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Home My WebLink AboutApplication108 8th Street, Suite 401, Glenwood Springs, CO 81601 Ph:970-945-8212 Fx: 970-384-3440 Inspection Line: 888-868-5306 ttitNtc.u:frf kl-cuuntv.corn ` i1 0 iLig rIr�'? BUILDING PERMIT APPLICATION A- 62 1 Parcel Nn: trlri.r i, r„,thins it,—;/ 41.. - : ors office 970-945-9134) 2/ ,52 4iYDoo 3,Z „.- Lot No: Block No: Subd./ Exemption: 2 Job Address: n rr�idress has not been csigned, please provide CR, MVP or Street Name & City) or and legal description [J\ (/,/7 C—C/ `/ r r 3 Owner: I(properly owner) + (�lvizcr- lit- ie'r- C;\-cr tint -1 lit C\- ;5 Mailing Address: Cit rl4-tt �` t 3 It - 4efol til”. CS Ph: 4177 94�r 'Mil Alt Ph: lu t-rk 3i i . Z3 G 170 `1' 4 Contract ;•Irtvii : �ijJ `} Gap :� - ,ny-i pa'Wyk t?�u,Tr•_4�r5U Mailing Address:1 GG 0 (.-R- Z(4, T.t I, Ph: eoZr -Z-l4t' Alt Ph: (c7o 4,i` . 45 5 Manufactured home installer: Mailing Address: Ph: Lic #: -U fir Arc itect: .\6It tear[ - It it Mailing Address: 13 ( E -. I 12, (1, jt` 1, Ph: 6 Z. -d.5 U Alt Ph: 7 l • incer: e U ., �,_ �. Mailing Address: • r t. Ph: C Alt Ph: 8 Sq. Ft. of Building: i L Sq. Ft. or Acres of Lot: 3 5 c\ cc s Height: f /4 No. of Floors: i 9 Ilse of Building: '1 Residential ❑Commercial ❑Other Class of Work: flew ❑Alteration DAddition DRepair ❑Demo ❑Move 10 Describe Work: 1 1 Garage: trached ❑Detached Septic: %SDS ❑Cotmnunity Type of Heat: ❑Nat. Gas 'ropane ❑Electric ❑Other 12 Driveway Permit:�� /,r Owners valuation of Work: Z08 5 I.cO NOTICE Authority. 'I his application for a Building Permit must be signed by the Owner oldie property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate fetter of authority, signed by the Owner, must be provided with this Application. Legal Access. A Building Pennil cannot he 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 he required: (1) Slate Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e g. State or County I lighwayl Road Access or a Stale Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the dale of issuance and if work is suspended or abandoned for a period of 180 days after conlmencemcnt. CERTIFICATION 1 hereby certify Ilia 1 have read this Application and that the information contained above is true and correct. !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 tome, as Owner, to construct the stnrclure(s) and facilities detailed on the submittals reviewed by the Building Department. 113 consideration of the issuance oldie Building Permit, 1 agree that land my agents will comply with provisions or any federal, state or local law regulating the work and the Garfield County Building Code, !SOS regulations and applicable land use regulations (County Regulation(s)). l acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, constnrction or use of the structure(s) and facitityties), described above, are not in compliance with County Regulalion(s) or any other applicable law. 1 hereby grant permission to the Building Department to enter the properly, 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, daily, discovered after Issuance: Of (2) stopping construction or use of the stnichire(s) or facility(res) 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 non constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As tite Owner, 1 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 3tchitcct designer, a tin r and/ or builder. � 1 HEREBY ACKNOWLEDGE HA i HAVE READ At4D UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: VNERS SiGNAT DATE 3-4- 3. — Wit;- 7 -z 9L STAFF USE ONLYO• t,5"3�?5 Special Conditions: Adjusted(Valuation: 1”17 7s�r, Plan Check Fee: gt CEJec,fo Permit �FFee::l r /5z0.)5� Manu home Fee: Misc Fees: ___ - Total Fees: 250B.2_,y Fees Paid: qD r Balance Due: is -85. 6-7 13P No & Issue Date: ISDS No & Issued Date: WE- D(' gip} -(L1 Setbacks:f / 7 f ---Z. s ; /ZZ 5/D OCC Group )zs Const Type: RC Zoning: FL, .-- . 70-7"7.4-4-'1-.'A /0677.-G er, /7/74/Z. APP'OVAL DATE APPROVAL DATE / Roan Creek Housing, LCC, Mark Kessler TBD CR 204, DeBeque 10/22/2012 Applicant Address Date VALUATION FEE DETERMINATION Subdivision Lot/Block Contractor Finished (Livable Area): Main 2046 sq.ft Upper sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 2046 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 Valuation 729 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 sgJt X 2046 sq.ft X $9.00 232 324 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 Stanek -Christensen 152,795.28 0.00 13,122.00 18,414.00 9,456.00 0.00 Total Valuation 193,787.28 Building Plan Review Description of Work: Single family dwelling on crawl space with attached garage, and cove Bin #: Location Address: 13590 CR 204 DEBEQUE, CO 81630 General Information Case Manager: David Bartholomew Plan Case Number: BI,DG-9-12-7373 Parcel: .2/6,5-2 4/€1,900 332_ Application Date: 09/07/2012 i i Contacts Owner: ROAN CREEK HOUSING I,LC Applicant: ROAN CREEK HOUSING I,LC Applicant Phone: (407)996-9999 Email: Building Engineered Foundation Driveway Permit Surveyed Site Plan / Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnaire t /A Subdivision Plat Notes Fire Department Review Valuation Determination/Fees 7 Red Line Plans/Stamps/Sticker Attach Conditions Application Signed Plan Reviewer To Sign Application ParcellSchedule No. 40# Snowload Letter - Manu. Homes Soils Report � /4 1v/4 Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height Zoning Sign -off Road Impact Fees HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat General Comments: Monday, October 22, 2012 1 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. Signature of Owner Date Garfield Garfield County Building & Planning 108 80, Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-county.com