HomeMy WebLinkAboutApplicationi
Garfield County
Community Development Department
108 8th Street, Suite 401
tion Q 4 11DEGIenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
0 Demolition
O Manufactured Home (SF or Duplex)
O Residential (SF, Duplex, or Townhome) ' ® Reroof
INVOLVED PARTIES
Property Owner: 5Ii& c:.3� ;�.} �„ Phone: (3c j ) cfoti l 511 ,6
Mailing Address; A/ 6-,54 ie fin
Contractor: 5c }-f 45 4.. Phone: ( )
Mailing Address:
Architect: Lee k `i r" .II I let i r r f Phone: (
Mailing Address: P. c IS051 J O I-,rv, t=:4 \ L A� 9.S
[Engineer: j c; f c-4.5 , yr r cf 5
Mailing Address: +! )(,,ire -
i
i ;— to
Phone: (0 1 g5 17 7 cJ
Manufactured Home Installer Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: .# 1
�rti r1' ,5;e►
Job Address:
Cr t. J 1 , _c,, )e Co 1 g-)
Assessor's Parcel Number: dl?`i k L CC L 1 bub. Lot Block
Owner's Valuation of Work: $ Property Size (Sq.Ft or Acres): 7S, .,L.-r-
Sq.Ft of Building:
Class of Work:
or -Garage:
Septic:
Type of Heat:
_ 3 _ Height:
# of Floors: [ ':j L, Adl. jt,c,n;
New f 0 Alteration
0 Addition
0 Attached
❑ Repair] 0 Move/Relocation
O Detached
ISDS
0 Natural Gas
O Community
. Propane 1 0 Electric
0 Other
Driveway Permit: 0 Exempt
O 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 ISM 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, ISM
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.
1 hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the requi ed information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
Date
OFFICIAL USE ONLY
Special Conditions:
OrftOfriff40 Acfhorititflovl frowi difc%I co. ohr:vxmiti Ct►o S9;14, .
Adjusted Valuation:
42l (037.
Plan Check Fee:
I) 410 .2fi
Permit Fee:
2 aq 164.55
Manu home Fee:
�.
Mist Fees:
Total Fees:
04j ovi.61
Fees Paid:
* I I -V2
Balance Due:
21404 M
BP No'
ISDS No:
- /1-10,/
&pT LP -194 -
Setbacks:
FhR=21 9:10
OCC Group: R�
Const Type:
wo
Zoning:
g
BUILDING / PLANNING
1
DIVISION : ' 12/69 11
Signed Appro Date
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
Applicant: Shane & Sarah Smith
Project Address: TBD CR 311, New Castle
Su bdivsion:
Phone: 303-921-9118
Lot:
Block:
¶Type of Space
Square Feet-
Valuation IMINIII
$74.68
Finished Living Space (N/A for Manufactured Homes)
3836
Unfinished Basement
Multi -Level ($600)
$41.00
Crawl Space
3836
$18.00
Garage (Conditioned) (Le. insulation, sheetrock)
otal SepticFee° . '
$32.00
Garage (Unconditioned)
$24.00
C Ck k Pr) al-
384
$18.00
Uncovered Patio/Deck
300
$12.00
Misc:
$0.00
Misc:
$0.00
otal Valuatio -
$366032.48
Manufactured Home Set -Up
ThisSecttori Determihpdb-VGarfelda-1MT
Fee - -
Single Level ($400)
$0.00
$0.00
Multi -Level ($600)
—
$0.00
Total Set -Up Fe :
$0.00
$0.00
Septic (OWTS) - - --
ThisSecttori Determihpdb-VGarfelda-1MT
Fee - -
New Installation ($123)_
$0.00
$123.00
i Alteration and/or Repair ($75)_
$0.00
$0.00
Perculation ($150)
$0.00
$150.00
otal SepticFee° . '
$0.00
273:00
Plan Review Fee
ThisSecttori Determihpdb-VGarfelda-1MT
$0.00
Building Permit Fee
$0.00
Manufactured Home Set -Up Fee
$0.00
Septic Fee (OWTS)
$0.00
Other (Ex: Road Impact Fee)
$0.00
!Total Fees Due_
[. r
$0.00
***AII fees are estimates until final plan review is completed***
VALUATION WORKSHEET
Permit No:
Applicant
Address
Date
B LRE -11-16-4494
Shane & Sarah Smith
TBD County Road 311, New Castle
12/5/2016
RESIDENTIAL PROJECTS:
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 3,395 sq.ft
Upper 410 sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 3805 sq.ft
Total Valuation
Basement:
Unfinished Basement
Conversion of Unfinished to Finished
Other
Total Valuation
Garages, Pole Barns & Storage Buildings
Conditioned Garages
Conversion of garage to finished living
Carports
Other
Total Valuation
Crawl Space
Total
Valuation
Covered Decks, Porches & Patios
Open Air Decks, Porches & Patios
Other
Total Valuation
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq.ft X $24.00
sq.ft X $32.00
sq.ft X $56.68
sq.ft X $18.00
sq.ft X
3,395 sq.ft X $18.00
765
300
COMMERCIAL PROJECTS:
Type of Construction:
Occupancy:
Total Valuation
sq.ft X $18.00
sq.ft X $12.00
sq.ft X
sf X
sf X
sf X
sf X
sf X
sf X
Not Applicable
Not Applicable
Owner
284,157.40
0.00
0.00
61,110.00
17,370.00
0.00
Total Valuation 362,637.40
Garfield Coanhv J
1111 Zoning Plan Review Checklist
Permit Number:
131-F-6- I I - 1 ' 4
SpT- it—IV-441415
Building Planning/ Zoning
/ Engineered Foundation 7 Property Line Setbacks
f Driveway Permit / 30 ft. Stream Setbacks
X, Surveyed Site Plan Flood Plain
/ Septic Permit and Setbacks / Building Height
f Grade/ Topography 30% 1/ Zoning Sign -Off
/ A Attach Residential Plan Review List tv/A Road Impact Fees
NIA Subdivision Plat Notes Grade/ Topography 40%
0/A Fire Department Review ! Planning Issues
/ Valuation Determination/ Fees NSA Subdivision Plat
/ Red Line Plans/ Stamps/ Sticker
/ Attach Conditions
/ Application Signed General Comments:
Plan Reviewer to Sign Application 104 iy11 9k4ii
� 1�33�5
Parcel/ Schedule No. MU14 •�tlti t
40# Snowload Letter— Manu. Homes (iltrAf (4,V
'c1 I 410
,/ Soils Report
7D#Gt1 3jeos
GOUM t - ratio 7(0.5
60vx,vot R d 9 306
cAfi gad •3a*