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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8°h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 ,)UN 2 6 2017 www.garfield-county.com TYPE OF. CONSTRUCTION ❑ Commercial/Multi-Family ❑ Manufactured Home (Single or Multi -Level) BUILDING PERMIT APPLICATION n Residential (SF, Duplex or Townhome) D Demolition ❑ Reroof INVOLVED PARTIES Property Owner: EL& 09411 q ka .3I'/- Phone: (_I) 9 3 "3 9S-421 Mailing Address: P Q. /.Qac// / I (moi +E tiotl/0 /9 e d /Cr Email Address: Contractor: 614P _ C SP�tiC _ Phone: (q7-0 ) 6i --2 $L Mailing Address: F,() Rol- 439 /,7 13A4# e.o PE Email Address: f 65 L i J &- o AA Architect: Q(1(1)/VR_ Mailing Address: Email Address: Phone: ( ) Engineer: Phone: ( ) Mailing Address: Email Address: Manufactured Home Installer: Phone: ( ) Mailing Address: Email Address: 1 PROJECT DETAILS Describe Work: c)/(),S-4../64-2:54,/ Job Address: ' `Z 5— 11 Z 7 D. C I42& JLJ C S51 6 23 Assessor's Parcel Number: Sub. 731 - 2 31 -oc5 -ijbS Lot Block Owner's Valuation of Work: $f q `5f 0 00, Sq. D— Sq. Ft. of Building: 2., C O' Height: 2 S Property Size (Sq. Ft. or Acres): 1 b 15C 2S5 Class of Work: New ❑ Alteration 0 Addition Garage: El Attached # of Floors: Repair pDetached ❑ Move/Relocation PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: OWTS ❑ Natural Gas Exempt 4. Propane [J Community El Electric Other 1 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 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. 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 I 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. e4 .S'f JCe c_ ,4 Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: loa4 Irliptof gek_ (Vet 3t c * ct) dusted Valuation:/Ian 1%24A.00 Check Fee: `€& ,70 Permit Fee: `.�6J324.i5 Manu home Fee: ]� Misc Fees• 23650® Total Fees: 9.204.65 Fees Paid: 4864.39 B lance Due: % I, 2.0.5l BP No: OWTS No: 511 S,-9PT= 4 S backs: r7R=2`�, 9=10 OCC Group: Y. Const Type: Z'Q.G Zoni g: BUILDING / PLANNING A11! ' Ii ,. DIVISION : I 721/2017 Signed App • Date a.rd Lv 2CD•I1- # 1k.0ci and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. gLOA Nok w, s p6IYG6 sfr( Ian //7 Property Owner Print and Sign Date C. Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: Project Address: Subdivsion: Phone: Lot: Block: Type of Space Square Feet Valuation Finished Living Space (N/A for Manufactured Homes) 2.006 $74:68 Unfinished Basement Septic Fee (OWTS) $41.00 Crawl Space Alteration and/or Repair ($75) $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) — $32.00 Garage (Unconditioned) — $24.00 Covered Patio/Deck Ll q 6 $18.00 Uncovered Patio/Deck JO ro $12.00 Misc: $0.00 Misc: $0.00 Manufactured Home Set -Up $0.00 Fee 'Single Level ($400) $0.00 $0.00 Multi Level ($600) Septic Fee (OWTS) $0.00 $0.00 Alteration and/or Repair ($75) r+r. Septic (OWTS) $0.00 Plan Review Fee Fee $0.00 New Installation ($123) $0.00 Septic Fee (OWTS) $0.00 $0.00 Alteration and/or Repair ($75) $0.00 Perculation ($150) $0.00 •Illii- 111111 This Section Determined by Garfield County $0.00 Plan Review Fee 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 $0.00 $0.00 ***All fees are estimates until final plan review is completed*** Garfield Coe szy Building/ Zoning Plan Review Checklist Permit Number: 0i,RE--Oco-17- 46os SGPT 0&- (7- 41G04 Building x Engineered Foundation Driveway Permit X Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List N/A N/A Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions z Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter— Manu. Homes Soils Report VAdr%ch`ah ��a14x`374.(,6= 150).10D. 31-4x 4 16.00 = 0 lob 120. 1,43x 12. dO = 9 1)7149. Toted s 1Sej12z{I. Planning/ Zoning Property Line Setbacks N/A N/A 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues NJ1A Subdivision Plat General Comments: IAA/ gt9i4i4A cC • (Ayr(Arrif 9i dice. 1) 002 1)012 909 -Total 2)014 couv4' PorclA tai 00u . P1. 314 143 Rct4 I rn pa ct Ete 5 2) 345. (E-A' o.9 I'G-f