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HomeMy WebLinkAboutApplicationTCxYfZ��c1c z.., ' 1j, 108 8th Street, Suite 401, Glenwood Springs, CO 81601 Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 vvu; ty.garf icld-coun lv.com BUILDING PERMIT APPLICATION ;) =P 1 9 20T2 GARFLEL COUN"1 L.DING & PLANNf L 1 Parcel No: (this it forrnation is available at the assessors office 970.9.15-913x) t /653(23 /.5Oi2f /la Lot No: Block No: Subdi Exemption: 2 Job Address: (ifan address has not been assigned,lplease provide CR, HWY or Street Nome & City) or and legal description 19 19 d ec,-4-k-1 c/ ?cj&9 c Lr r --D--"Bel -', co 3 Owner: (properly owner) IA 115, "R01 H d4301 ; L Mailing Address:f,?YS-35-)tje ./Me r. c,94e A; /1454, C - 6 30 Ph: 999/W,8' -7-/a6 Alt Ph: 9419/336 -3Yo 4 Contractor: T.P. . ar64 rue4-'o-rt ,'1C . Mailing Address: ?G -ii cx I t-fs©,; Ly cs, CO CSzIO Ph: 36316-013 "- 9ct33 Alt Ph: -c .SS 4...)c) % `I4/%` S -07-0.5- 5 Manufac red home in taller: 7�. Lew -G.1' f c -I , e t, q. re' . Mailing Address: p.rye; - ('o Ph: ©/ �J3 L'c #� � 0 9 6 Architect:vlailin Wclrac(a- -i-rues, . Address: eo ;A 740hi.I'z,�.+;P1 brat! Ph: 93�/Svc-1166 Alt Ph: 7 Engineer: l (,.Jc1 rvcrett-4-! ; -M-,e .Bx( Mailing Address:'t 16) ?.,F-4-. Pk, e t (0 s-6161 Ph: v15z-/ *- / 96) i Alt Ph: 8 Sq. Ft. of Building; f �0 Sq. ft. or�Acrey t: j _ ciL ries- Height �„l �a t Off(/ No. of Floors: 9 Use of Building: Residential DCommercial ❑Other Class of Work:: jEtPew DAlteration [Addition [Repair ❑Demo ❑Move 10 Describe Work: Aie,.,J sl r c)I elo,.t lt.y res;de,vice 1,,,e311 3c1�t .d c cc, .e._ 11 Garage:; Attached ❑Detached Septic: Septic:_ ❑Community Type of Heat: at. Gas DPropane ❑Electric ❑Other 12 Driveway Permit: Owners valuation of Work: $y/, CQOD NOTICE Authority. This application fora Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lfdie signahrre below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Least] 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 Permit", Multiple separate penmits 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 Ilighwayl Road Access or a State Wastewater Discharge Permit. Vold Perm 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 Department accepts the Application, along with the plans and specifications and other data submitted by Inc 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 Department. in consideration of the issuance of the Badding Permit, l agree that 1 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 he suspended or revoked, upon notice from the County. if the location, construction or use of the structure(s) and faeility(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 Perrnit does nal prevent the Building Official from: (1) requiring the correction of errors in the submittals, irony, discovered after issuance; or (2) slopping construction or use of the stntcrure(s) or facility(ics) 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 ar liability by the County oferors, 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 archi . . es cr, engineer an uilder• I HEREBY A OW c E THAT I . AD AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: „.....„....g.� , p � OW . S SIGNATURE DATE Mktivq-7 fir' A/0- STAFF USE ONLY Special Cardillo s. \ jer I 1121uerxikti ces ii. i2 -#.6 pgior it, F01/14151141. wroyec,41 Adjusted Valuation: /26/79Y 40 Plan Check Fee: 7y51. z Z Permit Fee: /79'44 95 Manu home Fee: / 2400. Mise Fees: Total Fees: 2, Z&?/7 Fees Paid: 1100, w- Balance Due: /8. 