HomeMy WebLinkAboutApplicationGarfield County
LT -14 1' - jCommunity evelopment Department
J i V U' 108 8thStreet, Suite 401
Glenwood Springs, CO 81601
DEC I 8 1014 (970) 945-8212
GAcr 1rrL J www.garfield-countv.com
IMPA UM TY
OLN1y
BUILDI
NG PERMIT
APPLICATION
TYPE OF CONSTRUCTION
❑ Commercial/Mufti-Family j ❑ Demolition
❑ Manufactured Home (SF or Duplex)
Residential (SF, Duplex, orTownhome) [0 Reroof
INVOLVED. PARTIES
Property Owner: R o13r MCi-E 1-44 N P Phone: ( q?0 ) 7 4'- c`� (5.2
Mailing Address: /sal ( ivifENT,4 `1 k. G 4 -4.1"50.0 -A4 -e - r- (o q/4)
Contractor: G,/,f-MD Ara/Ari, /,)JC ? 'qer Phone: ( 470 ) ado -1534,
Mailing Address: lcW ,-s tPo i2 r 6W - iiFe-x G gl(P S d
Architect: ti/A-RD /4/4'r,4 e
Mailing Address:
Phone: ( )
Eng€neer:hk6TA gz,u .ruxice'
Mailing Address: 7L/ 1J I U. Ar _ RI,�FI^,\ Lo g/// 6
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: 9/AUZLt F/f"'f,l.y AP91001/41r/41 /OW toiv5M4.01)/V)
S1N�►c� Dura- kr-t-kk-l/i p 6.4i x.
Job Address: 7 , LE S fA, , )R.
Phone: ( 976 ) 4, - ,z775'
is
Assessor's Parcel Number: 2 itD7 f7011/050 Sub. F1 R 5r g,4t Lrg Pi4ot 4-er Block
Owner's Valuation of Work: $ ,Z 000 Property Size (Sq.Ft or Acres):
Sq.Ft of Building: /7114 Height: (T (- # of Floors: /
Class of Work:
Garage:
Septic:
Type of Heat:
L
al New
0 Alteration ❑ Addition
Attached
0 OWTS
II Natural Gas
Driveway Permit: km Exempt
0 Propane
0 Repair 0 Move/Relocation
❑ Detached
Pi Community
0 Electric ]DOther
0 Permit #:
L 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 1 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)). 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.
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(les) 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.
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.
Property Owner Print and Sign
iCe/0/
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
/5916.. Ze
Plan Check Fee:
864.54
Permit Fee:
13 z4. if
Manu home Fee:
-----
Misc Fees:
_____—
Total
Total Fees:
Z 1 rs . 011
Fees Paid:
34
Balance Due:
1 9.7.E
BP No:
OATS No:
et 4L 84
C�rnms N
Setbacks:
Setbacks:
,yrs5/5
OCC Group:�.
ypG
Const Type:
_r,
Zoning:
1D1��
BUILDING / PLANNING
DIVISION : / `^ '
ii0C
Signed Approval
1301/44 vm
iaiiq-14 7.&e 1.34
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.
Property Owner Print and Sign Date
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfieid-county.com
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Fill ONLY in the yellow areas
Type of Space
Square Feet [ Value
Valuation
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($123.00)
Percolation ($150.00)
;Total Septic Fee
Valuation
$0.001
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 Anplicatdon Submittal
Due at time of Permit Pick -Up
Total fees
$0.00
$0.00
$0.00
***All fees are estimates until pian review is completed ***
(7 /II
1
sq ft X
per sq. ft.
$74.68
Finished Living Space
(N/A for Manufactured Homes)
/?$,C'o/.5A $0.00
Unfinished Basement
sq ft X
$41.00
$0.00
Crawl Space
/71 Y
sq ft X
$9.00
/5) y, -t{,, 60 $0.00
Garage
5 3(„,
I5g.
sq ft X
sq ft X
$18.00
$24.00
qi 4,V, 00 $0.00
3,7u ,60 $0.00
R)3Y0, UO $0.00
$0.00
Covered Patio/Deck
Uncovered Patio/Deck
/615
sq ft X
$12.00
$0.00
Misc:
sq ft X
Misc:
sq ft X
$0.00
$0.00
Total Valuation /Pi ;O $0.00
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($123.00)
Percolation ($150.00)
;Total Septic Fee
Valuation
$0.001
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 Anplicatdon Submittal
Due at time of Permit Pick -Up
Total fees
$0.00
$0.00
$0.00
***All fees are estimates until pian review is completed ***
Applicant
Address
Date
VALUATION FEE DETERMINATION
McLelland Residence
79 Eagle Ridge Dr. Parachute
12/3012014
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 1715 sq ft
Upper sq ft
Lower sq ft
Other sq ft X $74.68
Total Square Feet 1715 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:
Total
551
sqftX $41.00
sq ft X $33.68
sqftX
sqftX $18.00
sq ft X $56.68
sgftX $12.00
sq ft X
17I5 sgftX $9.00
158
195
sq ft X $24.00
sqftX $12.00
sgftX
Commercial
First Eagles Pt. Battlement Mesa
Lot # 50
Giard Homes, Inc. Roger Giard
128,076.20
0.00
9,918.00
15,435.00
6,132.00
sf X
sf X
sf X
sf X
sf X
sf X
Valuation 0.00
Total Valuation 159,561.20
Building Plan Review
Description of Work: new s/ family home with attached garage
Bin #:
Location Address: 79 EAGLE RIDGE DR
PARACHUTE, CO
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -12-148174
Parcel: 240717211050
Application Dale: 12/19/20I4
Building
Contacts
Owner: Robert McLelland
Applicant: Robert McLelland
Applicant Phone: (970)379-4502 Email:
Planning/Zoning
Engineered Foundation Property Line Setbacks
/ Driveway Permit LC.f' / 30ft Stream Setbacks
/ Surveyed Site Plan / Flood Plain
_ /J41 Septic Permit and Setbacks Building height
/ Grade/Topography 30% Zoning Sign -off
/ Attach Residential Plan Review List /1/4. Road Impact Fees
Minimum Application Questionnare ,74 HONDRC Approval
r Subdivision Plat Notes / Grade/Topography 40%
Fire Department Review / Planning Issues
/ /
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Monday, January 12, 2015