HomeMy WebLinkAboutApplicationflorb
`t- w
SEP 2 5 201?
108 8 Street, Suite 401, Glenwood Springs, CO 81601
Ph:970-945-8212 Fr:970-384-3440 Inspection Line:888-868-5306
www.garfield-county. com
BUILDING PERMIT APPLICATION
L'A *-ILLU UUUN 7 Y
9iilf_n!h r PLAN+NNG
t
Parcel No: (this information is arailable at the assessors office 970-945-9134)
2175-312-00-013
Lot No: Block No: Subd./ Exemption:
2
Job Address: (if an address has not been assignedd, please provide CR, HII7 or Street Natne & City) or and legal description
1038 County Road 323 Rifle, CO 81650
3
Owner: (propertyol,ner)
Denise & Phil Vaughan
Mailing Address:
1038 CR 323 Rifle, CO 81650
Ph:
970-625-5350
Alt Ph:
4
Contractor:
Phil Vaughan Const. Mgmt. Inc.
Mailing Address:
1038 CR 323 Rifle, CO 81650
Ph:
970-625-5350
Alt Ph:
5
Manufactured home installer:
NA
Mailing Address:
Ph:
Lie #:
6
Architect:
Jeff Johnson
Mailing Address:
136 E. 3rd St. Rifle, CO 81650
Ph:
970-625-0580
Alt Ph:
7
Engineer:
Bob Oddo
Mailing Address:
713 Cooper Ave. Glenwood Springs, CO 81601
Ph:
970-945-1006
Alt Ph:
8
Sq. Ft. of Building:
1,697
Sq. Ft. or Acres of Lot:
4 acres +1-
Height:
14'-7"
No. of Floors:
1
9
Use of Building:
y�
i3Residential O)Cominercial DOther
Class of Work:
ONew ❑Alteration ❑� Addition DRepair ❑Demo ❑Move
10
Describe Work:
Construction of an addition. Please call Phil Vaughan 970-625-5350 when permit is ready
11
Garage:
DAttached DDetached
Septic:
EISDS Community
Type of Heat:
ICINat. Gas [Propane 1_ttElectrie GOther
12
Driveway Permit:
Existing access from County Road 323
Owners valuation of Work:
$128,972
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 Department.
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 150 days of the dale of issuance and if work is suspended or abandoned for a period of 1$0
days after commencement.
CERTIFICATION
1 hereby certify that 1 have read this Application and that the information contained above is true and correct. I understand that the Building Department 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 detailedon
the submittals reviewed by the Building Department.
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 sinicture(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 Department to enter the property, described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the
Building Official from: (I) 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 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 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.
REBY ACKNOWLEDG ' THAT 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE;
9125/12
OWNERS SIGNATURE DATE
' I r «P l(3'5 1
93. sis 51
STAFF USE ONLY
2tbk cl-
Special Conditions:
Adjusted Valuation:
i2-6,731. 96
Plan Check Fee:
-7Sit/ zz_
Permit Fee:
1/ 4/47 95
Manu home Fee:
Mise Fees:
Total Fees:
/8Rg !7
Fees Paid:
4Pg3,7O
Balance Due:
/59. y 7
BP No & Issue Date:
ISDS No & issued Date:
-9 U51
Setbacks t /
rZs, IZZSi 5/0
OCC Group
igU
Const Type:
T
Zoning:
D
G�tu. /T f�
NGT.
/LC+
APPROVAL DATE
APPROVAL DATE
General Information
Contacts
Building Plan Review
Description of Work: Addition to dwelling.
Bin #:
Location Address: 1038 CR 323
RIFLE, CO 81650
Case Manager: David Bartholomew
Plan Case Number: BLDG -9-12-7398
Parcel: 217531200013
Application Date: 09/25/2012
Owner: Philip & Denise Vaughan
Applicant: Philip & Denise Vaughan
Applicant Phone: (970)625-5354
Email: phil@pvcmi.com
Building
%�J Engineered Foundation
I Driveway Permit
PlanninglZoninq
Property Line Setbacks
30ft Stream Setbacks
/
Surveyed Site Pian Flood Plain
NM Septic Permit and Setbacks / Building height
/ Grade!Topography 30% / 7oning Sign -off
Attach Residential Plan Review List '` woad Impact Fees
AM
Minimum Application Questionnare HOA/DRC Approval
04 Subdivision Plat Notes /
Grade/Topography 40%
N(fit Fire Department Review " Planning Issues
/ /
Valuation Determination/Fees Subdivision Plat
/
Red Line Plans/Stamps/Sticker General Comments:
/
Attach Conditions
pplication Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
f _r 40# Snowload Letter - Manu. Homes
Soils Report
1/441 /Z 73/. 76
rea'/ ? S':ZZ
71'74- /8499- !7
e ' /$9$. Y7
Thursday, October 4, 2012
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. (F=inal/CO
inspection requirements will be attached to your approved field set of plans)
hereby acknowledge I have read, understand, and will abide by the requirements of this
checklist.
Signature of Owner D to
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-county.com