11ica110ns and other dlltn submitted by me or on my bc:hnlf (submittals), based upon my certification 115 to accuracy
Assuming completeness of the submittnls and approv:il of this Application, a Building Penn it will be issued granl1ng pcrmiSS1on to me, as Owner, to construct the structurc(s) 1111d facilities detailed on
Ille submmaJs reviewed by the Building Department
In consideration of the issuance of the Building Permit, I ai,orcc 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. !SOS regulations and applicable land use regulations (County Regulation(s)) I acknowledge thnt the Building Permit may be suspended or revoked, upon notice from the County, if the location.
construction or use of the structure(s) 1111d facility(ies), described nbove, me not in compliance with County Regulauon(s) or 1111y other applicable law
I hereby grant permission to the Building Department to enter the propcny, described above, to inspect the worlc I further iu:knowlcdge that the issuance of the Building Permit docs not prevent the
Building Official from : (I) requ iring the correction of errors in the subminals, if any, discovered after issuance; or (2) stopping construction or use of the structurc(s) or fiu:ility(ics) if such is in violation
of County Rei;ulntion(s) or any other applicable law
Review of this Application, including submittals, and inspections of the work by the Building Department 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 witl1 fcdcnil , state and local lnws and County Regulations rest with me and my authorized agents, including without
limitation my architect designer, engineer and/ or builder.
111 .. EBYACKNO~~~ll~· -"1'-'W-D~-D-U_N_D-ER_S_T_A_N_D_T_H_E _N_O_T_IC-E-~~C-~-R~T~IF-l~C-AT-1~0-N~:~B~O-V-E.~~~~~~~~~~~~~~~~~-
SIGNA TURE ____ .
Special Conditions:
Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misc Fees:
Z6i1./60, 68 t 2h'-/.14
' Total Fees:
I 3'2/0# Ll9 l&!J~ ,qtf Fees Paid: Balance Due:
t5fo??.55
~ & Issue Dale:
BLr<t ~ ;;;..s-1 <)
Setbacks: / ' OCC Group:
F zs; !l25 s10 _'~ Const Type: Zoning:
DATEY
Building Plan Review
Description of Work: New construction
Bin#:
Location Address: 4600 BEAR WALLOW LN
GLENWOOD SPRINGS, CO
Case Manager: David Bartholomew
Piao Case Number: BLDG-5-12-7275
Parcel: 218520100159
Application Date: 0512412012
Building
/ Engineered Foundation
JJ /A • Driveway Pennit
/ Surveyed Site Plan
/ Septic Pennit and Setbacks
/ Gradefropography 30%
/' Attach Residential Plan Review List
/
Minimum Application Questionnare
"1/fi Subdivision Plat Notes
Y/ 11
I
Fire Deparbnent Review
I Valuation Detennlnatlon/Fees
/ Red Line Plans/Stamps/Sticker
/ Attach Conditions
/ Application Signed
/ Plan Reviewer To Sign Application
/ Parcel/Schedule No.
JJ/# 40# Snowload Letter -Manu. Homes
J{-1 Soils Report
Tuesday, June 5, 2012
Owner: Hapee Akers LLC
Applicant: Hapec Akers LLC
Applicant Phone: (970)963-5949 Email: mgluszek@sopris.ne
Planning/Zoning
I Property Line Setbacks
I 30ft Stream Setbacks
/ Flood Plain
/ Building height
/
Zoning Sign-off
N/tf Road Impact Fees
!V/A HOA/DRC Approval
/ Gradefropography 40%
/
Planning Issues
I
Subdivision Plat
General Comments:
VALUATION FEE DETERMINATION
Appllcant
Address
Date
-..H--.apo;.;ee;.;;..;..;A--.ke .... rs~,..;;;L.;;;;.LC.;;._ _______ Subdivisioa
4600 Bear Wallow Lane, GWS Lot/Block ----------------6/5/2012 Contractor -------------
Finished (Livable Areal:
Main
Upper
Lower
Other
Total
Total
Basement:
Unfinished
Square Feet
Valuation
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:
Occupancy:
Total Valuation
Total Valuation
1513 sq.ft
390 sq.ft
1348 sq.ft
sq.ft X $74.68
3251 sq.ft
sq.ft X $41.00
sq.ft X $33.68
sq.ftX
sq.fix S18.oo
sq.ft X $56.68
sq.ftX $12.00
sq.ftX
1232 sq.ftX $9.00
407 sq.ft X $24.00
485 sq.ft X $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
Glen Parle Ranch
Lot# IO
Marie GIU57.ek
242,784.68
0.00
0.00
11,088.00
15,588.00
0.00
269,460.68
~ NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The building department 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 requ i rements of this
ch~
Signature of Owner Date
Garfield County Building & Planning
108 atti Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-countv.com