HomeMy WebLinkAboutApplicationREC
Garfield County
AUG
GARFIELD G31.71
4nity Development Department
=UNITY DEVELOP F SylB Stn Street, Suite 401
enwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILD"_,,
APPLICATION
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (SF or Duplex)
0 Demolition
411 Residential (SF, Duplex, or Townhome) D Reroof
INVOLVED PARTIES
Property Owner: 6104/430/14 vi -re Lewis Phone: (8OC, ) 23 J —309
Mailing Address: est 1 G.R 3.z0 RIFLE. Co 8 I (.So
Contractor. _ The l iKDESTi✓iz Phone: (q70 ) 375- 5187
Mailing Address: L/RS nil ESA bFLE Ca $ EfoSO
Architect: /LION F.
Mailing Address:
Phone:(
Engineer: x.1(1; 1 Phone: (
Mailing Address:
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: } (to GT- EV ISTIi.IG- F-ioaiE
Job Address: e877 Cl. :) 1ZI LS I Co 816S0_
Assessor's Parcel Number: D1 ` 14t-03Sub. Lot Block
Owner's Valuation of Work: $ 351000 - U0 Property Size (Sci.Ft or Acres):
r
Sq.Ft of Building: OBD Height: _ 0 # of Floors:
Class of Work: IztNew 0 Alteration 0 Addition 0 Repair 0 Move/Relocation
Garage: Attached 0 Detached
Septic: D ISDS 0 Community
Type of Heat: 0 Natural Gas 0 Propane 0 Electric 0 Other
Driveway Permit: 0 Exempt ❑ Permit #:
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 !SOS 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
I hereby certify that 1 have read this Application and that the information contained above is true and correct.
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, 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.
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.
Property Owner Print and Sign
15.01013
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
/7 640.(22
Plan Chad( Fee:
1c10 bl
Permit Fee:
2-q5- ZS.
Manu home Fee:
Misc Fees:
3-02 Cely
—
Total Fees:
'8a e6
Fees Paid:
1ao.Ccl
Balance Due:
z7 E3 .45-
Mit:
I10-/q4b
ISDS No:
Setbacks:
FZ51gZ5;'5lo
OCC Group:
��G
Const Type:
�-�
Zoning:
K
BUILDING / PLANNING
DIVISION : 0715
Signed Approval Date
C1.- 533
Building Plan Review
Description of Work: Attached garage to existing home
Bin #:
Location Address: 8877 CR 320
RIFLE, CO
General Information
rCase Manager: David Bartholomew
Pian Case Number: BLDG -8-13-7673
Parcel: 217719400547
Application Date: 08/16/2013
Contacts
Owner: Grayson & Kate Lewis
Applicant: Grayson & Kate Lewis
Applicant Phone: (806)231-3089 Email:
Building
Planning/Zoning
/
NVA Engineered Foundation Property Line Setbacks
1y4
7 Driveway Permit 30ft Stream Setbacks
r
Surveyed Site Plan Flood Plain
N(A Septic Permit and Setbacks Building height
/ 7
f Grade/Topography 30% Zoning Sign -off
/ %
Attach Residential Plan Review List` Road Impact Fees
/ SVA
Minimum Application Questionnare HOA/DRC Approval
/
Subdivision Plat Notes '! Grade/Topography 40%
P-1 Fire Department Review / Planning Issues
/
/
Valuation DeterminationlFees Subdivision Plat
/ Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
/ Application Signed
f Plan Reviewer To Sign Application
ParcellSchedule No.
yr 40# Snowload Letter - Manu. Homes
/71X
Soils Report
'4ye 98o x X8.00 77 610, 00
Tuesday, August 27, 2013
I
Plan Review Fee
Building Permit Fee
Pay separately with Cash or Cheek only (Road impaci fees)- Other
Due at time of Application Submittal
Due at time of Permit Pick -Up
le Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.Earfield-county.com
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Type of Space
Fill ONLY in the yellow areas
Square Feet Value
Valuation
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($73.00)
Percolation ($100.00)
Total Septic Fee
Valuation
Valuation
This section will be determined by Garfield County.
Total
fees
***All fees are estimates until plan review is completed ***
per sq. n.
$74.68
Finished Living Space
(N/A for Manufactured Homes)
sq ft X
Unfinished Basement
sq ft X
$41.00
Crawl Space
sq ft X
$9.00
Garage
`RSO
sq ft X
$18.00
_
14, 6C --i 0
Covered Patio/Deck
sq ft X
$24.00
Uncovered Patio/Deck
sq ft X
$12.00
Misc:
sq ft X
$0.00
Misc:
sq ft X
$0.00
Total Valuation
fl9 rp0
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($73.00)
Percolation ($100.00)
Total Septic Fee
Valuation
Valuation
This section will be determined by Garfield County.
Total
fees
***All fees are estimates until plan review is completed ***
The Building Division 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.
Property Owner Print and Sig
r1571
Date