HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
NOV 1
,313 108 8th Street, Suite 401
Glenwood Springs, CO 81601
GARF IELO GOWN f `( (970) 945-8212
)IVIMUNInY oE11Ei.OPi.,,.. www.garfield-county.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family T ❑ Demolition
XManufactured Horne (SF or Duplex)
❑ Residential (SF, Duplex, or Townhome) ❑ Reroof
INVOLVED PARTIES n
Property Owner: o.) KN A u S Phone: (C )1103-- 1485
Mailing Address: (9132 o Ott L oul C r ndtt e L3B z-3
Contractor: C (Q,a�r c2,-LnA\u1rn S Phone: ( MCC ) QZD1-005
Mailing Address: P. 0. Box 537 Pnnet1Lr.\pY'ivi3s, Colo. 1 t-1,)
Architect: Eh j ell &IS km 140111.64) �f`Phone: (t ) c)OrcJ '8r2C
Mailing Address: J�1 / (C, '/ f . 4ar!,ra 1 F'` +�- • iO b 7 e) 8
Engineer:?t ((AID 'RD Phone: ) Scic Si
Mailing AddressR• 0 . 50 la, 1`j .t,E? n a Y w ca. , cc, . l .0
Manufactured Home Installer: d rt_Q C'L tl S Pho,ie: (1 Eq) y &-Ski q7
Mailing Address: 11 6a 3 €t rC}-, SA- - e tri nnn e., eo 1 l
PROJECT NAME AND LOCATION -
F1hI��L—�7
Describe Work: <32_ on .�Y�L.W . erb S O
--90„0-1( )(ha Lt N1_0.: e "OCe
Job Address 8 LI 3-z C'. - Rd, 3 `
Z
Assessor's Parcel Number: S Lot 1 Block
U
Owner's Valuation of Work: $ crr-�� ��� d Q 000 Property Size (Sq.Ft or Acres): 1(} Ace
Sq.Ft of Building:
Class of Work:
1 612 Height: 1
# of Floors: 1
New
0 Alteration
❑ Addition j 0 Repair 0 Move/Relocation
❑ Detached
Garage: 0 Attached
t -Ln Cr
Septic: )itISDS 0 Community
Type of Heat: 0 Natural Gas f tt Propane 0 Electric
Driveway Permit: E 0 Exempt
❑Permit #:
0 Other
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.
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 require information which is correct and accurate to the best of my knowledge.
0-11)N K4/4.10
Propel -1y Owner Print and Sign
Date
r
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
, i,5-; 55q.00
Plan Check Fee:
704.18
Permit Fee:
1(983.95-
Manu home Fee:
404 , ob
Misc Fees:
1 Total Fees:
2187 53
Fees Paid:
400. 00
Balance Due:
17e 7.53
BP No:
Y1c_0(10,
ISDS No:
Setbacks: r
PZ;, ggS $1 o'
OCC Group:
,i'gC-
Const Type:
I C
Zoning:
l
BUILDING / PLANNING
DIVISION : • /AV),
Signed Approval
Building Plan Review
Description of Work: basement, new septic, set of single family manufactured home
Bin #: DB
Location Address: 8432 CR 320
RIFLE, CO
4.
General Information
Contacts
Case Manager: David Bartholomew
Pian Case Number: BLDG -11-13-7766
Parcel: 217730200424
Application Date: 11/13/2013
•
Owner: Gary Knaus
Applicant: Gary Knaus
Applicant Phone: Email:
Building
Planning/Zoning
/ /
Engineered Foundation Property Line Setbacks
✓ Driveway Permit / 30ft Stream Setbacks
/ Surveyed Site Plan / Flood Plain
1 Septic Permit and Setbacks ✓ Building height
/ Grade/Topography 30% /
Zoning Sign -off
7 Attach Residential Plan Review List P/A Road Impact Fees
/ NJA
Minimum Application Questionnare HOA/DRC Approval
Subdivision Plat Notes Grade/Topography 40%
PpFire Department Review / Planning Issues
7 7
/
Valuation DeterminationlFees Subdivision Plat
/
Red Line Plans/Stamps/Sticker General Comments:
` Attach Conditions
Application Signed
Pian Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
/Vie Soils Report
Tuesday, November 26, 2013
Applicant
Address
Date
VALUATION FEE DETERMINATION
Gary Knaus
8432 CR 320 Rifle
11/26/2013
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main sq.ft
Upper sq.ft
Lower 1375 sq.ft
Other sq.ft X $74.68
Total Square Feet 1375 sq,ft
Total Valuation
Basement:
Unfinished Basement Garage
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
314
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq:ftX $18.00
sq.ft X $56.68
sq.ft X $12.00
sq.ft X
sq.ft X $9.00
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
McCormick Exemption
Lot# 1
Great Western Homes, Tracey Ormsby
102,685.00
12,874.00
0.00
0.00
0.00
0.00
Total Valuation 115,559.00