89. / 7 BP No & Issue Date: ISDS No & Issued Date: i FT a(.:, Setbacks:( / OCC GroupP.c.Const fype: Zoning: L.- , iv! G . 501- 4., , 'G r .,, .' Fir -1G APPROVAL DATE APPROVAL DATE Applicant Address Date VALUATION FEE DETERMINATION Paul & Julia Mills 19190 CR 204, DeSeque 10/1/2012 Subdivision Lot/Block Contractor Finished (Livable Area): Main sq.ft Upper sq.ft Lower 1400 sq.ft Other sq.ft X $74.68 Total Square Feet 1400 sq.ft Total Valuation Basement: Unfinished (Root Cellar) 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 114 576 300 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.fi 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 N/A N/A J.P. Construction, John Prater 104,552.00 4,674.00 10,368.00 0.00 7,200.00 0.00 126,794.00 Building Plan Review Description of Work: New single family residence with garage Bin #: Location Address: 19190 CR 204 DEBEQUE, CO 81630 General Information Contacts Case Manager: David Bartholomew Pian Case Number: BLDG -9-12-7390 Parcel: 216530100016 Application Date: 09/18/2012 Owner: Paul & Julia Mills Applicant: Paul & Julia Mills Applicant Phone: (949)768-7126 Email: 4Orngr@gmaiLcom Building Planning/Zoning Engineered Foundation Property Line Setbacks Driveway Permit 30ft Stream Setbacks Surveyed Site Pian Flood Plain Septic Permit and Setbacks ° Building height Grade/Topography 30% .__Zoning Sign -off /r Attach Residential Pian Review List r Road Impact Fees / ,v/'� 1 Minimum Application Questionnare HOA/DRC Approval N74 / l _Subdivision Plat Notes Grade/Topography 40% N` Fire Department Review 1/ 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. 40# Snowload Letter - Manu. Homes Soils Report Monday, October 1, 2012 GARFIELD COUNTY • Building & Planning Department 108 8th Street, Suite 401 Glenwood Springs, Colorado 81601 Telephone: 970.945.8212 Facsimile: 970.384.3470 www.yarfield-county. corn MANUFACTURED HOME BUILDING PERMIT NOTE: In order to understand the scope of work intended and to expedite the issuance of a permit, it is important that complete information be provided. Please review this document to determine if you have adequate information to design your project and to facilitate a plan review. MANUFACTURED HOME BUILDING PERMIT APPLICATION CHECKLIST This checklist is to be used with all manufactured single family or duplex dwelling construction. APPLICATION FORM: Please make sure the following information is provided on the application. • Parcel number obtained from the County Assessor's Office. • Job address (assigned physical address) • Legal Description: lot, block, filing, subdivision or tract, section, township and range. • Owners name, mailing address, phone, fax, or cell. • Contactor/Installer's name, mailing address, phone, fax, or cell. Home Installers license #. • Architect/Engineer's name, mailing address, phone, fax or cell. • Building size, height, number of stories, lot size. • Use of building (residential) • Class of Work (new, addition, alteration, repair, demo, move, other) • Description of work. • Type of heating (natural gas, propane, electric, other). • Sewer system (Community or ISDS), also see other items below. • Garage (attached or detached). • Driveway permit (please see other items below) • Valuation (labor and materials) see attached worksheet. OTHER ITEMS: • If you anticipate obtaining a water -tap from the City of Rifle, please provide a letter indicating that the City will provide water service. (Required to submit building permit application).