HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8a' Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-county.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
INVOLVED PARTIES
Property Owner: id
Mailing Address:
0 Demolition
❑ Reroof
(eit . __ _ cA5,843 S'Ais Phone: 11 - Etta 5
4
Contractor: (1A u e 1 s
Mailing Address: # ,nk u ►et,
Architect: t
Phone: ) 1/9 - 1714,
1 A -kr jiA1'71s t` .42- L L/)
Phone:
Mailing Address:
Engineer: , tz_ F c r Phone:. 191615_-j4, 3.0
Mailing Address: ,• o,j ', Rd Lsq,i r rx
Manufactured Home Installer: 1[/1; -
Mailing Address:
PROJECT NAME AND LOCATION
q 4 ,t tg— 1
Describe Work:
Phone: ( )
Job Address: 7731)Si -,4 ka,JT2 /Li t S1 PIL L" 0 rg�/fo :2
Assessor's Parcel Number: l `7 .r1 =? 22l Sub. „14 f<], f f Jud j s,dfr3.ot , Block
Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres):J,Qft,`
i.5'7I 0. f
Sq. Ft. of Building: , '' Height: /Q # of Floors: e
Class of Work: Aleve 0 Alteration 0 Addition 0 Repair 0 Move/Relocation
Garage: Attached
Septic: OWTS
Type of Heat: I Natural Gas 1 f 0 Propane
-1)4
Driveway Permit: Exempt
O Detached
❑ Community
0 Electric 0 Other
❑ 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 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, 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 limitatron my architect designer, engineer and/ or
builder.
I hereby acknowledge that I have read and u derstand the Notice and Certification above, as well as,
have provided the required informatio
Property Own- er ▪ Print and Sign
V,Wrts y
whi is correct and accurate to the best of my knowledge.
Suss -a) Cfr 5
Date Date
OFFICIAL USE ONLY
Specie! Conditions:
Adjusted Valuation:
217, 279
Plan Check Fee:
13 66.61
Permit Fee:
2,101 .5s
Manu home Fee:
Misc Fees:
Total Fees:
344'3. Li
Fees Paid:
I l get (t(o
Balance Due:
21S4
BP No:
OWTS No:
13)/Re Li
5" PT 44
Mil /OR/A O
OCC Group:
/UC.
Const Type:
9. -AIC -
Zoning:
BUILDING / PLANNING
DIVISION :
AD 13 - 2.0/
Slgn. .I Date
uff- Z, 9/zo l f
CGarfield County
Building/ Zoning Plan Review Checklist
Permit Number:
bat:. 444
uiilding
/ Engineered Foundation
!�l r 4 • Driveway Permit
.,' urveyed Site Plan
Septic Permit and Setbacks
Gr de/ Topography 30%
ch Residential Plan Review List
Subdivision Plat Notes
. Fi Department Review
V cation Determination/ Fees
Red ane Plans/ Stamps/ Sticker
tt ch Conditions
Application Signed
Ian Reviewer to Sign Application
Parcel/ Schedule No.
0I*. 40# Snowload Letter— Manu. Homes
Soils Report
Planning/ Zoning
Dc ii Property Line Setbacks
grit 30 ft. Stream Setbacks
Kiri Flood Plain
ID t11 ./Building Height
`..-- Zoning Sign -Off
Hi' r' • RR d Impact Fees
Grade/ Topography 40%
at it Tanning Issues
V
Subdivision Plat
General Comments:
F
C FIALAS
COO
r /?
NI4cziCoptiA
/4„0,1
2578 x 74(28 =112,52
1[e ZS 2.4 =39, 0 72.
25 7 8 IL18 =44,404
137 zso2
93zyig ik77e
291,279
Gmail - Fwd: Driveway Permit Exemption Page 1 of 1
Sue Sakys <sue.sakys@gmail.com>
Thu, Jun 23, 2016 at 10:23 AM
Fwd: Driveway Permit Exemption
1 message
Chuck Sakys <chucksakys@gmail.com>
To: Sue Sakys <sue.sakys@gmail.com>
Forwarded message
From: "Jayme Conrad" <fconrad@garfield-county.com>
Date: Jun 22, 2016 10:49 AM
Subject: Driveway Permit Exemption
To: "David Bartholomew"<dbartholomew@garfield-county.com>, "chucksakys@gmail.com"
<chucksakys@gmail.com>
Cc: "Wyatt Keesbery" <wkeesbery@garfield-county.com>
Hi David,
A gentleman came in this morning asking about a driveway permit for a new property on South Meadow
(cdurc.Jc is TBD) He will not be accessing a County road and so is exempt from needing a permit
from us.
Please let us know if you have any questions or need anything else.
Thank you,
Ja yme Conrad
Garfield County Road andBridge
Administrative Assistant
0298 CR 3.33A
Rifle Ca 816500
Phone 970-625-8601
Fax 970-625-8627
https:/rmail.google.com.I maillull /?ui-2&ik=99bc72ca74&view=pt&search=inbox&th=155... 6/24/2016
reGarfield County 1
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
_ BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: av;dAs (e Luc i") SAk S
Applicant: X5/-7 -Y�
Project Address: 3 -1-BD 5 . eAdou�J B.1 Si if g CO �s/la 5Z
Subdivsion: Sc.c e. do Sfp_f cS Lot: �3 Block:
tri e'oftidal
.!riquari tea
Fee
Valuation.
Finished Living Space (N/A for Manufactured Homes)
�ti
i
$74.68
Unfinished Basement
1 8
0
541.00
Crawl Space
0
$9.00
Garage
/ , in 2 Z
--g—'
VI 27
$18.00
Covered Patio/Deck
,r , rj /
0
16 WI
$24.00
Uncovered Patio/Deck
1
0
512.00
Misc:
0
$0.00
Misc:
0
$0.00
Horrie'
fi�Aenu1'actir -� Set -Up
Fee
Single Level (5400)
$0.00
Multi -Level ($600)
$0.00
Perculation (5150)
-
1 8
.$7117)7a
f=ee•
i 4-6
50.00
New Installation ($123)
Alteration and/or Repair ($75)
$0.00
Perculation (5150)
-
1 8
$0.00
This Section Determined by Garfield County
Plan Review Fee
$0.00
Building Permit Fee
$0.00
Manufactured Home Set -Up Fee
$0.00
Septic Fee (OWTS)
$0.00
Other (Ex: Road Impact Fee)
Total Fees Due
**All fees are estimates until final plan revsew is completed***
$0.00
$0.00