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