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