HomeMy WebLinkAboutApplicationccxy-fzelc'cunty j,�,, �v ,
108 8'h Street, Suite 401, Glenwood Springs, CO 81601 `�� :1 .44
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Ph:970-945-8212 Fx:970-384-3440 inspection Line:888-868-5306
www.garfield-county,com
BUILDING PERMIT APPLICATION
AUG -j 9 2012
I
Pa(��'J No: (thi in rtation(Is� noble t--tih assessors office 970-94.5-9134)
Lot No: Block No: Subd.l Exemption: -" vvp vI p)��{ 1 /r
2
Job Address: (fan address ha n 1 been assignee-
SCQ'y S CRA ti
please prov le CR, if or Street Name & City) or and legal description
BUJ tl l --j
3
_'o8Er
Owner: (property owner)
T #'3AiVET 0 -S0N
Mailing Address: N6 tiJ c.4 5 Ti. +Cc
56 fJl' G? ?`l3
Ph:
`17i7`1SY',)7y.1'
Alt Ph:
4
Contractor:
1.-N FAL/C.7 )/)' /%
Mailing Address:
P 0,36 x of y 4 BmsA cT c e eF-JC4/
Ph:
l ) .-' l.� 7 t ? 2 y"
Alt Ph:
`1 cf h 7,3--3 )
5
Manufactured home installer:
Mailing Address:
Ph:
Lie 4:
6
Architect:
f',�I 6 N1 6.N -
Mailing Address: Bks--ifr -1- °
2 pit k Av3—, - .3 v 1
Ph:....Alt
59-7 i / 0
Ph:
7
Engineer:
n,6/G/�C '-it' v-
Mailing Address: 9/b 1- I
Ph:
9:)79J/0
Alt Ph:
8
Sq. Ft. of Building:
Z 2 cxz.3
Sq. Ft. or Acres of Lot:
�2 2 ,4-c,2 5
Height:
2 2'
No. of Floors::
/
9
Use of Building:
JEIResidential ❑Commercial ❑Other
Class of Work:
❑New ❑Alteration ❑Addition ❑Repair ❑Demo ❑Move
10
Describe Work:
12 im..2L L X -I ra P-4,0 - f' J rr, &.'m A /'J' E
11
Garage:��
etached
Septic: if
, ISDS Community
Type of Heat:❑Attached ❑Nat. Gas 13Propane ❑Electric ❑Other
12
Driveway Permit: tI f 1 I �
I`4
Owners valuation of Work: 1-1 �' `
rl
\ 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.
f.eeal 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 Pennit, (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 lithe 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 I have read this Application and that the information contained above is tare and correct. 1 understand that the Building Department accepts the Application, along with die 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 Department.
In consideration of the issuance of the Building Permit, l agree that 1 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 Perntit may be suspended or revoked, upon notice from the County, lithe 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 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
Building Official front (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 Department 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 ands or builder.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
-,)11 T'J/ L ir__l,2- a t�-C% ./ 2_
NERSSJGNA URE DATE
C
STAFF USE ONLY
Special Conditions: '
Adjusted Valuation:
3v, /yS. 3z.
Plan Check Fee:
3/ 9.96
Permit Fee:
99Z. 2.5
Manu home Fee:
__-_-
Mise Fees:
Total Fees:
8/z. z-/
Fees Paid:
lq.q
Balance Due:
99Z. z$
BP No & Issue Date:
ISDS No & Issued Date:
y MOQ
Setbacks: /
/=Z, �2 z. , 5/0
OCC Group:
...z,ec
Const Type:
..L-' c
Zoning:
12
/L1' D.e—0/ /
G Dfi�LGc�J / / Z. --
APPROVAL DATE
A PROVAL DATE
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
Building Plan Review
Description of Work: remodel kitchen and new entrance
Bin #:
Location Address: 5648 CR 243
NEW CASTLE, CO 81647
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -8-12-7358
Parcel: 192526100047
Application Date: 08/29/2012
Owner: Robert & Janet Olson
Applicant: Robert & Janet Olson
Applicant Phone: (970)984-2745 Email:
a
Building
tipt
Engineered Foundation
Driveway Permit
/ Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
/t
f
Attach Residential Plan Review List
1)174
Minimum Application Questionnare
Subdivision Plat Notes
Fire Department Review
f Valuation DeterminationlFees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
N` 40# Snowload Letter - Manu. Homes
N`)1
Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
/"_7oning Sign -off
_eaRoad Impact Fees
HOA/DRC Approval
Grade!Topography 40%
Planning Issues
Subdivision Plat
General Comments:
V1h/4004 3 &s, a2-
, / ,e. ; / 9,9
ASA/ _ __
.Orae 4I9z.
Tuesday, September 11, 2012
Applicant:
Job Address:
Subd- Lot/block:
FEE ESTIMATE
FOR S/F STICK BUILT HOMES
(ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED)
FINISHED LIVING SPACE: lam- I/ sf X 74.68= ?, 2 k 5 2_.
UNFINISHED BASEMENT: sf X 41.00=
CRAWL SPACE: sf X 9.00=
GARAGE: sf X 18.00=
UNCOVERED PATIO/DECK:
COVERED PATIO/DECK
MISC: e,i- d,f
MISC:
sf X 12.00=
sf X 24.00=
7 11 x 3 SVsc `f SiS, 6-0
TOTAL VALUATION: 3 Lf} / y�7 3
THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING
PLAN REVIEW FEE:
PERMIT FEE:
TOTAL:
LIGP� a5
SEPTIC=
PERMIT:
PERC: