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HomeMy WebLinkAboutApplicationc:E'-Garfield County ZliiS Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION D Commercial/Multi-Family 0 Manufactured Home (SF or Duplex) ~esidential (SF, Duplex, or Townhome) INVOLVED PARTIES ~ i / I D Demolition I D Re roof Property owner: -+-/ ....... 1r~..:;_:.,.__;;;;_____,,· ~--=-------Phone: ( lf 70 ) 7c../ f-CPJ 0 Malling Address: /'2 AS: ~ IO<J contractor: ______ t?-....:;..· _l-....;tJ_Nl....:..:.E=-n _______ Phone: ( __ ) _____ _ S ~CJ Mailing Address: __________________________ _ Architect: ____ O_W___.f-l ......... _~_~ _________ Phone: ( __ ,) _____ _ Mailing Address: __________________________ _ Engineer: _ _.._K.. ............ /h.A., ............. _l?..___G _____ 1'-I' ____ ~ ___ . _____ Phone: (~?I ) q'fo-</fpf3 Mailing Address: __________________________ _ Manufactured Home Installer: ___________ Phone:(._ __ ), ______ _ Malling Address: __________________________ _ PROJECT NAME AND LOCATION Describe Work: N6:L-J S He__ __ ....... -=-___ .____.._-'--=----------------- Job Address: Ir~? \ (1 /1.. [ cJ c; Assessor's Parcel Number: Sub. Lot Block __ Owner's Valuation of Work:$ ;?)"£:> , £= $Z . o · ~ ~roperty Size (Sq.Ft or Acres): -, ~ Sq.Ft of Building: Jfeo o (Height: 2_2_ #of Floors: z_ . --- Class of Work: • a ·New I D Alteration I D Addition D Repair I D Move/Relocation Garage:~\~ D Attached D Detached Septic: [J"OWTS D Community . ,,,,.,..- Type of Heat: IB"Natural Gas I D Propane I D Electric I D Other Driveway Permit: D Exempt D Permit#: ______ _ 1 NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, descri bed 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 w i thout 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 OWTS Permit, (3) another permit required for use on the property i dentified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Vold 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. C~RTIFICATION I 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. Assumi ng 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, OWTS 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 I have read and understand the Notice and Certification above as well as red Information which Is correct and accurate to the best of my knowledge. 3/&IL>" OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: -zS4 ? 7z.&? 1-Z. I 0 , / f t Bbl. 7.) - Total Fees: Fees Paid: Balance Due : BP No: ?071. ~r iw.-w I 847. /q " 1 ?A/Ov Setbac~: I' ~ OCCGroup: .x~c Const Type: r~/.Z0)10 :Cf?-C BUILDING/ PLANNING DIVISION :__..d~-~· ....:·'~%""'~...:::;;;....__~--_-___,-i"--~-----­ Slgned Approval ~· Misc Fees: ___.. ~) Date Building Plan Review Description of Work: New S/F residence w/basement and uncovered deck Bin#: Location Address: TBD CR 109 GLENWOOD SPRINGS, CO 81601 Case M11n11ger: David Bartholomew Plan Case Number : BLDG-4-15-8284 Parcel: 239512300006 Application Date : 04/0612015 Building / Engineered Foundation L Driveway Permit / Surveyed Site Plan / Septic Permit and Setbacks / Grade/Topography 30% / Attach Residential Plan Review List / Minimum Application Questionnare / Subdivision Plat Notes 1'-'/A' Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker / Attach Conditions / Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. + 40# Snowload Letter -Manu. Homes _____ .Soils Report Thursday, April 23, 2015 Contacts Owner: Brent Lough Applicant: Brent Lough Applicant Phone: 948-2810 Email: blridgerunner@gmail.com Planning/Zoning / Property Line Setbacks / 30ft Stream Setbacks / Flood Plain / Building height / Zoning Sign.off fJ/A Road Impact Fees 11-1/A HOA/DRC Approval / Grade/Topography 40% I Planning Issues I Subdivision Plat General Comments: ce Garfield County I Community Development Department 108 Bth Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com I BUILDING PERMIT FEE ESTIMATE WORKSHEET .._.. Applicant: ' Job location: Sub-Lot/Block: Lough Residence TBD CR 109 GWS Colohan Exemption, Parcel D ---.... -- Fill ONLY in the yellolN areas Type of Space Square Feet Value ~~~~~~~~~-b~~--~-+-~~ersq.ft. ~ Finished Living Space (NIA for Ma1111fac111red Homes) Unfinished Basement Crawl Space Garage Covered Patio/Deck Uncovered Patio/Deck Mi sc : Mi sc: Misc : Total Valuation Manufactured Home Set-Up Single level ($400.00) Multi-Level ($600.00) Total Set-U Fee Septic Permit ($123.00) Percolation ($150.00) Total Se tic Fee $74.68 $41.00 $9.00 $18.00 $24.00 $12.00 This section will be determilled by Garfield County. Total fees Plan Review Fee Building Permit Fe e Pay separately with Cash or Chee/.. 011/y (Road i111pac1fees )·Other Due at time of Application Submittal Due at time of Permit Pick-Up Valuation $228,520.80 $22,140.00 $0.00 $0.00 $0.00 $3,672.00 $0.00 $0.00 Valuation j0.00 Valuation $_().00 ' -----""""'-• $0.00 $0.00 ---$0.00