HomeMy WebLinkAboutApplicationGARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8'h Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 888-868-5306
www. garficld-county.com
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Parcel No: (this information is available at the assessors office 970-945-9134) J 1/gi 0;)-
2
Job Addie (Awl() address not been�ktssi ase r vihr
d� , Hwyor S et N e & Ci or d Ie al de i tion�j y
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Lot No: A) A / Block No: Subd./ xemption:
4
Os r: (property % er)
tilts Address:
Ph: 07
Alt Ph;
5
Co rpt /
M n d ss: 676,Ph:
n 7 qn
Alt P
6
Architect gine
JCf
M gAddress: /
Ph: z,,_.... P. d !
D`J
Alt Ph:J//'{'I�r/
7
Sq. Ft. of Building: •
Sq. Ft. or Acres of Lot:
1
Height:
No. of,9oors:
8
)
Use of Building: `� / � / � 11°A
9
Describe Work: /�
�'(/�.M.) (e)145 /1/t!l d aJ 0, � 5) ,' L' i� /yip► / s /,e..1-n/C-
10
Class of Work: 1
�•� ❑ Alteration o Addition
11
Garage:
ttached o Detached
Septic:
ISDS ❑ Community
12
Driveway Permit:��� % ��
Owners valuation of Work: $M odd
Authority.
This application for a Building Permit st be signed by
letter of authority, signed by the Ow) r, must be provided
A Building Permit cannot be issued without proof of legal
NOTICE r
the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate
with this Application.
and adequate access to the property for purposes of inspections by the Building Department.
Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or
Discharge Permit.
is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180
CERTIFICATION
contained above is true and correct. 1 understand that the Building Department accepts the Application, along with the plans
based upon my certification as to accuracy.
a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on
my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location,
are not in compliance with County Regulation(s) or any other applicable law.
described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the
if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation
work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
THE NOTICE & CERTIFICATION ABOVE:
$ /
DA E <
Legal Access.
Other Permits. Multiple separate permits may be required: (1) State
County Highway/ Road Access or a State Wastewater
Void Permit. A Building Permit becomes null and void if the work authorized
days after commencement.
1 hereby certify that 1 have read this Application and that the information
and specifications and other data submitted by me or on my behalf (submittals),
Assuming completeness of the submittals and approval of this Application,
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit, I agree that 1 and
Code, 1SDS regulations and applicable land use regulations (County Regulation(s)).
construction or use of the structure(s) and facility(ies), described above,
1 hereby grant pennission to the Building Department to enter the property,
Building Official from: (1) requiring the correction of errors in the submittals,
of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the
or discrepancies. As the Owner, 1 acknowledge that responsibility for
limitation my architect designer, engineer and/ or builder.
1 HEREBY ACKNOWLEDGE THAT I IIAVE READ AND UNDERSTAND
2�•
OWNEISSIGNATURE O
cl» 5 •cl -33431-4:54-
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
So 9, o- 9.9Z
Plan Check Fee:
2 l 3 2. 81
Permit Fee:
32 el 2,5
Manu home Fee:
,____`
Mise Fees:
--®-
see App.
To al Fees:
5 w y 06
Fees Paid:
A241O. (d1
Balance Due:
3, oo3 37
BP No & Issue Date:
ISDS No & Issued Date:
-- 21 -Yi
-2.I i0
Setbacks:/
F2$,Zzs;510
OCC Group:
.r G
Const Type:
L
Zoning:
R
BLDG DEPT•
9/.0, 01
PLNG DEPT.
. 44.4 /3/1/
APPROVAL DATE
APPROVAL, DATE
Applicant
Address
Date
VALUATION FEE DETERMINATION
Dan Hogan
7330 CR 100 Carbondale
9/7/2011
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 2489 sq.ft
Upper 1302 sq.ft
Lower 2578 sq.ft
Other sq.ft X $74.68
Total Square Feet 6369 sq.ft
Total Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Other
Total Valuation
Garage/Storage (wood framed)
Conversion of garage to finished living
Carport
Other
Total Valuation
Crawl Space
Total
Valuation
Decks/ Patios/Porches
Covered
Open
Other
Total Valuation
Type of Construction:
Occupancy:
Total Valuation
957
80
1188
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq.ft X $18.00
sq.ft X $56.68
sq.ft X $12.00
sq.ft X
sq.ft X $9.00
sq.ft X $24.00
sq.ft X $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
N/A
N/A
ACB Inc. John Davis
475,636.92
0.00
17,226.00
0.00
16,176.00
0.00
Total Valuation 509,038.92