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
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2 ) /97