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Home My WebLink AboutApplicationc;G Garfield County , ~ "\. ftf ~munlty Development Department \} l] t ·~ .\J 108 8th Street, Suite 401 \' l · ~ Glenwood Springs, CO 81601 lU\.. i ?.. 'L\\~ (970) 945-8212 0u~\'< www.garfield-county.com • -~ c';"'\ \ G. -\t l '• ' I TYPE OF CONSTRUCTION -----------] ----------0 Commerclal/Multl-Famlly D Demolition -·-· __________ ... -- D Manufactured Home (Single or Multi-Level) 6il Residential (SF, Duplex orTownhome) D Reroof ----I ----------- - -------. INVOLVED PARTIES Property Owner: 6§ffl44 (!AVE _(" Malling Address: /f/£ /1'11(/JJ?P ,h1E Contractor: SE"Lr Malling Address: A'-/ tl&e7/iil t:A. Architect: PL Aef S (){(,/?C~ • Mailing Address: /!o Boy // kf Engineer:. t~d.llq~,f_ ~ LJvdAI Pl<~ Malllng Address: 9t;-::i.. .tf 1;od ,t/V~ Phone: (/7 IJ ) . ,J 1q-/llt>b Llf'/e & t?!«:,lJ Phone!(il!?e~' ~f ,,JJJtJt!f Phone: ( 72'?') tet £:-'//Li Phone: (/7/> ) c9 0 -tP@Z:, ---------- Manufactured Home Installer:----------Phone: ( _ _, _____ _ Malling Address: ________________________ _ PROJECT NAME AND LOCATION Assessor's Parcel Number: ______ S.ub. Lot S Block Owner's Valuation of Work: $ 1/0 btXJ Property Size (Sq. Ft. or Acres): ;? ~S Sq. Ft. of BuUdlng: ....._ .... 3........,51.....-,_~~ Height: CJ 0 ff #of Floors:. __ /.__ __ _ Class of Work: Garage: Septic: Type of Heat: J'-New D Alteration jf Attached i(owrs D Addition D Natural Gas -I-, ~Propane l Driveway Permit: D Exempt D Repair D Move/Relocation D Detached D Community I D Electric 0 Other -]_D P_ermit#: j -------- NOTICE ----- I Authority. This appllcation 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. 1 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 I a State Wastewater Discharge Permit. Vold Permit. A Building Permit becomes nu II 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 CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I 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 l 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, ifthe 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 I or use of the structure(s) or facillty{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 Information which Is correct and accurate to the best f my knowledge. /5v.Lk/ a,.t~ 7 """ ~ Property Owner Print and Sign OFFICIAL USE ONLY Spedal Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: ~S4 lbZ . 7:t. I Z-1 o. lf Total Fees: Fees Paid: Balance Due: -;011.eq <1> l ~ I l17 4. f'i Setbacks: OCCGroup: Const Type: ~'"''1' evnJ. BUILDING/ PLANNING DIVISION :;(!), &L 6o/~ Signed Approval Date Misc Fees: Zoning: f.< I Date I:. .. Permit Number: #L.-H'-7-16 -4~?7 5EPr--7-16 ... 4--~~B Building / EnginEered Foundation Nf! I Driveway Permit / Surveyed Site Plan / Septic Permit and Setbacks / j Grade/ Topography 30% / Attach Residential Plan Review list / Subdivision Plat Notes /V/A Fire Department Review / Valuation Determination/ Fees / Red Line Plans/ Stamps/ Sticker / Attach Conditions / ,. Application Signed / Plan Reviewer to Sign Application / Parcel/ Schedule No. /V//J . 40# Snowlaad Letter-Manu. Homes / Solis Report Planning/ Z~ning / ----Property line Setbacks / 30 ft. Stream Setbacks / Flood Plain / Building Height / Zoning Sign-Off J'f If Road Impact Fees / Grade/ Topography 40% / Planning Issues / Subdivision Plat General Comments: . . . cE Gatfield County I 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: Jerry Caves 109 Creekside Dr. Rine Creekside Estates Lot # 5 BUllDING PERMliT FEE ESTIMATE WORKSHEET I. Fill ONLY in the yellow areas Type of Space Finished Living Space: Main Level (NIA Jyr Ma1111fac111retl Hmrws) Unfinished Basement 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 Septic Permit ($123 .00) Percolation ($150.00) Total Septic Fee Square Feet Value per sq. ft. ----- 2354 2354 1037 617 sq ft X sq fl X sq ft X SQ ft X sq .ft X sq It X sq It X sq ft X sq ft X . $74.68 $41 .00 $18.00 $24.00 $18.00 $12.00 $0.00 S0.00 $0.00 Tliis section will be determi11ed by Garfield County. Total fees Plan Review Fee Building Permit Fee Pay separately 11·i1h {;ash or Cheii. only (Road impact f ees)· Other Due at time of Application Submittal Due at time of Permit Pick-Up ' . , Valuation $175,796.72 $0.00 $42,372.00 $24,888.00 $11,106.00 $0.00 $0.00 $0.00 Valuation $0.00 Valuation $0.00 $1,210.14 $1,861.75 ------· 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 au thority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Us ing 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 requ i rements of this checklist. Property Owner Print and Sign Date ~ I