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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