HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (SE or Duplex)
,Isk Residential (SE, Duplex, orTownhome)
INVOLVED PARTIES n
Property Owner: rt t\V `� %/ l P41_0II Phone: (g(7,-0 ) 335 - i �,
Mailing Address: (`) 1 .5 C cc+r-b0 �P, Co $ I.io a 3
Contractor: ?e,4r G -r 01/431 , Q� Phone: ((110) y01-07 5
Mailing Address: 019.. S , Cv!-,o s\c„\n tvo f'a $1 i.�
Architect: El".‘ C- \J€ M 'w o. n Phone: (q 70) 319 - 5‘ 9.7
Mailing Address: 1G 1 Car -bond a to 1 co S [(a 2-3
Engineer: A 1 V t Phone: (9 7o 1(0 3' 9G LI 3
Mailing Address: 1175 C.urrload IF) Li ,Suit. 103 i C-1lenv.9coc. SpriP- 1 (0 SIGN
Manufactured Home Installer: /144- Phone: _ x.11
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: R12),../0 l'\-0 YhQ
Job Address: aO f ?t,,e Sf CLr\ We j CAY 13 o r.Cla l p t r.0 1I 6,Z 3
Assessor's Parcel Number: a 3c' i 3 I a (7 0111 Sub.IA5pen Eve e 3 -Irian fr�4C5 Lot R I 1 Block
Owner's Valuation of Work: $ 201y ,2c1• 114 Property Size (Sq.Ft or Acres): l (5, 339 se? . i- l
Sq.Ft of Building: 23 C 0 Height: 1'7 c2" 0 of Floors: oC
Class of Work: pkNew 0 Alteration ❑ Addition 0 Repair 0 Move/Relocation
Garage: gAttached 0 Detached
Septic: 0 ISDS Community
Type of Heat: fia Natural Gas 0 Propane 0 Electric Other
Driveway Permit: El Exempt 0 Permit #:
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
1 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)). I 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(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 l 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.
iA- �r; -fin Ciui0 /1/15
y �
Date
Property Owner Print and Sign
OFFICIAL USE ONLY
Spedal Conditions:
Adjusted Valuation:
40, I oB. 76,
Plan Check Fee:
) to b. 5'o
Permit Fee:
I G 56 . i,sA
Manu home Fee:
I
Misc Fees:
Total Fees:
e;/.6.Z. b s
Fees Paid:
eLl 0142O
Balance Due:
Z, °19.96
BP No:
ISDS No:
: C- ,�i
�thmcLn '41
Setbacks:
P25;/225/ SSS
OCC Group:
-../EC-
Const Type:
.L ,e -c_
Zoning:
?VIM
BUILDING / PLANNING
DIVISION :! `-^ ' i 7 %5
Signed Approval ate
1)&ld3•tip •1S
0L12. vo
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 acknowledg�.I have read, understand, and will abide by the requirements of this
checklist.
Property Owner'Print and Sign
zr
C-it&i 6410 3/! y/i 5
Date
Guy field County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
Applicant: �rl lZUn• �i t? �M O
Job location: f} r✓ S r+ Kla+, Curer Le.4 CO Sib z 3
Sub-Lot/Block: S�h ETasbr;an i -s f' 5 Lo -I- B( I
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Type of Space
Finished Living Space
( t. s for ,t lwiaafuriureci Ifoneetia
Square Feet
Value
per sq. ft.
Valuation
/ [j
2 Ip 0 o Zl
S74.68
1 -1(0 .2_,c `(, 1
Unfinished Basement
j /4
$41.00
Crawl Space
A.VA
$9.00
Garage
lb Co ." j
'`j At
518.00
$24.00
d LJ 5, C 0 C
t 7 g n
Covered Patio/Deck
Uncovered Patio/Deck
$12.00
Misc: 40,4', rit . ••
mi.:
is r ,
,
U i 4. oC
$0.00
$0 00
Total Valuation
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($73.00)
Percufation ($100.00)
Total Septic Fee
Total fees
Plan Review Fee
Building Permit Fee
(Road impact fees)- Other
Due at time of Application Submittal
Due at time of Permit Pick -Up
***AII fees are estimates until plan review is completed ***
2Cc 12`x.14
Valuation
Valuation
Garfield County 1
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.eartield-county.com
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Guslielmo Residence
20 Equestrian Way, Carbondale
Equestrian Estates, Lot B-11
Fill ONLY in the yellow areas
Type of Space
Finished Living Space
(N/A for Manufactured Hams)
Unfinished Basement
Crawl Space
Garage
Covered Patio/Deck
Uncovered Patio/Deck
Misc: Unfinished Storage
Misc:
Misc:
Total 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
Square Feet I Value
L_per sq_7ft.
2682
907
627
523
sq.ft X
sq ft X
Valuation
$74.68 $200,291.76
$41.00
$0.00
sq ft X
sq.ft X
sq.ft X
sq.ft X
sq.ft X
sq.ft X
sq.ft X
$9.00 $0.00
$18.00 $16,326.00
$24.00 $15,048.00
$12.00
$41.00
$0.00
$21,443.00
$0.00 $0:00
$253,108.76
Valuation
$0.00
Valuation
$0.00
Total fees
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 Application Submittal
Due at time of Permit Pick -Up
$0.00
$0.00
$0.00
Contacts
Building Plan Review
Description of Work: new slf dwelling with attached garage and covered patio or deck
Bin #:
Location Address: 20 EQUESTRIAN WAY
CARBONDALE, CO
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -3-15-8254
Parcel: 239131217011
Application Date: 03/16/2015
Owner: Brittany Guglielmo
Applicant: Brittany Guglielmo
Applicant Phone: (860)335-6146 Email:
Building
Engineered Foundation
A A Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade!Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
ped Line PlanslStampslSticker
Attach Conditions
Application Signed
/1 Plan Reviewer To Sign Application
ParceYSchedule No.
N/'/9.
Soils Report
40# Snowload Letter - Manu. Homes
Friday, March 27, 2015
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
N_A oad Impact Fees
NI/fr
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
-Subdivision Plat
General Comments: