HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
D
Glenwood Springs, CO 81601
RECEIVE (970) 945-8212
www.gar fl e l d -co unly. com
pp7 110
5�2 + ° 1piRUCT1ON
ARf`e� g�tiiwulti-Family
G �olocv, nal T; ufactured Home (Single or Multl•Level}
co
., Residential (SF, Duplex or Townhome)
[] Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
=Demolition
= Reroof
INVOLVED PARTIES iy Q (,e,, y �1(� �} V j� f r
Property Owner: I� A V& US ' lJ I�VV • I} -y 1 Phone: (CI L 2� ( S o T
Mailing Address: -S C. �v SO?RAS L-1 ft�L� t 3i1 SALT, co 3 1 (21
44 w.
Email Address: vICLetci k /`� - - L:'_`r C.0 M CCAS+ - d
Contractor: '11377
Phone:1_)
Mailing Address:
Email Address:
Architect: / .01 1 Ec V hone: (qv F 1v4 t -
Mailing Address: a 0.11)1/4-1A / h
Email Address: � PACE -4E- CLC) q.:i �F� �• �t)"��T Ut J1
Engineer: 0;--L.t - CNT-5 hone: (4‘11) eV,/
Mailing Address:
Email Address: }s�`7..I'( N1 E ,� `t�LLI—An G' Ll'3�l MLe Yint 1.s
Manufactured Home Installer: i3 s- Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: > �S�c f X•' OA '7=-4 c-rPs `it 1 L
1
Job Address: t -i Et \y - F
Assessor's Parcel Number: Z -51'5 t9 I, O1 . t 7 2c-,—
Sub. 44_ Lot Block
Property Size (Sq. Ft. or Acres): A•
Height: 1.A # of Floors: Z�
Owner's Valuation of Work: $
Sq. Ft. of Building: 44-7.7-r..)-1
Class of Work:
Garage:�ttac
Remodel/Alteration
Addition
Detached
PROJECT DETAILS CONTINUED
Septic: }sik7wrf, Community
Type of Heat: Natural Gas j� Propane Electric ❑ Other
Driveway E_xemol L I ❑Permil#:
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 leiter 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 idenlified above, e.g. Slate or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Vold 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 fur 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
thr' Building nivision. 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 Cnunty 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
vision do not constitute en acceptance of responsibility or llahilify 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 r ired information wh�Ch Is]correct and acurate to the hst of my knowledge.
t0(�S ���1��
•
Property Owner Print and Sign
Date
OFFICIAL USE ONLY
Spe al Conditl ns:
4Gd
Re/A-A ibm61
4� 149f of GOIiyilfiOW3. (� Pigivt[c{)
JUI) ted �Or `iu'� I dfi
an Cbeck Fee:
�� �Q
Pgrmit Fee:�?
2 332.1 '
Manu. Home Fee:
Misc. Feels -21-7o b
1;qtal Feu:
V 44445.0/
Fees Paid:
167-3.1'%
4'3324.67
Br
OINTS
l`T (po4
ge-WI;
Set cit1x hot,
OCC Group: I AGConst Tyyppel
1Rc
Zoning: pr
BUILDING / PLANNING
1
DIVISION :
I/55/2M
Signed Approval
Date
50.0C
50.Oc
. Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.ga rf ie I d-cou niv.com
BUILDING PERMIT
FEE ESTIMATE 4111`
laik WORKSHEET
Applicant: 1-t-►1/4Cc.4.Phone:
Project Address: (1.1C -
Subdivision: C'�a'�e►"�i�C� C• Lot:
Block:
type of Space
— Thts SeciTerl Udteritll `IaifMr11-!1' oli►lity—
Square Feet
Valuating
New Installation (5123)
$0.00
Finished Living Space (N/A for Manufactured Homes)
$0.00
'341 D
L -- 7 9
$71.68
Unfinished Basement
P
S0.00
$41.00
Foundation/ Crawl Space
• _—
'i—c: 4'"1
orbs-C fc
518.09,
Garage (Conditioned) (i.e. insulation, sheetrock)
i
4[% i .'i_C',
$32.00
Garage (Unconditioned)
Un
is
$24.00
Covered Patio/Deck
Z,C 1'
) -3 Z. .1:=.
$1&0O
Uncovered Patio/Deck
`M} 'Z._
T'2 a .((.
$12.00
Misc:
('0
1
$0.00
Mist:
Mao
I
`�L
IManufactured Home Set -Up
:Single Level ($400)
Multi -Leve! ($600)
Fee
Septic (OWTS)
— Thts SeciTerl Udteritll `IaifMr11-!1' oli►lity—
Fee
Plan Review Fee
New Installation (5123)
$0.00
S
$0.00
Alteration and/or Repair (575)
Manufactured Home Set -Up Fee
50.00
IPerculation (5150)
1--�
S0.00
$0.00
Tata! Fees Due
• _—
••'All fees are estimates until final plan review is completed***
— Thts SeciTerl Udteritll `IaifMr11-!1' oli►lity—
- —IIIII
Plan Review Fee
$0.00
Building Permit Fee
$0.00
Manufactured Home Set -Up Fee
$0.00
Septic Fee (OWTS)
$0.00
Other (Ex: Road Impact Fee)
$0.00
Tata! Fees Due
• _—
••'All fees are estimates until final plan review is completed***
Fe Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: 131-PZE - (2-141- f0'063
Building Issues
z
IVA
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
NVA 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
Soils Report
40# Snowload Letter — Manu. Homes
Planning/Zoning Issues
• Property Line Setbacks
NWA 30 ft. Stream Setbacks
N/A Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
Description & Summary:
M6 I1 I.tiv,tUt 110,W
TOtal RL% 2L(M &t,
12664.1 Npef ?a
(A,S+ Di 91'W G' ')
f2csi ► C4
G ktrevy.
63~4 pAtio9
U+n ca•/dr4;2- p t10
51.49
2�5 75
350
120
A 575
415
42)703 00
x 4 (08 - 92 )7701.
x $ 32 . DO s 71b) 320.
i4.00 3 4(//30.
r 5 14100 = 3 413`
x $ 12.00.
TH-41 = 433( 141. 00