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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF CONSTRUCTION © Commercial/Multi-Family ® Manufactured Home (SF or Duplex) Residential (SF, Duplex, or Townhome) BUILDING PERMIT APPLICATION 0 Demolition 0 Reroof INVOLVED PARTIES Property Owner: Edna Elaine Place Phone: ( 970 876-2806 Mailing Address: 2010 Rd 250 Silt. CO 81652 Contractor: Work 970-384-3700 Ext 1804 Garco County C & R T� y for 1 VIL'n1pic� 1-`I47✓1� GSPhone:( 1 t� } 7 / --gd$$ 7 Mailing Address: Architect: Phone: ( Mailing Address: Engineer: Phone: ( Mailing Address: Manufactured Home Installer: /Ct Jcc we rDe (�et..3 Mailing Address: PROJECT NAME AND LOCATION Describe Work: Put a modular home in where my trailer burned down in Jan. 2013 / DU, Job Address: g0 RJ c? Ec.L 1+ 3 Assessor's Parcel Number: 2125 -311 -OD -044 Sub. Lot Block Owner's Valuation of Work: $ Property Size (Sq.Ft or Acres): Sq.Ft of Building: Height: (3. "75 Class of Work: Garage: Septic: Type of Heat: 0 Natural Gas # of Floors: ❑ Alteration 0 Addition 0 Repair 0 Move/Relocation ❑ Detached y O Community 1� 0 Attached ISDS 1 la Propane 0 Electric Driveway Permit: 0 ExemptXr 57.4,11� 0 Permit #: 0 Other 1 CERTIFICATION 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. 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. 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. 1 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 have provided the required information which is correct and accurate to the best of my knowledge. Edna E Place --al a Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions:Ajb r jy CTQ, /`� (z I? C014-0/Avg Adjusted Valuation: 12, 16 $ Plan Check Fee: 14i5. II Permit Fee: z2-. ZS Manu home Fee: (oo.00 Misc Fees: sj{o 273 Pt Total Fees:/ 8. 30 Fees Paid:: qQo.ov Balance Due: .36 e.✓- BP N4: ISDS No: LUvtFr ;]T cErr- ` s9 I is i Setbacks: As. 1 r OCC Group: Const Type: Zoning: 2 BUILDING / PLANNING f 0�i i 46" ii —i ) )6 DIVISION : ���� S*Tir� rApproval Date Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com Applicant: Job location: Sub-Lot/Block: flJb S6 J z-) 5 30 d 3 1 T55 IR 9/ t_c, 6 PW‘ BUILDING PERMIT FEE ESTIMATE WORKSHEET Fill ONLY in the yellow areas Type of Space Square Feet Value Val'uation. per sq ft. Finished Living Space IN t j.,r tluurrhrrrracillfnrrrc0 Unfinished Basement Crawl Space Garage Covered Patio/Deck Uncovered Patio/Deck Misc: Misc: $74 68 $41.00 59.00_ $1B 00 $24 DO $12.00 $0 00 SO 00 Total Valuation Manufactured Home Set -Up Single level ($400.00) Multi -Level (5600.00) Total Setup Fee Valuation Septic Permit ($-7-;:68) 3°1 Perculation ($'10U,90) r 5OU0 Total Septic Fee Valuation' ) 50 OL Total fees This section will be determined by Garfield Cannily. Plan Review Fee Building Permit Fee !'av sL^puruirh with Cash or ('heLk firth' (Road irrrpue:Jces)- Other Due at time of Application Submittal Due at time of Permit Pick -Up ***Ail fees are estimates until plan review is completed*** Building Plan Review Description of Work: t Bin #: Location Address. T R-2714 SILK"'? General Information Contacts Case Manager: David Bartholomew 'TT>i A RA.LE Owner: J ist Plan Case Number: Applicant: ist Parcel: 2I24 11 2 ) T W 25-0�8 Applicant Phone: (9 9T Email: Of? Application Date: 099&H i+' Building Engineered Foundation fitsp Apt Driveway Permit Sued Site Plan Plannin,Zonin Property Line Setbacks 'Cilkft Stream Setbacks fl "k Flood Plain Septic Permit and Setbacks�` wilding height Grade/Topography 30%`' zoning Sign -off Attach Residential Plan Review List ititRoad Impact Fees Minimum Application Questionnare ° ;'' HONDRC Approval f N • Subdivision Plat Notes Grade/Topography 40% Jai. `Fire Department Review r Valuation Determination/Fees planning Issues— 4-L[ 7,-160#41:, 4)(P2()1 " Subdivision Plat Red Line Plans/Stamps/Sticker General Comments: '`Attach Conditions _Application Signed Iarp.Reviewer To Sign Application Pa el/Schedule No. 40# Snowload Letter - Manu. Homes i Soils Report Cwt II 1352 - Thursday, April 9, 2015