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108 8't' Street, Suite 401, Glenwood Springs, CO 81601 l� po
Ph: 970-945-8212 Fx.°970-384-3440 Inspection Line:888-868-5306 (�►� Cti ,c.-
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www.gartield-county.com p (]G
BUILDING PERMIT APPLICATION
1
Parcel No: (this information is available at the assessors office 970-945-9134)
2.37/-302—DO-- 003
Lot No: Block No: Subd./ Exemption: rt''
2
Job Address: Wan address has not been assigned, please provide CR, HWY or Street Name & City) or and legal description
1/31 •G CNNr1 f R0,10 lOo (4a2 cry !t✓ni% 1 Gr: _
3
Owner: (propertyowner)
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Mailing Address:
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Ph:
(14-o • Tile --9 ? 30
Alt Ph:
4
Contractor:
Mailing Address:
Ph:
Alt Ph:
5
Manufactured home installer:
Mailing Address:
Ph:
Lic 4:
6
Architect:
Mailing Address:
Ph:
Alt Ph:
7
Engineer:
Mailing Address:
Ph:
Alt Ph:
8
Sq. Ft. of Building:
aciev
Sq. Ft. or Acres of Lot:
.2 Sneer)
l leight:
No. of Floors:
/
9
Use of Building:
%Residential ❑Commercial ther—
Class of Work:
_ ONew ❑Alteration DAddition ❑Repair ❑Demo DMove
10
Describe Work: em
-r!}cco C 1-i2‘g-c Lc
11
Garage:
❑Attached Detached
Septic:
pfISDS DCommunity
Type of Heat:5 o j A 1?
❑Nat. Gas Propane ❑Electric Heat:,_,
12
Driveway Permit: t
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Owners valuation of Work: �� / %GV j
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.
Leaal 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 180 days of the date of issuance and if work is suspended or abandoned for a period of 180
days after commencement.
CERTIFICATION
[ 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 detailed on
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 taw 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 Department to enter the property, described above, to inspect the work. [ 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 Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
or discrepancies. As the 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 architect designer, engineer and/ or builder.
CERTIFICATION ABOVE:
[HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE 1 -1. -2 --
OWNS SIGNATURE DATE
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STAFF USE ONLY
Special Conditions:
/pietel ,es761°y4,/ /'ct e5x $4 ac/ire,,t/ -r,,ye
Adjusted Valuation:
-52i 920
Plan Check Fee:
y3Z,0
Permit Fee;
66 y. 75'
\lana home Fee:
\Ilse Fees:
Total Fees:
Fees Paid:
Balance Due:
BP No & Issue Date:
ISDS No & Issued Date:
Setbacks:/
OCC Group.
Cons( Type:
ffiC
Zoning:
APPROVAL DATE
APPROVAL DATE
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.
Signaturerof Owner Date
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.qarfield-county.com
Building Plan Review
Description of Work: Detached garagel.
Bin #;
Location Address: 4470 CR 100
CARBONDALE, CO 81623
General Information
1. Case Manager: David Bartholomew
Plan Case Number: BLDG -11-12-7443
Parcel: 239130200003
Application Date: 11/26/2012
Contacts
Owner: Brad Chaffee
Applicant: Brad Chaffee
Applicant Phone: (970)948-9730 Email:
Building
Planning/Zoning
PiA /
Engineered Foundation Property Line Setbacks
Driveway Permit / 30ft Stream Setbacks
7 Surveyed Site Plan f Flood Plain
Septic Permit and Setbacks f Building height
Grade/Topography 30% Zoning Sign -off
/ Attach Residential Plan Review List ,/P/A Road Impact Fees
Minimum Application Questionnare / OA!DRC Approval
I -/7q
66 Subdivision Plat Notes O Grade/Topography 40%
A y TJ Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
/
Attach Conditions
/ _Application Signed
lan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Ariq
Soils Report
Friday, November 30, 2012
Applicant
Address
Date
VALUATION FEE DETERMINATION
Brad Chaffee
4470 CR 100, Carbondale
11/30/2012
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main sq.ft
Upper sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 0 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
2940
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq.ft X $18.00
sq.ft X $56.68
sq.ftX $12.00
sq.ft X
sq,ft 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
Owner
0.00
0.00
52,920.00
0.00
0.00
0.00
Total Valuation 52,920.00