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Home My WebLink AboutApplicationCGarfield County Community Development Department RECEIVED 108 8th Street, Suite 401 Glenwood Springs, CO 81601 r E B 1 1 2020 (970) 945-8212 www.garfield-county.corn CaARFIELD COUNTY COMMUNITY DEVELOPMENT TYPE OF CONSTRUCTION n Commercial/Multi-Family BUILDING PERMIT APPLICATION El Manufactured Home (Single or Multi -Level) 11 Residential (SF, Duplex or Townhome) ]Demolition n Reroof rj Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES11- ' Property Owner: �e.G�r a l E 7t 1te(k /fia.S Phone: (`%O ) 313 -22.`nMailing Address: 1O1 W1,. c&I i rsP Race_ C kwao,Qciirys Cc '1:3‘.4‘Email Address: VtS10r�tsat�it S 2-015 w►,a�k• c,�, ll Contractor: v%SIOv t LLC- Phone: (170 ) 3143 / Mailing Address: fot lel 11:4 LDY'L- PL0.ce- Lz fiv�5 ( 'I,Cok Email Address: V ISIoK ) kCilltS Zotse_rA.L • Ca►AA LL L] Architect: Phone: ( Mailing Address: Email Address: ) Engineer: `�O1ve-r�AJI te_S r1� Phone: (II 7O) Co 1 - 770$ Mailing Address: (DM'(C7�}14:61k Std ` pur- o Cs.) Email Address: CAM- t f'NJOL--4 .0r3 Manufactured Home Installer: Phone: ( Mailing Address: Email Address: PROJECT DETAILS Describe Work: tie— 1661A slink. - ...;,t3 fr_S, de Job Address: q 1 Sock M`.ce__ C'1 S Q�. /1[��5 C `GO 1 Assessor's Parcel Number: Zir6- 53((- 116 - OI 7 - Sub. Sub. Fr w1i(e- 42.4c1,1 Lot ( Z Block C Owner's Valuation of Work: $ H OZI 5`lo • Oy Property Size (Sq. Ft. or Acres): 2- • t oD-� &c Sq. Ft. of Building Mr) 5 1o3 Height:2_41 -7" # of Floors: Class of Work: New ) Garage: Attached Remodel/Alteration Addition Detached PROJECT DETAILS CONTINUED Septic: []OWTS Community Type of Heat: T.2<, Natural Gas Propane [] Electric ❑ Other Driveway XExempt j` -'j Permit #: Permit: J 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. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I 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. 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. Wcctok. SRAks Property Owner Print and Sign F-EaRui4RY 31 ZoZo Date OFFICIAL USE ONLY Special Conditions: A I eA" fit, (e491- Pi 4) dusted Valuation: V40¢,1I37-.t Ian Check Fee: `91117010 P rmit Fee: 692j 711.15 Manu. H e Fee: I�� Misc. Feel: 120 os. Ob Total Fees: 4 , �► g5 Fees Paid:Balance 111114 Due: 4'2045. /1 BP No: OWTS No: SLIM- (,I13 cor1etuwCr[ Setba ks: PO4 sit/ l OCC Group: �G Const Type: G lZ Zoning: BUILDING / PLANNING DIVISION : 19-/2I 10.0 Signed Approval Date P11 4 Rid , 421iq, 2111120W LAC. Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, C081601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: 1. e . r kr-40_s Phone: (cRi:55 34 3 - 7-111 Address: tZ SovihSe Ce M &tem ..00k Si r► i S Co 4514o Subdivision: Saar M;ie. RcwicL Lot: l2 Block: Type of Space =___ Square Feet Valuation d Finished Living Space (N/A for Manufactured Homes) Lit/VD $74.68 Unfinished Basement 0 $41.00 IFoundation/ Crawl Space T 1 1 $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) 4;o b $32.00 Garage (Unconditioned) ca $24.00 Covered Patio/Deck p $18.00 Uncovered Patio/Deck y12 $12.00 IMisc: S0.00 IMisc: $0.00 Tatal Valuation 40Z,5 7 e. G. L1 `. I Manufactured Home Set -Up Fee 5i!i ,Ie Level ($400) $0.00 Multi -Level $600 $0.00 . $0.00 Septic (OWTS) Fee New Installation ($123) $0.00 Alteration and/or Repair ($75) $0.00 Perculation ($150) - $0.00 a ; al Septic-.. This Section Determined by Garfield County (Plan Review Fee Sub (Building Permit Fee Manufactured Home Set -Up Fee Septic Fee (OWTS) Other (Ex: Road Impact Fee) Total Fees Due 1714$ At $0.00 J. • r• $0.00 $0.00 $0.00 $0.00 $0.00 ***All fees are estimates until final plan review is completed*** PtAtki i7t .15G P1FM 12Cto.S5 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. t4Ec-mtz Ac AS Property Owner Print and Sign rte --L A.`c 3 2_45zc, Date Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: Building Issues / Engineered Foundation NSA 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 Parcel/ Schedule No. N/A Planning/Zoning Issues N/A N/A 40# Snowload Letter — Manu. Homes Soils Report 9,05111401= Arm Property Line Setbacks N/A 30 ft. Stream Setbacks Flood Plain Building Height / Zoning Sign -Off Road Impact Fees % Grade/ Topography 40% Planning Issues Subdivision Plat Description & Summary: ItUJW L1tLL i NlGtih I44/41 ; 21 I I5 4)6160 I) 0d Imp/f ei 42110.0 (,9+ ata ) Rclidimez estre,G Cvtw I spa_ (4 picoy.OteltIPAti x 32. pb 4 20) CCS. k 14.00 = ` I4)'4Z. x `b IC. to 4 1 irba0 . x co Imo Z (0) 600. `b 4O 137.00