HomeMy WebLinkAboutApplication.pdfREE
Garfield County
MAY 0 6C7munity Development Department
GARFIELD CO 08 8th Street, Suite 401
) IIMUNITY DEVELQ rood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
❑ Commercial/Multi-Family
❑ Demolition
g Residential (SF, Duplex, or Townhome)
❑ Reroof
❑ Manufactured Home (SF or Duplex)
O Grading (locate all utilities prior to grading)
INVOLVED PARTIES
Property Owner:
Mailing Address:
i3 J/7/4 rs, c.
r
6'
Phone: (% 7p )
sr
Contractor: Nd ti`7, -VC r"Phone: (// 7 ) '74'5— 5-517
Mailing Address: 77, (' '7 0)( / 4a5, S / (;:, ?
Architect: Phone: (
Mailing Address:
Engineer: % ' fr Phone: (7 20 )(I fie v 3 ZC)
Mailing Address: 6/4,1 g ELk !.OM( , c� / Mgk2 (' e l 6q
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: �" 1.4) d /4 S 7' u 7"l " I
V:\VQ.k)CrAi—
Job Address: /03 J iI V g 3O, '7" 7% l -vim
Assessor's Parcel Number: Z j 2,33 qi e56,067ub. TZ.( I/,E g i j Lot 7 Block
Owner's Valuation of Work: $ ( C.) 6:2) Q Property Size (Sq.Ft or Acres): 0,3 ei
Sq.Ft of Building: 2C.) 22 Height: ` `? # of Floors: 3
Class of Work: .Q New
0 Alteration
Addition
O Repair
0 Move/Relocation
Garage:
Septic:
gt Attached
❑ ISDS
Type of Heat: 0 Natural Gas
Driveway Permit: Xi Exempt
O Detached
Community
0 Propane
,Electric
0 Other
O Permit #:
Grading
Square Feet of Earthwork 80mU
Cubic Yards of Earthwork
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)). 1 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.
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 hi is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
Date
OFFICIAL USE ONLY r
Special Conditions:
Adjusted Valuation:
/57, 7z 4. yz
Plan Check Fee:
RC7ab
Permit Fee:
/3/8.55
Manu home Fee:
Misc Fees:
_____-
rTotal
TotalFees:
Z/7.. 4 i'7l8,
Fees Paid:
rill
Balance Due:
.14560.31- ,
BP No:
ISDS No:
iai Qc. _aeg I
Setbacks:
�'z3, g Sir
OCC Group:
Const Type:
. ,eC-
Zoning:
R__51-).
BUILDING / PLANNING
DIVISION : Atemellider?•-o-o-L-.—
/5- ` 3
Signed Approval Date
Bp � l33
LSCS .5-
Building Plan Review
Description of Work: new construction of multi family duplex
Bin #:
Location Address:
NEW CASTLE, CO
General Information
rCase Manager: David Bartholomew
Plan Case Number: BLDG -5-13-7555
Parcel: 212334330007
Application Date: 05/06/2013
Contacts
Owner: RB Homes, Inc.
Applicant: RB Homes, Inc.
Applicant Phone: 970-945-5550 Email:
Building
Planning/Zoning
/ Engineered Foundation / Property Line Setbacks
/117/1 Driveway Permit / 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
NI/4 Septic Permit and Setbacks / Building height
Grade/Topography 30% J Zoning Sign -off
Attach Residential Plan Review List , V/' Road Impact Fees
/NyMinimum Application QuestionnareHOA/DRC Approval
7
Subdivision Plat Notes / Grade/Topography 40%
1V/ Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamp s/Sticker General Comments:
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
ParcellSchedule No.
/U1 If 40# Snowload Letter - Manu. Homes
Soils Report
Wednesday, May 15, 2013
I
Applicant
Address
Date
VALUATION FEE DETERMINATION
RB Homes, Inc
103 River Boat Dr. New Castle
5/15/2013
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 572 sq.ft
Upper 676 sq.ft
Lower 676 sq.ft
Other sq.ft X $74.68
Total Square Feet 1924 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:
Occupancy:
Notal Valuation
780
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq.ft X $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
Riverbend
Lot # 7
Steve Boat
143,684.32
0.00
14,040.00
0.00
0.00
0.00
Total Valuation 157,724.32
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.
v
Property Owner Print and Sign
5 /13
Date