HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
SEP 0 7 2pl
1088 th Street, Suite 401
lenwood Springs, CO 81801
(970)945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (SF or Duplex)
IN Residential (SF, Duplex, or7ownhome)
Demolition j
Reroof
INVOLVED PARTIES
Property Owner: r L-rdS Phone: (97D )4SI. -941L
Mailing Address: u+A[,K.gb a2 Y W PAgALI ,-_n-
Contractor: Phone: (�
Mailing Address:
Architect:
Mailing Address:,
Phone:( )
Engineer: Phone: ( ]
Mailing Address:
Manufactured Home Installer: Phone: ( }
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: Nf-w 'Fro -A - g41 (tAL+v►rt
Job Address: W 14u f U cxr � !N DNV&1,tAv Tw
Assessor's Parcel Number: -24b jTc-d._ , Sub. ppyy Lot Block _ /
Owner's Valuation of Work: $ 0200 PropZefty Size (Sq.Ft or Acres):
Sq.Ft of Building: 400 Height: CO # of Floors: 1 t
Class of Work: ❑ New �1 Alteration ❑ Addition 13Repair ! 13Move/Relocation
Garage: Attached ❑ Detached
Septic:
Type of Heat:
Driveway Permit:
ISDS
Natural Gas 1 ❑ Propane
Exempt
Community
Electric
❑ Permit #:
❑ Other
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 ISDS 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
1 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, ISOS
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 1 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 of my knowledge.
Property Owner Print and Sign
q--1- zfl11.
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Permit Fee:
Manu home Fee:
Misc Fees:
$41174. 00
072.31
0 !t1.25
3 1
_.
Total Fees:
Fees Paid:
1'
Balance Due:
ems:
ISDS No:
9t 103. Seo
1,5q.
LNM
P0
Setbacks:
OCC Group:
Const Type:
Zoning:
F25 Rc5/96,
1R6
IRC,
BUILDING / PLANNING DIVISION:
Signedroyal
Date
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iGarjielrl Cnu;"Jt"j
BuildiagLZ±Wn Ilan Review Checklist
PermitNumber:
Building
Plannin Zonin
Engineered Foundation
Property tine Setbacks
Driveway Permit
OA • 30 ft. Stream Setbacks
Surveyed Site Plan
NA • Flood Plain
NA •
Septic Permit and Setbacks
Building Height
Grade/ Topography 30%
� Zoning Sign -off
Attach Residential Plan Review List
PA. Road Impact Fees
Subdivision Plat Notes
Grade/ Topography 40%
/
Fire Department Review
Planning Issues
`
/
Valuation Determination/ Fees
Subdivision Plat
Red Line Plans/ Stamps/ Sticker
/
Attach Conditions
Application Signed
General Comments:
/
Plan Reviewer to Sign Application
06Iu PovOk Sim{,
Parcel/ Schedule No.
11 X g= 17 6-
40# 5nowload Letter — Manu.
40#5nowloadLetter—Manu. Homes
Soils Report
VALUATION FEE DETERMINATION
Applicant Austin Drewes & Nichole Goldshot Subdivision Monument Creek Village
Address 25 Hackberry Lane, Parachute Lot/Block Lot 21, Block 16
Date Se t. 26, 2016 Contractor
Finished (Livable Area):
Main
sq ft
Upper
sq.ft
Lower
sq It
Other
sq It X
$74.68
Total Square Feet
0 sq.ft
Total Valuation
0.00
Basement:
Unfinished
sq It X
$41.00
Conversion of Unfinished to Finished
sq It X
$33.68
Other
sq It X
Total Valuation
0.00
Garage/Storage (wood framed)
sq It X
$18.00
Conversion of garage to finished living
sq It X
$56.68
Carport
sq It X
$12.00
Other
sq ft X
Total Valuation
0.00
Crawl Space
sq.ft X
$9.00
Total Valuation
0.00
Decks/Patios/Porches
Covered
176 sq.ft X
$24.00
Open
sq.ft X
$12.00
Other
sq.ft X
Total Valuation
4,224.00
Commercial
Type of Construction:
Occupancy:
sf X
sf X
sf X
sf X
sf X
sf X
Total VaIW601)
0.00
Total Valuation
4,224.00
11111111111111111111111111111111111111111111111111111111111 IN 1111
603244 03/13/2002 01:10P 81334 P283 h ALSDORF
7 of 35 R 173,00 D 0.00 GARFIELD COUNTY CO
drainage plan, the ability to establish and maintain adequate site drainage, and the relation to adjacent
homes. Where possible, an attempt should be made when siting Site -Built and Manufactured Homes
to vary the home positioning on the Lot in order to offer a variety of building forms and elevations
along a strect-scape.
It is recognized that view corridors between adjoining lots will be impacted upon construction and
landscaping ofhomes. When planning a site, distant and close -in view corridors out of the lot should
be preserved wherever possible. View corridors looking out of the Lot to surrounding vistas should
be maintained thru appropriate landscaping design.
3.02 Building Line Setbacks and Easements: Within the respective Villages the following building
line setbacks are applicable to each Iot, unless more restrictive setbacks are otherwise noted on the
recorded Final Plat:
o< a. Tamarisk Villages and Saddleback Village
Front Building Setback = 17 feet from front property line.
Side Building Setback = 6 feet from slide property fines.
Rear Building Setback = 6 feet from rear property line.
b. Monument Creek Village
Front Building Setback
Side Building Setback
Rear Building Setback
C. Stone Ridge Village
Front Building Setback
Side Building Setback
Rear Building Setback
d. Willow Crefk Village
Front Building Setback
Side Building Setback
Rear Building Setback
25 feet from front property line.
6 feet from side property lines.
15 feet from rear property line.
25 feet from front property line.
10 feet from side property lines.
15 feet from rear property line.
25 feet from front property line.
7 feet from side property lines.
— 15 feet from rear property line.
Battlement Creek Village, Section 1
Front Building Setback — 25 feet from front property line.
Side Building Setback = 10 feet from side property lines.
Rear Building Setback — 25 feet from rear property line.
Adapted and EfjecmeApr016, 2002
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