HomeMy WebLinkAboutApplication..� . % (]E
JUL 2 5 2016
Community Development Department
108 8th Street, Suite 401
<r+c LI) COUNT Glenwood Springs, CO 81601
cr% r_t (970) 945-8212
www.earfield-countv.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
O Manufactured Home (Single or Multi -Level)
BUILDING PERMIT
APPLICATION
❑ Demolition
Residential (SF, Duplex or Townhome) 0 Reroof
INVOLVED PARTIES
Property Owner: N1E-owl lw►Th L6 ni. Sh4441 Phone: (970) 37 q- X/870
Mailing Address: 99 . W. Sti.n [ L.+' C*. GienU4C 41-4r1S CO. 8/661/
Contractor: M b lith►. Phone: (47& ) 3339. --a7510
Mailing Address: 99 . 41.47/41914+ G. . f rr g/
9 � � �s � /
Architect: J !AS bL[ ld [ vug /I Ph ne: (970 ) 3
Mailing Address: c i , Ulf h SLu` /I It -,-, 6r I_
Engineer: "-A./k4fiJIfl'fJ,. Phone: (?') ) 379 427,4
MVlailin Address: 99. £L. iut /l rb7 C1. (elcltii nrr a Ow2'
'-Puln5c
40/
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work:
Job Address: . -3i (i •
#-
Asse sors parcelNumber:
4 -an
Lot B oc v
Owner's Valuation of Work: $ /% CO + Property Size (5q. Ft. or Acres): , • _Jr_acre
Sq. Ft. of Building: COHeight: ato # of Floors:
0 Alteration FS Addition 0 Repair 0 Move/Relocation
Class of Work:
Garage:
Septic:
Type of Heat:
0 New
,Attached
Driveway Permit:
❑ OWTS
Natural Gas
Exempt
O Detached
"F:1 -Community
0 Propane
0 Electric
0 Other
O Permit #:
v
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 land 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 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 t e required information which is correct and accurate to the best of my knowledge.
-,f&
Pr a perty Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
6 9 o/6.6 *
Plan Check Fee:
509, ¢¢
Permit Fee:
7 .. 7,"
Manu home Fee:
Misc Fees:
Total Fees:
/2 93. /9
Fees Paid:
'SaEla 74
Balance Due:
'94 °' 4 a
BP No:
OWTS No:
1Aid
ExX44
mil- - qeq/
Setbacks:
zs, /t;. i
OCC Group:
-I
Const Type:
?,2 C-
Zoning:
ID LD')Th
BUILDING / PLANNING
DIVISION :,
BJ` -�/'
L.
Signed Approval Date
( a,a, u . v✓
‘1.A acs 41 31/4_a.
Garfirl[f Cprttrh°�
Eizildhonill Han Review Cheeldisg.
Permit Number: 436,6--7--/6— ¢3¢/
14/ft
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
Attach Conditions
Application Signed
N/A
Plan Reviewer to Sign Application
Parcel/ Schedule No.
. 40#Snowload Letter—Manu. Homes
Soils Report
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
% Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
Type of Space
Fill ONLY in the yellow areas
Square Feet Value Valuation
per sq. ft.
Finished Living Space; Total Addition
(N/A for Manufactured Homes) 848 ::q It X $74.68 $63,328.64
Unfinished Basement sq ft X. $41..00 $0.00
Crawl Space 100 sq ft X $18.00 $1,800.00
Garage sq It X $18.00 $0.001
Covered Patio/Deck sq ft X $24,00 $0.00
Uncovered Patio/Deck 324 sq fi X - $12.00 $3,888.00
Misc: sq It X_ $0.00 $0.00
Misc: sq ft X $0.00 $0.00
Misc: sq ft X $0.00 $0.00
Total Valuation $69,016.64
This section will be determined 1
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfieid-county.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: Jason & Lora Smith
Job location: 99 W. Sunlight Ct. GWS
Sub-Lot/Block: Oak Meadows Lot # 5
Manufactured Home Set -Up _ _ Valuation
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
$0.00
Septic
Permit ($123.00)
Valuation
Percolation ($150.00)
Total Septic Fee $0.00
Total fees
y Garfield County.
Plan Review Fee $509.44
Building Permit Fee $783.75
I
Pay separately with Ca.sh or Check only ( Road
impact fees )- Other
Due at time of Application Submittal $509.44
Due at time of Permit Pick -Up $783.75
$1,293.19