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Home My WebLink AboutApplication.44 4 1 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.Rarfield-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION O Commercial/Multi-Family 1 0 Demolition O Manufactured Home (Single or Multi -Level) O Residential (SF, Duplex orTownhome) 0 Reroof INVOLVED PARTIES Property Owner: ‘S ---E ft . (A-) a[Lc__ lc Mailing Address:l . 4e e. Email Address: 1Y1� Lt] & I ( a G[C 61 Phone:A - QQ �, ,c Cv Contractor: Ok.e.a"c7.5S ty-), Mailing Address: Email Address: one: ccsr Architect: Phone: (__) Mailing Address: Email Address: Engineer: Phone: ( ) Mailing Address: Email Address: Manufactured Home Installer: Phone: (_) Mailing Address: Email Address: PROJECT DETAILS Describe Work: 24 OA—, E etcC s SC' + t/ �tk 1.t) d �• y /4iZ'a �� ( Job Address: ifeSt— Ch Al e. Q ,1p•( 1r Co suAssessor's Parcel Number: �� Block � c ry "F1 Ty el' Owner's Valuation of Work: $ i, 0/ on) Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:4/`G ' 71 eight: / ' # of Floors: 1 Class of Work: Garage: W./Attached Attached ® Alteration ' 0 Addition ❑ Repair ❑ Detached 0 Move/Relocation • i_�i��,'i':1r=..s.'-:.':•-,'•:.iti': •.i.VT.'vi�e-::::i:rr:L' Septic: 121 t7trrfl S Type, of Heat; 0 Natural riaS : Cd Prupcare I;ive'wrrdy Permit; m Exempt %•err.: 0 Community' el Electric Ia Other p Permit It: truthkty, Ibis application fora Building Porn?it roust he signed by the Owner or the property, described allow, nr an irUthniiistil agent. If the signature below is not that of the Owner, a separate leiter of authority, signed by the Owner, mute be provided win, Urls Airpriwtion: 1_0;al c411,1, A Building permit cannot be issued :iithmrt proof oI legal and adequate access to the properly fair i purposes of inspections by the rlui)4ing Oleisbiir, Outer t_'_e_tna , Multiple separate permits May be required: (1) State Electrical Perznit, (2) County UW'M PeCrnitr - 13) another perrnit required Ib, use on the properly identified above, e.i;. State or County Highway/ Road AcceSS yr a State Wastewater hiss barite Perron. • Vaitf Permit, A 8uriding Permit becomes null and void if the work authorized is not commenced within 11O days of the date of issuance and it work is suspended or abandoned fora period of 180 days after commencement, •rt. _ _ _ .i- �:, ��::.: •_•�.-ti..�.., cam.}5:: �.. �Y<��n�ni 1. - { ..-?� :.ri'..- ..f:>• ane. -.l I hereby certify that I have read this Atrplle?llien and that the information contained above Ii true rind correct I understand that the [tinkling rilyeann accepts the Application, along with the plans and gratifications and ether dat,% submitted by me or on my behalf 'submittals), based upon my certification as to accuracy. ASsutnine completeness of the submittals and :approval of this Application, a Building Permit will be issued granting Iernlission to me, as Owner, to constrtlrt the structure(s) and facilities derailed on the 3Ubrritttals reviewed by the Rtrilding flivisinn. In (unsirleralion of the issuance or the. Building Permit. I agree that 1 and my agents will c.zmpiy with provisions of any leder aI, state or local law regulating ChiietwOi l; earl the Garlield County Buitditrg Code, OWTS regularinnt.and igrpli:abk land use regulations (county rCrgulatlonls})• 14-.,wwledge that the Building Permit may tie suspended nr revnl..d. upon notice from the County, if the location, construction or use of the structuress) and r$rtlityricsl r/eirnbed above, are not In compliance with County Reeulat{onls) or any other Applic:;hle law. i i hereby grant permission to the lturldiny Division to enter the property. de crhert above, 10 inspect the work. 1 further .►cknowtcdge that the issuance of lho Mating Pi irnit does not prevent the Building Official from: (1) requiring the rerreclirsn ul urrr?rs in the submittals, if any, discovarNd arias Ksu,inu:o; or (2) stopping • construction or use of the strurtulr:ls) w facility -Veil if such is in violation of County Regulaiion(S) or any other applicable law, Review of this Application, inctuding submittals, and InSpeCNons of the work by the Building Division do not constitute an arceplence of responsibility or liability by the County of errors, onilssdanc or rfiScrepdncies_ Ai the Ownr'r, 1 arknowledee that responsibility for compliance with federal, state and lora, laws and C:utinty Regulations reit with me and my Allllioldiert agents. Including without limitation my architect designer, engineer and/ or builder. 1 hereby acknowledge that I Kaye read and understand the Notice end CertIflratloo above, as well es, have provided the required Iratnrntatinn which is correct and accurate to the best of my knowledge. 0.►n._ 14(al Property Owner Print and Sign 3/ - j17 - Date Special Conditions: lusted Valuation: 451 WOO .00 4'445.53 'tasks; FM=26143=10 Ilan Fere 2fti F spall: x0335 _Diplance Due: c,3 I ,5'T UCG Group. I I G BUILDING / PLANNING DIVISION : •__ _ _• Signed Approval PD.t '{11o3 M1 / 1144 410411— Manu home Fee: Roadiodtcif LE -00 Ptgfr►ct) Mise Fees` s724,. pp Const type. f R G $a.00 $0.00 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.Pa rfield-coLI ntv.carn BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: tfijj/a tPhone: 6,0 - • 31 f 7 c ° Project Add res : ! r 4:61e 4n C& ogaie co Subdivsion: ethetsig4 Rao ' .c Lot: _ Block: ';!',:,f --,;.k :t'; 1 $quare Feet. Valuation VP Finished Living Space (N/A for Manufactured Homes) 7S-0 11 7 $74.68 Unfinished Basement $41.00 Crawl Space $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) $32.00 Gara:e (Unconditioned) $24.00 Covered Patio/Deck $18.00 Uncovered Patio/Deck $12.00 Misc:$0.00 _ Misc: $0.00 !..tai Valuation $0.00 Single Level $400) Multi -Level ($600) Total Set -Up Fee New Installation ($123 Alteration and/or Re air ($75) Perculation ($150) otal Septic Fee $a.00 $0.00 $D.DD This Section Determined by Garfield County Plan Review Fee Building Permit Fee Manufactured Home Set -Up Fee Septic Fee (OWTS) Other (Ex: Road Impact Fee) $0.00 $0.00 $0.00 $0.00 $0.00 Total Fees Due $0.00 ***All fees are estimates until final plan review is completed*** East Benefit District GARFIELD COUNTY Road Impact Fee Calculator Choose a Development Type Residential Choose the Square Footage of Finished Floor Area K= 900 Enter the Location [add0055 or PIN) 95 ELK RANGE RD Fee Info PIN 239117401038 Address 95 ELK RANGE RD District East Benefit District FPC $726 C ear Fee Schedule Questions? Contact the Garfield County Community Developrnent Department at (970) 945-8212 Fres eItertrve January 1, 2017 (—la41 rwcy, rCl t rreerrisr CIS t g 7412 Sam Wallack — Panorama Ranch, Lot 38 EXISTING RESIDENCE + DETACHED GARAGE 95 Elk Range Road, Carbondale