HomeMy WebLinkAboutApplicationG[fxy- held �'o u i -z 02
108 8" Street, Suite 40!, Glenwood Springs, CO 81601
Ph: 970-945-8212 F.r.•970-384-3440 Inspection Line.888-868-5306
www.garfield-county.com
BUILDING PERMIT APPLICATION _
1
Parcel No: (thisin oratation is available at the assessors office 970-945-9134)
41 3 —3a4/0a-0
' Lot No: Block No: Subd./ Exemption:
2
Job Address: lien adt .ss has not been assigned ease prof e CR• 11H) c r $rreee1 Wane t • Cyfy))r and legal description
3
Owner: (properly owner)
r'j-4c is C'h,r;S FinleYS
Mailing Address:
0772 cAny0n Crect4Or- 1W S
Ph:
976 -9"z8 -973y.4
Alt Ph:
Contra or:
+
l j real h Cte. kay.ct.
Mailing Address:
(3768 Ca.ny on (Areegar- 61/4-0S
Ph:
970-37' -W65 5-
Alt Ph:
5
Manufactured home installer:
Mailing Address:
Ph:
Lic ii:
6
Architect:(
Mailing Address:
Ph:
Alt Ph:
7
Engineer;
(tik
Mailing Address:
Ph:
Alt Ph:
8
Sq. Ft. of Building:Sq.
67G Fl.
Ft. or Acres of Lot:
Height:
tat -a"
No. of Floors:
cYte
9
Use of Building:
L8'Residential ❑Commercial DOther
Class of Work:
❑New DAlteration DAddition DRepair ❑Demo DMove
10
Describe Work:
�.r e t: , eac1 ;err
I I
Garage:
®"Attached ❑Detached
S tic:
❑ISD5 ❑Community
Type of Heat:
❑Nat. Gas ❑Propane ❑Electric ❑Other
12
Driveway Permit:
Owners valuation of Work: -�
1) CP C.)0
NOTICE
:Authority. This application fora 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 he 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 Department.
Other Permits. Multiple separate permits may be required: (I) 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 fora period of 180
I hereby certify
and specifications
Assuming completeness
the submittals
in consideration
Code, ISDS
construction
1 hereby grant
Building Official
of County Regulation(s)
Review of this
or discrepancies.
limitation my
I HEREBY
days after commencement.
CERTIFICATION
that I 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 other data submined by me or on my behalf (submittals), based upon my certification as to accuracy.
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
reviewed by the Building Department.
of the issuance of the Building Permit, 1 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
regulations and applicable land use regulations (County Regulation(s)). 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location.
or use of the structure(s) and facility(ies), described above. are not in compliance with County Regulation(s) or any other applicable law.
permission to the Building Department to enter the property, described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the
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
or any other applicable law.
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
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
architect designer, engit 'cr tnd) or builder.
CKNOWLEDGE T ss I. • + UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
w RS SIGNATURE DATE/' -
3P 1(}-A '1
1..-85- — b 3 •13
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
15;5-69;06
Plan Check Fee:
/72.41 /
Permit Fee:
2,65. if
Manu home Fee:
Mise Fees:
----_
------
Total
Total��FFjeess:: �^
'3 Z 6
Fees Paid:
f v .5 i
Balance Due:
3s/7. ! f
BP
BPP1/�N}to��& Issue Da�tee�:
ISDS No & Issued Date:
I/! - Rl` f/-r#/)i'
Setbacks:? C
F25, e 1 d, 5 77
OCC Croup
,., 0 c
1
Const Type:
,i
Zoning:
u f)
foG D .
li�i /04 �'!�
P DE d /iwA /71,9/1.z--
AP OVALRDATE
APPROVAL DATE
Building Plan Review
Description of Work: Garage & Carport addition
Bin #:
Location Address: 772 CANYON CREEK DR
GLENWOOD SPRINGS, CO 81601
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -10-12-7407
Parcel: 212325324020
Application Date: 10/11/2012
Owner: Stephen & Christine Ehlers
Applicant: Stephen & Christine Ehlers
Applicant Phone: (970)928-9734 Email:
N/A
1A
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
NjA
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
Red Line PlanslStampslSticker
Attach Conditions
N,'4
N1'
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Planning/Zoning
` Property Line Setbacks
30ft Stream Setbacks
` Flood Plain
/ Building height
Toning Sign -off
Road Impact Fees
HOA/DRC Approval
Grade/Topography 40%
f Planning Issues
Subdivision Plat
General Comments:
Tuesday, October 16, 2012
Vf44-40ii /3 5-6Y, 00
deemed cee z 65: z5-
,7 -//z-
5Ti1Z 4( 7
''f Pal - 9-b. 5"./
Applicant:
Job Address:
Subd- Lot/block:
FEE ESTIMATE
FOR S/F STICK BUILT HOMES
(ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED)
AV
FINISHED LIVING SPACE: sf X 74.68=
UNFINISHED BASEMENT: sf X 41.00=
CRAWL SPACE: sf X 9.00=
GARAGE: /.-Y z6 ' 490 sf X 18.00= ° .
i
UNCOVERED PATIO/DECK:
sfX12.00= 11,680��
COVERED PATIO/DECK: sf X 24.00=
MISC: CAeperrf /(P)( 0.3 ` 3Z2- 475 X 7 }Z.too 8611
MISC:
TOTAL VALUATION:
THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING
PLAN REVIEW FEE:
PERMIT FEE:
TOTAL:
SEPTIC=
PERMIT:
PERC:
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 County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-county.com