HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 4PR 2 5 2016
Glenwood Springs, CO 81601
(970) 945-8212
www.gaeld-county.com
TYPE OF CONSTRUCTION
0 Commercial/Multi-Family
Vnufactured Home (Single or Multi -Level)
BUILDING PERMIT
APPLICATION
❑ Demolition
esidential (SF, Duplex or Townhome) G ❑ Reroof
INVOLVED PARTIES
J-
Property Owner: i % )40 4 4Q
Phone: 012 D(iftif
Mailing Address: (15 Cti ffizo. OK IR% 1UWOOJ , Po
..iPt45
Phone:
( )
Contractor: '
Mailing Address:
Phone:
( riP ) 61r
-,Gy
! j
Architect: s r 1-rtvCOic.
Mailing Address: 1.1- % Veer Rao 664-6 fig(
Engineer: —
,
Phone:
( )
Mailing Address:
( 1
Manufactured Home Installer:
Mailing Address:
`--`
Phone:
PROJECT NAME AND LOCATION
Describe Work: , ,b1-56660; tf..✓/s! 4a
Job Address: Zi,)' 1 t
Assessor's Parcel Number:
Owner's Valuation
Sq. Ft. of Building:
Sub. Lot Block
of Work: $
ADM Property
Size (Sq. Ft. or Acres):
# of Floors: 2
Height:
Class of Work:
• New
I • Alteration
❑ Addition
❑ Repair
0 Move/Relocation
1
Garage:
& - fi ched
0 Detached
Septic:
• OWTS
0 Community
Type of Heat:
B'1Vatural Gas
• Propane
❑ Electric
0 Other
Driveway Permit:
0 Exempt
0 Permit #:
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 [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 • r tion which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
404 hilons 34YberG
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
z3/O¢.¢61
Plan Check Fee:
)oo.ov
Permit Fee:
3772,5"
Manu home Fee:
1)Pi
Misc Fees:
Total Fees:
4-1'7. z5
Fees Paid:
$/O. oo
Balance Due:
3 7 7.75
BP No:
OWTS No:
ai?E -LI107
1( Pi
Setbacks:
OCC Group:
Const Type:
Zoning:
BUILDING / PLANNING
DIVISION : /►t"., ` - `,/6/"/6,
Signed Approval Date
�}\5 1/60 66
Garfield County�I
IBaiNZoning Plat Review Cheeldist
Permit Number:
Building
Engineered Foundation
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
l Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
N�A . 40#Snowload Letter—Manu. Homes
Al/4 Soils Report
Planning/ Zoning
N�A
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40l0
Planning Issues
Subdivision Plat
General Comments:
Vilo-fX6-1/t
686 °)r -1Z3i/of.¢8
•
VALUATION FEE DETERMINATION
Applicant Enriquez Residence Subdivision Pinyon Mesa
Address TBD Cliffrose Way, GWS Lot/Block Lot ft 31
Date 1/812015 Contractor Sanchez Drywall
Finished (Livable Area):
Main 986 sq ft
Upper 1133 sq h
Lower (Finished Basement Arca) 300 sq ft
Other sq ft X 574.68
Total Square Feet 2419 sq.h
Total Valuation
Basement:
Unfinished 686 sq ft X 541.00 __-
Conversion
Conversion of Unfinished to Finished tX $$33.68
Other sq ft X
Total Valuation
180,650.92
28,126.00
Gamge/Storage (wood framed) 625 sq ft X 518.00
Conversion of garage to finished living sq ft X 556.68
Carport sq ft X 512.00
Other sq ft X
Total Valuation 11,250.00
Crawl Space sq.ft X 59.00
Total Valuation 0.00
Decks/Patios/Porches
Covered 289 sq.f1X 524.00
Open aq.ftX 512.00
Other sq.ft X
Total Valuation
Type of Construction:
Occupancy:
Total
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
6,936.00
Valuation 0.00
Total Valuation 226,962.92