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HomeMy WebLinkAboutApplicationGf,�E� stomunity Development Department `1Q1m.0108 8" Street, Suite 401 CO - rO 4' iwood Springs, CO 81601 FAL -40- (970) 945-8212 G¢. ��N� www.garfield-county.com CO" Garfield County TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family BUILDING PERMIT APPLICATION ❑ Manufactured Home (Single or Multi -Level) g. Residential (SF, Duplex or Townhome) INVOLVED PARTIES 0 Demolition 1 ❑ Reroof Olq 454- X21 Property Owner: r (rE.L [ C . W vu,i A rkS /+ Phone: ( ) Mailing Address: (43 50'1&s LANE ` f\?-?;oND't r Co V623 Email Address: 141 1= - - f- IN 11- I A M -S e c-i-pkpoL. (O M Contractor: ( I EL wth,t A rt3 Phone: ( °I 11) 1$14 - qb2 Mailing Address: (43 50erAs (A4`4: r co 1t6 25 Email Address: KIEL- . F LJ 1 L -L( /! &5 ? & A4M L - CO /v, Architect: 1306 MAI)cI`ra-ia n (-1-) Phone: ( 1161) ‘.6o 6183 Mailing Address: S4 Ivz,ttrnE.tiN[Tec DR . t�'ibt4 IFQ (sSL-t S C- 2 2-6 Email Address: AlA/��sArcT -c oL 03M Engineer: go l3 »k xt f ER Phone: ( ' ` ) 66o - 6 1 3 Mailing Address: S9 C4(4.4.E_IOoD OIL pp HIi✓"roi-.t' ok. 13Z_hNf7 Sc 7619Z6Email Address: MAYA (2 -CA -ECP A et -- Manufactured Home Installer: 14174 Phone: ( Mailing Address: Email Address: PROJECT DETAILS Describe Work: 141‘)Patti iJS'T�'V Cil O rV Job Address: 1 -OT 71 ^/ 4 Lp 0 R tr-L gQ. Assessor'sr'Parcel Number:] 2 393- 2g y -160- C.Zq Sub. IOL_kOc I a f, 1 Lot 2-I Block Owner's Valuation of Work: $ 10 2.0I . 40 Property Size (Sq. Ft. or Acres): • 3 S 1 A Height: 2L L -'X # of Floors: CA 0*-'n/Ci. , e Sq. Ft. of Building: q f 3-1 1 Class of Work: 14 New ❑ Alteration 0 Addition Garage: Attached ❑ Repair ❑ Detached Move/Relocation PROJECT DETAILS CONTINUED Septic: OWTS Type of Heat: Natural Gas gl Community Propane ❑ Electric Driveway Permit: gExempt Other D 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. I—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 i correct and accurate to the best of my knowledge. q rIEL F. W3�uIRP'�S I A0444 r1 (�i Property Owner Print and Sign Date f OFFICIAL USE ONLY Special Conditions: it--LIYT-Y 1� L)/4c4 Y L-ayNTLLta off !,t JvUz -. cc 1X tJ4 Manu home Fee: �.{' Adjusted �[��ion: V Total lFees: 3321,37 r,) Setbacks: 30 25g frit /D S/0) Plan Check Fee: 13-08‘64z Permit Fee: Zalz.95' ,Coric-76_LtZ) 1Milisc Fees: Fees Paid: Balance ue: I316'621 f . 75— Const Typ M-5410 OCC Group: �. BUILDING / PLANNING DIVISION : OWTS No: Cohnhlun cionorl Ar,nrnvnl Zoning: 1 AD _ 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:I Jt („ (,,� f� P �� Project Address: Subdivsion: f {DLA -00 Po „yr Phone: 227• 2-361 3 -- 2i j_ 14_ 021 Lot: ZR lock: Type ofSpace Finished Living Space (N/A for Manufactured Homes) Unfinished Basement Crawl Space Garage (Conditioned) (i.e. insulation, sheetrock) Garage (Unconditioned) Covered Patio/Deck Square Feet N/P 1,10LI 3o0 Valuation MEWS $74.68 $41.00 $18.00 $32.00 $ 24.00 $18.00 Uncovered Patio/Deck Misc: Misc: eital Valuation $12.00 $0.00 $0.00 r., Maliafidi fed HomdSet 1.1 Single Level ($400) Multi -Level ($600) Feer $0.00 $0.00 Se . tic:(CWi'S New Installation ($123) Alteration and/or Re•air ($75) Perculation ($150) reigu $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 $0.00j ***All fees are estimates until final plan review is completed*** f;r.r•/ic•Irl (-2J,,rlj.' Btaiiciiiii L'111101:'1]5-. Permit Number: ��-IB- '4'9p ildin Planning/ Zoning Engineered Foundation _CLL`___ Property Line Setbacks _— — Driv way Permit �' 0 ft. Stream Setbacks Surveyed Site Plan gYt Flood Plain _U4.5 ufic Permit and Setbacks 0 k ' Building Height Z ing Sign -Off Attach Residential Pian Review List mad Impact Fees division Plat Notes ,{/ Grade/ Topography 40% 4 Fire Department Review E 62,Planning Issues ation Determination/ Fees — Subdivision Plat Line Plans/ Stamps/ Sticker Attach Conditions Grad • Topography 30% Application Signed Pjan Reviewer to Sign Application Parcel/ Schedule No. g.P 40#Snowload Letter — Manu. Homes ty Soils Report General Comments: 23)0 74 Qld X 71, 68 I I Of x 3 2 3e0 ° 1;91015 Z )72 ,S 107, 7.S 7 3g, 328 ^�. s4cc 2 ) /97