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HomeMy WebLinkAboutApplicationHeight: 14i J" # of Floors: Alteration Garfield County RECEIVSTunity Development Department 108 8;'' Street, Suite 401 JUN )) ? Al 9Ienwood Springs, CO 81601 GARFIELD COUNTY (970) 94S-8212 COMMUNITY DEVELOPI'garffeld-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family ❑ Demolition ❑ Manufactured Home (Single or Multi -Level Residential (SF, Duplex or Townhome) ri Reroof INVOLVED PARTIES Property Owner: Mailing Address: Email Address: rez, Phone: ( ) 09 fl 4 1 s_uC &'CO$1� .to. 1. CO�— Contractor: dr,>I-NPhone: ( Mailing Address: Email Address: Architect: l . ► C/ O L 541.41Q )t. Phone: ( )3CC-8C3° Mailing Address: 5© 'Tr 1 ° Dr("(tT e . CO alzO Email Address: . Sil'i•A J 0/} -ti . �! �'r �f '\r-; Engineer: / /'L Phone: ( ) Sb�y�cC9 d Mailing Address: O Tripp Dr- . /2:'7 ( , Co 81C C Email Address: .Sr i.A.C4;0f. zti... ( 1Q)ir1e,e,4)?r- ; ` • COrA—/ Manufactured Home Installer: A/A Phone: (__ Mailing Address: Email Address: PROJECT DETAILS' 7 f L j Describe Work: /V�ti) H ,$ icIei#10 -1 o'wc f f�itii Lt Job Address: I ( 5.0 Six Assessor's Parcel Number: d_U1 9 Sub. Owner's Valuation of Work: $ Sq. Ft. of Building: Class of Work: Garage: 3y3:3 !L p.JJe r..L-itt, CO I.C44- 43c »-2-5 C Ste,/ /Z g� ots L Lot m. Block A VAScC-��d-► ��sf•S� 1 :5f..,1 f4 Property Size (Sq. Ft. or Acres): 110 0....0MS I�New LJAttached ❑ Addition J I ['Repair ri Detached ❑ Move/Relocation c'44 Pte, PROJECT DETAILS CONTINUED -~ Septic: -12KWTS Community Type of Heat: • Natural Gas Propane LI Electric Other_ (,`?�� Balance Due. �2)7ri. 47 Driveway Permit:xempt NOTICE OWTS No: U Permit #: Setbacks: I I2¢ 25 (3v 10 OCC j la' J Authority. This application for a Building Permit must be signed by the Owner of the property, described above, If the signature below is not that of the Owner, a separate letter of authority, signed by provided with this Application. Permit cannot be issued without proof of legal and adequate access to the property for by the Building Division. separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, for use on the property identified above, e.g. State or County Highway/ Road Access Discharge Permit. Permit becomes null and void if the work authorized is not commenced within 180 days and if work is suspended or abandoned for a period of 180 days after commencement. or an authorized agent. the Owner, must be Legal Access. A Building purposes of inspections Other Permits. Multiple (3) another permit required or a State Wastewater Void Permit. A Building of the date of issuance CERTIFICATION I hereby certify that I understand that the data submitted by me completeness of the permission to me, as the Building Division. comply with provisions Code, OWTS regulations Building Permit may of the structure(s) and other applicable law. I hereby grant permission further acknowledge requiring the correction construction or use of applicable law. Review Division do not constitute discrepancies. As the and County Regulations designer, engineer and/ have read this Application and that the information contained above is true and correct. I Building Division accepts the Application, along with the plans and specifications and other or on my behalf (submittals), based upon my certification as to accuracy. Assuming submittals and approval of this Application, a Building Permit will be issued granting Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by In consideration of the issuance of the Building Permit, I agree that I and my agents will of any federal, state or local law regulating the work and the Garfield County Building and applicable land use regulations (County Regulation(s)). I acknowledge that the be suspended or revoked, upon notice from the County, if the location, construction or use facility(ies), described above, are not in compliance with County Regulation(s) or any to the Building Division to enter the property, described above, to inspect the work. I that the issuance of the Building Permit does not prevent the Building Official from: (1) of errors in the submittals, if any, discovered after issuance; or (2) stopping the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other of this Application, including submittals, and inspections of the work by the Building an acceptance of responsibility or liability by the County of errors, omissions or Owner, I acknowledge that responsibility for compliance with federal, state and local laws rest with me and my authorized agents, including without limitation my architect 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 Ctwner Print and Sign 6—C X19 Date OFFICIAL USE ONLY c:ice 6, /(A j ` q „ �! 1 D *.;l o Qtt / `7 Special Conditions: RIKA! e( P Z: (CnI ak deet) Adjusted Valuation: 0,14�i•DO Plan Check Fee: $1X23 P rmit Fee: `,�2�3�3:35 Manu ❑ e Fee: N . Misc Fees: et1�81I•00 Total Fees: 4314360' 53 Fees Paid: i 1130. n� Balance Due. �2)7ri. 47 BP No: 1t1. -12r- - 548(D OWTS No: 5FM- X5-8 7- Setbacks: I I2¢ 25 (3v 10 OCC j la' J Con T pe: Zonyr : �� BUILDING / PLANNING foid. DIVISION : I e:...,. ,..i n...........,1 r i Gsii:varfield County J 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: Corey DePaolo Project Address: TBD CR 311 Su bdivsion: Phone: Lot: N/A Block: N/A Type of Space Square Feet Valuation Finished Living Space (N/A for Manufactured Homes) 2500 $74.68 Unfinished Basement $41.00 Crawl Space 1250 $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) 900 $32.00 Garage (Unconditioned) $24.00 Covered Patio/Deck 250 $18.00 Uncovered Patio/Deck $12.00 Misc: $0.00 Misc: otal Valuatio $0.00 $2+42,500.00 Manufactured Home Set -Up ir Fee - -, Single Level ($400) - $0.00 Multi -Level ($600) $0.00 $123.00 Alteration and/or Repair ($75) $0.00; a Set -Up ": Septic owimuniim. ir by Garfield County Fee - New Installation ($123) Building Permit Fee $123.00 Alteration and/or Repair ($75) $0.00 Septic Fee (OWTS) $0.00 Perculation ($150) Total Fees Due $0.00 TIC II.Se=tic tee - - AL ***AII fees are estimates until final plan review is completed*** This Section Determined by Garfield County Plan Review Fee Building Permit Fee Manufactured Home Set -Up Fee $0.00 Septic Fee (OWTS) Other (Ex: Road Impact Fee) Total Fees Due •_ _ _ _ - _' $0.00 ***AII fees are estimates until final plan review is completed*** 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. ag,4- cc/ 0.)LL Propertwner Print and Sign Date Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEWCHECKLIST Permit No: eixE-w-ia-slam Building Issues Planning/Zoning Issues 7 Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% 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 N/a N/a 7 1•!/A Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report GI/twiwwrr g91 AAA u Cr wl pAce avoap peek - aur pert - 139 e f 3D X25 33D 330 310 N/A N/A Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues N/A Subdivision Plat General Comments: Road (apt F.cc (*that ► c i *iG`+ �lal��i0v, s 11•S bo e 71.6 - 4 2-461 }. x 32.00 cb 20) 000. x 4 16.00 = 1.'1.410. x $ 16.00 = 5114b. x 1g.00 = 15g09, ` (-Al = 4 Iq1. 00