HomeMy WebLinkAboutApplicationPROJECT DETAILS
Garfield County
c8:40�A Community Development Department
!Cti
� g ' 108 8th Street, Suite 401
Glenwood Springs, CO 81601
' :4 \104 (970) 945-8212
1t1. '''°\V,;V, ws; www.garfield-county.com
GO
00 PE CIF CONSTRUCTION
0 Commercial/Multi-Family
BUILDING PERMIT
APPLICATION
0 Demolition
0 Manufactured Home (Single or Multi -Level
Residential
Duplex or Townhome) j ❑ Reroof
INVOLVED PARTIES 111111
Property Owner: G°� �` tCkS �l Phone: ( 30 ) 03 -- 'fy 2.Z
Mailing Address: 75 gAmoll ah 54 G(ekuuor(Spri), Ct 9/6.01
Email Address:
CaO •L)Li(•(t3 47 ?tW11. Lata
Contractor: 36" C s1S{ (tc tw1 (M(\ �1Iia) Phone: ('V O ) 3qzq5_
Mailing Address: Pc 13t Ns, C4�.
Email Address: fikree — y-- (c,AS #'r't,tc-tot' frISN. cow,
Architect: aork t•A G c.14:1.1- Phone: (q'4. 0) 4. 3 " -2.O
S \ $ C. d' Vt4-Gt \ (. ,4-01 C', (.6„,i-- .plc lei (..A
Email Address: WIGor% CoLArc C LACearCLt3TV c*A-r'te. Cover
Mailing Address:
Engineer: M c..Lack Baca (S+Atclso £tt7IHtefol) Phone: (R4o ) 3 66 - 10
Mailing Address: Sall N• 4%fitt4 if �r. Isla7 r (bel
S t p1K .
Email Address:
Manufactured Home Installer: _ Phone:
Mailing Address
Email Address:
Describe Work: 51 ke 1cte -1. twte
lLA ick Me c( , S
Job Address: (o3 L Ota 1-4161(c d Spin 6-lcvtwourt grr,,,q1 co 8(6e(
Assessor's Parcel Number:
Sub. (` A k I (LT 'DoW Lot LI Block
Owner's Valuation of Work: $
232iproperty Size (Sq. Ft. or):
Sq. Ft. of Building:' 3 5 3a Height: Z S # of Floors: 3
Class of Work: X New 1 0 Alteration 0 Addition ❑Repair 0 Move/Relocation
Garage: Attached 0 Detached
r2/
PROJECT DETAILS CONTINUED
Septic:
0 OWTS
Community
Type of Heat:
jit Natural Gas
0 Propane
0 Electric
0 Other
Driveway Permit: 0 Exempt
NOTICE
0 Permit #:
1
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 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.
Property Owner Print and Sign
DateV2.41 2..e• 17 -
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
�2 )7't7. b0
Pan Check Fee:
I1 85.11
rmit Fee:
Q,3�.35
Manu home Fee:
--
Misc Fee
�9 �g2.42
Total Fees:
4331034. f3
Fees Paid:
`VA . b4
Balance Due:
' I, GT041.$7
BP No:
OWTS No:
131,(Z�- 32
ST"- 1445?791'
Setbacks:
F=ro,Rr519=Io/ig
OCC Group:Const
IRS
Type:
��
Zoning:
p UD
BUILDING / PLANNING
DIVISION :
►' ie/2t/017
Signed
Appr , va
Date
M i p30.0(0, Cris 9"12a—
I vIvek et
Rr�
Fa p(4P
SIA
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.
C kd f(, c. r5 01. l
Property Owner Print and Sign Date
112
/2�l
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield county.corn
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: C }AAA eilogsc..1%i
Project Address: CST o IMio(fakI Sp't—
ubdivsion: (DeLV Mec.dotss
Phone: 393-5-03-5/92, z.
Lot: q S Block:
Finished Living Space (N/A for Manufactured Homes)
2• (94 2-
= ) gs; cog
$74.68
'Unfinished Basement
Multi -Level ($600)
326
: 13, Ito
$41.00
Crawl Space
$0,00
Sq%
= 6112
$18.00
Garage (Conditioned) (i.e. insulation, sheetrock}
$32.00
Garage (Unconditioned)
5 qt,
= 13, $24
$24.00
Covered Patio/Deck
$18.00
Uncovered Patlo/Deck
2'24
= 24,8'67
$12.00
Misc:
$0.00
IMisc:
$0.00
..
'
523210CZ r
.$0400
Manufactured Home Set -Up
Fee - - -.
_
Single Level ($400)
$0.00
Multi -Level ($600)
$0.00
1.
$0,00
New Installation $123
Alteration and/or Re•air $75
Perculation ($150)
Total Septic Fee
1
$0.00
$0.00
$0.00
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)
Total Fees Due
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
***All fees are estimates until final plan review is completed***
F r
�. =-1115-1 Cfrrrjiclrl C'urrrrr�
-
7I �J���rp� �•"`�°� I' r°� F) g-. it [.i S% 1:; ��l-`,.�r f•f 'l�.�Al ] �T
iL?��ftaillediaP, Irll'lii111Li' 1 }lL�lll 1su�:.tirL'.Vti! :v�ilil�'T
Permit Number: $Lt2-6-01-17-4832
Building
N/A
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
.07 Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
N/A
N /A 40# Snowload Letter — Manu. Homes
Soils Report
VAIlnaoioo -
x $7d4 .G6 z 4 1001 14/.
x �{ 1.00 = ' 11735.
x 132.00' 4) I€'O'j.
x $16.00 =91 411710.
x $16.000 c (°t Q40.
X 012.00 = 4 A2gb•
Tor At_ = 915O1-7017.
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
N/A
N/A
7
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
51 -
LO(A2tv c 4 t'i
Mid R.c9tol.e'm
Uppity Rt9i4f.A4ce
4332
1)113
(oScj
SobTotaI
V06144'91144-13914 •
Gnaw l spvtat
Camm-.44 DceiciPANO
coiw4- t tok
Ram I V i c4- -Fe g= 4 I) et42.12
(p -w oak 6414olows 91A)