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Home My WebLink AboutApplicationCommunity Development Department 108 S'h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com I TYPE OF CONSTRUCTl_O_N ____ _ D Comme!.c:!al/Multi-Family ~--D Demolition _Q__>!anufactured Home (Single or Multi-Level) ~~Residential (SF, Duplex o~ To~nhome) _ __..l_D Re_ro_o_f __________ _ INVOLVED PARTIES Property Owner: ....;:C'-'et~ ..... · .,__.......;...i~'-1=-~"""-'-:.--""-,,....=;,-;.:..~ ..... Mailing Address : --=0--1..~l 11e--=:..i.L,.__....;;....::~;..:...:..i"'--.......:._.;;.>ol!=---------------- Malling Address : _________________________ _ Architect:~~:;_;_-~~~~~~------- Mailing Address: _________________________ _ Englneer: _________________ Phone: (.._ ______ _ Mailing Address: _________________________ _ Manufactured Home Installer:-----------Phone:( __ ------ Malling Address : _________________________ _ PROJECT NAME AND LOCATION 04 1 i '2.S __ ,,,., ______ Lot __ Block ----"-...CT-""~~---E-:J--Property Size (Sq. Ft. or Acres): _2_.t.\_c:t_c __ "'l # of Floors: \ --------------- Class of Work: D New D Alteration D Repair D Move/Relocation Garage: D Attach ed D Det ached Septic: Dowrs D Community Type of Heat: D Natural Ga s Propane D Electric D Other Driveway Permit: D Exempt D Permit#:------- NOTICE __ I 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. 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. ~CERTIFICATION I hereby certify that I have read this Application and that the i nformation 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 submlttals 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 submlttals 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)). 1 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 Regulatlon(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 facllity(les) 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 U wner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulation j est 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, ~=~~~r(t~orm•~~metoth~T~~j;~edce. Property Owner Print and Sign Date --OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misc Fees: 52~271.84 4"32. o'l &64./S -- Total Fees: Fees Paid: Balance Due: !fl!!!: OWTSNo: I oqb. B4 .$3\'3. 40 713-g_ 44 \<,t !Z E -4;(C/1 A)/;q Setbacks: OCCGroup: Const Type: Zoning: r-z~eu;s11J ::c. £,(..... .:r:.JZc.... -z BUILDING/ PLANNING DIVISION : /£,~~ 7ft5'/f6 ; I Signed Approval Date ~cl &.~:J-T-./({) v:f1:=111CP srs13. 4o Permit Number: &-JZe-06 -/6-~Z99 Building Planning/ Zonin~ ti/ t/ Engin~ered Foundation / . Propertv line SetbtiG"3 Driveway Permit / 30 ft. StrE:am Setbacks Surveyed Site Plan / Flood Plain . Septic Permit and Setbacks / Building Height Grade/Topography 30% / Zoning Sign-Off / l'fA Attach Residential Plan Review List Road Impact Fees uL ti Subdivision Plat Notes / Grade/ Topography 40% tv/R / < Fire Department Review Planning Issues / I / Valuation Determination/ fees Subdivision Plat / Red line Plans/ Stamps/ Sticker / Attach Conditions ,,. / Application Signed General Comments: / Plan Reviewer to Sign Application / Parcel/ Schedule No. tJl__A , 40# Snowload Letter-Manu. Homes / Soils Report ce Gat:field Co11nty I Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945 -8212 www.garfield-county.com -· Applicant: 1 Job location: Sub-Lot/Block: Phillips~ Barlow Addition 418 CR 251 Rifle NIA BlllLl!>ING PERMIT FEE ESTIMATiE WORKSHEEli ---- I I Fill ONLY in the yellow areas Type of Space Finished Livin g Space: Additio~ (NIA for Mamtfacwred Homes) Unfinished Basement Crawl Space Garage Covered Pa tio/Deck Uncovered Pat io/Deck Misc: Convert covered porch t o Finished Li vi ng Misc: Square Feet Value per sq. ft. --~--~ 489 sq It X • --1.; sq ft X 489 sq ft X sq ft x+ sq ft X sq fl X sq It X SQ ft X .. $74.68 $41.00 $9.00 $18.00 , $24.00 J $12.00 $50.68 $0.00 Valuation $36,518.52 $0.00 $4,401.00 $0.00 $0.00 $0.00 $11,352.32 $0.00 Misc: sq It X $0.00 $0.00 --------------------------------Total Valuation $52,271.84 Manufactured 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 Tlzis section will be determined by Garfield County. Plan Review Fee Building Permit Fee Pay separately ll'itfi Cash or Check only (Road impac1 fees)· Other t::=. -, Valuation $0.00 Valuation $0.00 $432.09 $664.75 Due at time of Application Submittal $432.09 ---- Due at time of Permit Pick-Up $664.75 Total fees $1,096.84