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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF CONSTRUCTION BUILDING PERMIT APPLICATION ❑ Commercial/Multi-Family Manufactured Home (Single or Multi -Level) L o Residential (SF, Duplex orTownhome) INVOLVED PARTIES b( Demolition ❑ Reroof Property Owner: Gor'O(Dra E fii`r5 / /oG«[crre(o4hone: ('? c )_'56 - 5/z3 Mailing Address: 099fP G r X2d 3'/Z £/1 Co 0/65z - Contractor: GorJow loo, - s -R• e (c Phone: ('7 t ) 4156 — S12-3 Mailing Address: 29?5' G r 34/2 S. /+ G0 $/t6 5 z Architect: Phone: ( Mailing Address: Engineer: G''I/GCc Phone: ('/35 ) 7$9 - S4/ tiff Mailing Address: ea do )r / 5? Ve.PAS i 8V0 -71? Manufactured Home Installer: 64_y 17,;2 Phone: ( 6770) at/ - 9o.3�r Mailing Address: 67/ 23 goiGrp Sia•LeAlc8/Se; PROJECT NAME lake- LOCATION / Describe Work: e - c' '/ n/ry Mettles-cctc,4)rezi 41 �u/.tn(n 112.1c1 fact Sys ► f.� s�7 VsiP[a- ply 4,c4.40/ ' ls�G� c/,t ...i AtoiNotikgr2 L'Tu r' fir/ 410‘.4-4E- Job ,s.4G� Job/ Address: 299 " Gly £ S'/z S /f' Co $l65 2 Assessor's Parcel Number: 22/0/-35Z.Lot Block Owner's Valuation of Work: $ 2-0e7 000 Sq. Ft. of Building: /90O -Ff 2 C` Hei Class of Work: New 13 Alteration ❑ Addition Property Size (Sq. Ft. or Acres): HCS ,ccre 5 t: /61 # of Floors: 2 - Garage: 0 Attached Septic: O Repair ❑ Move/Relocation O Detached OWTS erns-� O Community Type of Heat: 0 Natural Gas Propane ❑ Electric ❑ Other Driveway Permit: KExempt O Permit #: 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 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. „e7 5://0/(s - Property Owner Prinlnd Sign Date 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 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. 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 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, 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, 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. I 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, 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. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required i for ati • n which is correct and accurate to the best of my knowledge. Property Owner Print a Sign 02/7&4 - Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: I Lb /9q.&' Plan Check Fee: 7o7 SZ Permit Fee: 1 o 8q,T,5•110 Manu home Fee: b •QO Misc Fees: Total Fees: 21(31,11 Fees Paid: LIDO. DO Balance Due: 1791 77 BP No: OWTS No: OF 383f Setbacks: cz5 its Sits OCC Group: ' S,� Const Type: Szi✓ Zoning: BUILDING / PLANNING DIVISION : A9/A��~�`8/� Signed Approval Date Fditnu.ao) 1J,Yl'iis Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 94S-8212 www.parfield-county.com BUILDING PERMIT FEE WORKSHEET ESTIMATE Applicant: Project Address: Subdivslon: Phone: Lot: Block: 'fie of Space - quare Feet- Valuation , Finished Living Space (N/A for Manufactured Homes) 0 $74.68 Unfinished Basement 0 $41.00 Crawl Space 0 $9.00 Garage 0 $18.00 Covered Patio/Deck 0 $24.00 Uncovered Patio/Deck 0 $12.00 Misc: 0 $0.00 Misc: 0 $0.00 1 Manufactured Home Set -Up Fee Single Level (5400) $0.00 Multi -Level ($600) $0.00 Septic (OWTS) Fee _ New installation ($123) $0.00 Alteration and/or Repair ($75) $0.00 Perculation ($150) $0.00 t _- This Section Determined by Garfield County Plan Review Fee Building Permit Fee Manufactured Home Set -Up Fee Septic Fee (OWTS) Other (Ex: Road Impact Fee) $0.00 $0.00 $0.00 $0.00 $0.00 Total Fees Due $0.00 "'AII fees are estimates until final plan review fs comOeted'•' $707.82 $1,089.95 338 2238 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com Applicant: Job location: Sub-Lot/Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET Bloomfield Residence 2998 CR 342 Silt N/A Fill ONLY in the yellow areas Type of Space Finished Living Space: (Enclosed Entry Addition) (N/A for Manufactured flumes) Unfinished Basement: (Home & Addition) Crawl Space Garage Covered Patio/Deck Uncovered Patio/Deck Misc: Misc: Misc: Total Valuation Manufactured Home Set -Up Single level ($400.00) Multi -Level ($600.00) Total Set -Up Fee Square Feet sq ft XI sq ft X sq ft X. sq ft X sq ft X sq ft X sq.ft X sq.ft X sq.ft X Value per sq. ft. $74.68 $41.00 $9.00 $18.00 $24.00 $12.00 $0.00 $0.001 $0.00 Valuation $25,241.84 $91,758.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.16,999.84 Valuation 400.00 $400.00 Septic Permit ($123.00) Percolation ($150.00) Total Septic Fee Valuation $0.00 Total fees This section will be determined by Garfield County. Plan Review Fee Building Permit Fee Par separately with Cash or Check only ( Road iurpacr fees)- Other Due at time of Application Submittal Due at time of Permit Pick -Up $707.82 $1,489.95 $2,197.77 Garfield County Building/ Zoning Alam Review Checklist Permit Number: /54,/t, Building V Engineered Foundation NiA Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List NSA Nle Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Pian Reviewer to Sign Application Parcel/ Schedule No. . 40# Snowload Letter— Manu. Homes Nr Soils Report Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain / Building Height / Zoning Sign -Off NTA Road Impact Fees Grade/ Topography 40% / Planning Issues Subdivision Plat General Comments: