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HomeMy WebLinkAboutApplicationre Garfield County 1 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 �❑ anufactured Home (Single or Multi -Level) L " Residential (SF, Duplex or Townhome) BUILDING PERMIT APPLICATION ❑ Demolition 0 Reroof INVOLVED PARTIES — Property Owner: mai,-% li "gyp, �,p,Z 554 Mailing Address: 6"--7� D F. i4-1-144 14-0x(01 Phone: (T7 _1 6,19.54in ( Contractor: 60 PacSS Phone: ('Tib ) LtoY (7JS Mailing Address: nQ 14/-k 7 1,4 L L - L (�2 Architect: it.,M PACSS LMk Phone: ( ) Mailing Address: 't� ��� Engineer: 171& Pg(LI-fr`rit Phone: ( X11.0) Y7i ..2-5C)14``'[ Mailing Address: Z u p44i( Aug., Ut T Sot SSA-c.�, /r) 61624 Manufactured Home Installer: Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION Describe Work: i- r t\s i F t Za I ci_3 Job Address: Ui; W ! 3�fl Co Si(,Z3 1 Assessor's Parcel Number: Y.F11 3 1217 b6'--( Sub. ASp> 1 ., r #.ot ' Block Owner's Valuation of Work: $ Z. -7c Qb D _ _ Property Size (Sq. Ft. or Acres): a07 D 4f Sq. Ft. of Building: 7 Height: -5 i)1 # of Floors: .,. Class of Work: FA New 0 Alteration 0 Addition 0 Repair 0 Move/Relocation Garage: jiti Attached 0 Detached Septic: 0 OWTS Community Type of Heat: 0 Natural Gas N 0 Propane Driveway Permit: 1 0 Exempt 0 Electric 0 Other 0 Permit #: ter. Y� a -..+ Atrtho1:11y. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. Tithe signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Leval 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 OWTS 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. Vold 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, l 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, OWTS 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 fadlity(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. CERTIFICATION hereby adc edge that 1 have read and understand the Notice and Certification above, as well as, have pv • ed the - red Information which is correct and accurate to the b of knowledge. 31 /S Date 7/31/ OFFICIAL USE ONLY Special Conditions: - — - Adjusted Valuadon: 055gke,j' Total Fees: 3a8!.13 P1.n check Fee: 12.13.78 Permit /Fee: Ivi 7. /5 Menuhome Fee: hJ Mist Fees: Fees Paid:,Balance } .9f Due: 7 14 Const )01.2.E aR Type: Owls No: frailu4 Zoning: ,� Setbacks: F2$ P- 545 OCC Group: BUILDING / PLANNING DIVISION : .: 8 / .. '¢'� Sited Approval ` Data `NA • 31 • IS O/� 9' J#'63' Scanned by CamScanner and/or plans for compliance, the application may be placed on u litho required intonation is xia provided. Work may not proceec withoutt a issuance afrn petit it The Building Division will collect a Plan Review fee.tl'rtte of`appfi, The ixiftrAtfeap as well as, any Septic or Road Impact fees will be collected 'Viten thu permitte The permit application must be signed by the owner or by person l ',written authcifitt fin ifs mirror to act as their representative. Building cannot be occupled until a Certificate of Occupancy (CO) is issued. Using the bulldog Widicot a CO will be considered an illegal occupancy and may be grounds for vacating the proms s:'(FinaktO inspection requirements will be attached to your approved field set of plans.) I hereby 1 have read, understand and will abide by the requirements of this checkilIstL � and Sign Date Scanned by CamScanner Garfield Count}, uik+ in / Zoning Plan Review Checklist Permit Number: .L,,e!�- 7-/j— 367 -2 - Building Engineered Foundation /V A Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes / Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application 43/44 Soils Report Parcel/ Schedule No. 40# Snowload Letter— Manu. Homes Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain { Building Height Zoning Sign -Off A)9 Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat General Comments: Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 ww arfieldpcocnty,com Applicant: Job location: Sub-Lot/Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET Tessier Residence 6 Equestrian Way, Carbondale Aspen Equestrian Est. Lot # B4 Type of Space Fill ONLY in the yellow areas Finished Living Space: ML=2249, UL=609 (N/A for Manufactured !lames) Unfinished Basement Crawl Space Garage & Mech. Rm. Covered Patio/Porch/Deck Uncovered Patio/Deck Misc: Misc: Misc: Total Valuation rManufactured Home Set -Up Single level ($400.00) Multi -Level ($600.00) Total Set -Up Fee Septic Permit ($123.00) Percolation ($150.00) Total Septic Fee Square Feet 2858 2249 552 88 828 Value per sq, ft. sq ft X sq ft X sq ft X sq ft X sq ft X sq It X sq ft X sq.lt X sq.ft X Valuation $74.68 $41.00 $9.00 $18.00 $24.00 $12.00 $0.00 $0.o0 $0.00 $213,435.44 $0.00 $20,241.00 $9,936.00 $2,112.00 $9,936.00 $0.00 $0.00 $0.00 $255,660.44 Valuation $0.00 Valuation $0.00 Total fees This section will be determined by Garfield County. Plan Review Fee $1,213.78 Building Permit Fee $1,867.35 Pay separatel► with Cash or Chec,.. only (Road impact fees )- Other Due at time of Application Submittal $1,213.78 Due at time of Permit Pick -Up $1,867.35 $3,081.13