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Home My WebLink AboutApplicationC\::' . Garfield County Community Development Department RECEIVED 108 8th Street, Suite 401 Glenwood Springs, CO 81601 �� (970) 945-8212 fr� 1Ev �� pa��ww.ga�eld-countym Cp GARCOOW 1 TYPE OF CONSTRUCTION = Commercial/Multi-Family Manufactured Home (Single or Multi -Level) BUILDING PERMIT APPLICATION Demolition ® Residential (SF, Duplex or Townhome) Reroof 0 Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES_ Property Owner: rAvt-S .&t' .Y tir f.A.L_ C.v iw.3 Phone: ( 43 ) 7 2 q .- o S Mailing Address: Zt 8 E ICs+-I ti3 375.- C-Ar-abN17 to4►.-C )CO $I623 Email Address: Abezi 7>EOPI.B, eO►AA Contractor: W RAJ Mb WOfetc(►n-5l# rr W 1+!TAW- ( co 9 C X ram (2 b eno b 2 u,J g.'kJ 3.( t\]TYLMNIL .eGM Mailing Address: Email Address: Architect: D ESiesaauDogRs ! NG Phone:(1D) Z1`i-5:0.11'L Phone: ( S T0) c0+8-OISt O Mailing Address: 1).. Q. 30X l 'ZZ LI PE-., CO 81 oI 2.. Email Address: 'g-Ng- (CA -• DE-5 1 k71.4 01~1GS , t'.UA/► Engineer: Sri-keEZ.t.-Thr0 J -MO O-r f-L Phone: (ai7O ) boo ' Oo, Mailing Address: 3 b 7 PJ A i c. AS TT KJ e % lb 1 Email Address: IAkov-3 EtZ Zca'sopp! S , r r Manufactured Home Installer: Phone: Mailing Address: Email Address: PROJECT DETAILS Describe Work: Cov-4> i^eoCi7[NVJ CA >= Sit o Le_ Fottlti111..'Y ( A Job Address: 1 ( 0 S. CPrinC C12 (.L1t '�i DO).L CiitiZ 1'7 iilC.6 8I63 Assessor's Parcel Number: -3D1 -Oo p' da m H AT- Corti L/x+e. Sub. C. gA vu D Lot ( Block Owner's Valuation of Work: $ 5 3 2 , cap — Property Size (Sq. Ft. or Acres): I O. O' Sq. Ft. of Building: 2- GO+ Height: .,z`F i # of Floors: 7 Class of Work: Garage: 2New +n Remodel/Alteration Attached Addition Detached PROJECT DETAILS CONTINUED Septic: { OWTS n Community Type of Heat: IIJ��IlNatural Gas �� Propane L]Electric In Other Driveway x Exempt Permit #: 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. 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. hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have vided the required information which is correct and accurate to the best of my knowledge. Property 0 ISO �T L I+`.r tl (.14)1 ix•. ci` er Print and Sign Date OFFICIAL USE ONLY Special Conditions: R 1ry, - �LZ- 411 AbloWel i f or- Goptdifidt4$. Cant VigVie., ) Adjusted Valuation: +230) 9e36. Ob Plan Check Fee: 4 I) rn 36 Permit Fee: 41 j127.35 Manu. Home Fee: N/A Misc. Fe 2j7b3 Q) Total Fees: 42143.0.13 Fees Paid: lobo. 02 Balance Due: $I,7rmo.11 BP No: OWTS No: 51, -W4-5 SEAT'—(1'f (o Setbacks: gl j . ,,vcf 0p[, OCC Group: IRG Const Type: ii.Zoning: BUILDING / PLANNING 7 q DIVISION : 3/25/20`0 Signed Approva ? Date MD.t'1010.OZ, 4 2033,a 41Zoz» CGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, C081601 (970) 945-8212 ❑,+tivw.garfielti-coLloy: y).0) BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: Project Address: CU14 Subdivision: LOAN v-' % r MN Phone: Lot: Block: jrype:of.Space Square Feet Valuation • Finished Living Space (N/A for Manufactured Homes)1.:3(P$74.68 Unfinished Basement $41.00 Foundation/ Crawl Space l l ck So $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) 5222 $32.00 Garage (Unconditioned) 0 $24.00 Covered Patio/Deck 379 $18.00 Uncovered Patio/Deck $12.00 Misc: $0.00 Misc: $0.00 Manufactured Home Set -Up Single Level ($400) Multi -Level ($600) Fee $0,00 $0.00 Se tic OWTS New Installation ($123) Alteration and/or Repair ($75) Perculation ($150) lI Septic Fee sk- 111011 Fee $0.00 $0.00 $0.00 This Section Determined by Garfield County 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 Total Fees Due $0.00 ***AII fees are estimates until final plan review is completed*** DCGarfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: $I•126-63-20- I-15 Building Issues Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes 14/A Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application w I Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report 7. 7 go3(46„,., & oy. Growl spirit avtat2- PAW) 21 4 toy 1i225 410 Planning/Zoning Issues tya Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat Description & Summary: M A i i I44h I 1122 r-? Ufl%v 14AACt 1i240 tzt gi d &t 1D+it ( 2� 4 re -mot 111pA rzc - 4 -763.e ` * x $ "lit. 64. 4 141) 176(.. 32.06 3 g 17/110. k $ 16.00 ^ 4 ZZ/ moo. x 4 16.05 s 4 I/ va fiovt = 4 233b, GWo. CO