-/V/r3- • 1SDS requires a septic permit application to be submitted with the building permit application. • A separate electrical permit must be obtained from the State of Colorado Electrical Board. • Prior to submittal of a building permit, you are required to show proof of legal and adequate access to the site. This may include proof of right to use a private easement, County Road & Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The County Road & Bridge Department can be reached at 970-625-8601. • If you anticipate excavating or grading prior to issuance of a building permit, you will be required to obtain a separate grading permit. • If you belong to a Homeowners Association (HOA), it is your responsibility to obtain written approval, if required, -N /A- • Provide copies of any Resolutions and/or Land Use Permits associated with this property. • Additional Dwelling Units may require Administrative Review. • Minimum 20 ft wide x 20 ft long, 40 psf live roof snow load, 90 mph -3 sec wind speed design. • Colorado Division of Housing insignia must be affixed prior to Certificate of Occupancy. • A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups, unless the homeowner is performing the work. 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 requirements of this checklist. Signa Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-countv.com ACCOUNT # 9ARC3L TAX DISTRICT AX AUTHQF% R290161 216530100016 029 GARFIL}LD COUNTY (2 2FIELD cotJNTY - ROAD & '.FIELD COUNTY -- SOCIAL JESTONE WATER CONS LULO RIVER WATER CONS GRAND RIVER HOSPITAL SCHOOL JT -49 GRAND RIVER HOSPITAL - BO GARFIELD COUNTY PUBLIC LI DEBEQUE FIRE PROTECTION D REAL PROPERTY TAX NOTICE c�tA' 1 2010 TAXES DUE IN 2011 41111;074 - TOTAL NET LEVY --> 11.45300 0.00000 1.46800 0.00000 0.73400 0.00000 0.00600 0.00000 0.25300 0.06500 5.59700 0.51500 5.76200 0.00000 0.51500 0.00000 1.00000 0.13600 4.00000 0.00000 30.07200 96.09 12.32 6.16 0.05 1.58 42.64 48.35 4.32 7.25 33.56 252.32 GRAND TOTAL 0252.32 B 25 - In absence of State Legislative Funding, your school mill levy would have been 4.82700 SECTION: 30 TOWNSHIP: 6 RANGE: 99 SEC. 19&30 TR 52 & SEC. 19,20,29&30 TR 69 019190 204 COUNTY RD,019190 ROAN CREEK RD MILLS, PAUL H & JULIA L, TRUSTEES OF THE MILLS FAM 24535 OVERLAKE EL TORO, CA 92630-3639 GEORGIA CHAMBERLAIN TREASURER r �z �iGarlieldCoantyI P.O. Box 1069 {___,,,,,._k Glenwood Springs, CO 81602106- www,gertletd-county.com 1678212 ALUATIUN ACTUAL ASSESSED TOTAL 57580 8390 MESSAGES PROPERTY L I UQRIPTION (C.R.S. 39.3-203) 60nI93.Etremolion Oualifyino taxpayers must bn at Ioasl 65 yeari old on Jan. 1st of the year the application Is tiled and must have owned and Red In their home ter at least 10 years. Taxpayers who qualify ler exemption en Jan. 1. 2011. and are not yak approved, may silo an apnliention v,inr Iho Assessor by July 15, 2011, (970) 945.9134. D1sabled-VBfaraix.Exen1Aflon Tomeatannllnatlonepumaeanreatthe bnfnrado Beneirlmeol of kliElani and DrIOI I llTV TA](tBLL9-`e"l`�.lA�a t 41n MA. l (0,11,6, oo o.u- iw. ) 5unruiL B tA61111111U(1Mty Fol app7ICa!IU95 please canal i the -Hemmer at (970)945-6199. PAYMENT FIRST HALF SECOND HALF FULL PAYMENT Uilon[d or Or year taxes: NO [,7�.)151l132 FEB 28, 2011 ,YtJN 15, 2011 MAY 2, 2011 $126.16 _._$126:1:6 ( $252.32 THIS IS THE ONLY STATEMENT THAT YOU WILL RECEIVE! Make Chocks Payable To: GARFIELD COUNTY TREASURER POST DATED CHECKS ARE NOT ACCEPTED SEE ADDITIONAL IMPORTANT INFORMATION ON BACK OF THIS STATEMENT. DO NOT PAY THIS STATEMENT IF YOUR MORTGAGE COMPANY WILL MAKE THIS PAYMENT.