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Home My WebLink AboutApplicationC-'Gz 'fZelGz7 C'Qz 7ZIy 108 8th Street, Suite 401, Glenwood Springs, CO 81601 Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 www.garfield-eounly.com BUILDING PERMIT APPLICATION 1 Parcel No: (this information is available at the assessors office 970-945-9134) 2k `c 5 3 2 4 000 4 4 Lot 1V Block No: Subd./ Exetrlptiail: S 1!� �a ..---\-,,c..:3, 32 Tow, ti) fe m1E '14 P 5.3 to , C ; 2 Job A(jdrS:lifpn address has not begn greed, pte�vl Ci,KY or Street Name &City) or and Igpl de�cri�tion C1��1 C/a�/�� / t / 3 Owner: (properly owner) e.--) cls (1�,r-v .k iCut•ze.s Mailin Address: 16 {� �5 .1'42, �,�1 Ph: a7rJ(Dz�'f ` �1 Alt P11: Alt 4 Contractor: Mailing Address: Ph: Alt Ph: 5 Manufactured home installer: Mailing Address: Ph: Lic #: 6 Architect: Mailing Address: Ph: Alt Ph: 7 Engineer: Mailing Address: Ph: Alt Ph: 8 Sq. Ft. of Building:Sq. i g On Se. Ft. or Acres of Lot: GC 5 Height: t 1, No. of Floors: Use of Building: ❑Residential ❑Commercial al7ther Class of Work: New ❑Alteration ❑Addition ❑Repair ❑Demo DMove 9 10 Describe Work:it._ , r 3cY ?I' -/O 144€ -IA 1 131 d _ 9 11 Garage: DAttached :Detached ' Septic: m ❑ISDS ❑Comunity Type of Heat: ❑Nat. Gas ❑Propane ❑ElecI�is ❑Other -2n......, 12 Driveway Permit: i__. L- ' L Owners valuation of Work: r ' � PdIYsAap�\e, tts )tC�L-it f+aks 4�hI]P�,4.EA- L' 1 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. Leen! Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS 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 Department 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 Department. 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, ISDS 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 Department 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 Department do not constitute an acceptance ofresponsibility or liability by the County of errors, omissions 1 or discrepancies. As the Owner, 1 acknowledge that responsibility for complies= 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 I IAVE 'i AD AND UNDERST ND THE NOTICE & CERTIFICATION ABOVE: f1 al 3-7- \L (3I rl� _• OWNER_=i r'"�' N: '-,_ fir/ ' w / DATE STAFF USE ONLY Special Conditions: Adjusted Valuation: 3z, you. °i- Plan Check Fee: 306. g3 Permit Fee: 4/7z.o5 Manu home Fee: .^ Misc Fees: ..----- Total Fees: 778-88 Fees Paid: 306_$5 Balance Due: 4/7Z, of- IXE2 & Issue Dille: -- :- j'iv ISDS No & Issued Date: Setbacks: /C05../4y)sib' OCC Group: .—Ig C Const Type: � �G Zoning: 2-1 9yz 1f13O APP OVAL r DATE APPROVAL DATE ' / NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application 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 department will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or 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. Signature of Owne' N ebri 3 -i -z z 0/7//7___ Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.ga rfield-ccunty.com Applicant: Job Address: Subd- Lot/block: FEE ESTIMATE FOR S/F STICK BUILT HOMES (ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED) e eb7I reap/'s 8y73 C'/Z 30/ FFclaf FINISHED LIVING SPACE: UNFINISHED BASEMENT: CRAWL SPACE: sf X 74.68= sf X 41.00= sf X 9.00= GARAGE: /fes/e 5M'/1 /g00 sf X 18.00= .3 ‘2°2, I/CO - UNCOVERED PATIO/DECK: sf X 12.00= COVERED PATIO/DECK: sf X 24.00= MISC: i eT / 9/4 / Zoo z9.97 3s' 68.06 MISC: TOTAL VALUATION: THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING .7e/, / 14/7,,,‘A,4z,0 3s, 98. Do = 767.70//fee 82 e. s� ,we /7 U%'/uf iei 5Z, 4/.00. oo -70//9/And / e R -7767. 8M regC e = „c-0 , s/W/ PJk 12005 til /41 A /e/A TOTAL: SEPTIC= PERMIT: PERC: i/s/,� ,mom /5//aril ce �,Lre ��e �uytal Building ('lain Review Description of Work: Pole Barn to store vehicles, tractor, boat, etc. Bin #: Location Address: 8493 CR 301 RD PARACHUTE, CO General IrkjrrnaMn ar Case Manager: David Bartholomew Plan Case Number: BLDG -3-12-7173 Parcel: 217532400044 Application Date: 03/08/2012 Owner: Applicant: Applicant Phone: Email: J Building Planning/Zoning Engineered Foundation Property Line Setbacks Driveway Permit 30ft Stream Setbacks Surveyed Site Plan Flood Plain Septic Permit and Setbacks Building height Grade/Topography 30% Toning Sign -off Attach Residential Plan Review List t}/if Road Impact Fees ,% Minimum Application Questionnare HOA/DRC Approval ti A Subdivision Plat Notes Grade/Topography 40% P/A 7 Fire Department Review Planning Issues Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions f _Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 1`)//i 40# Snowload Letter - Manu. Homes Soils Report Wednesday, March 14, 2012 Subdivision Plat General Comments: V94i' 3z yob. 0v/ea) e 7z5741-2- 3.0‘03 e/7z-o. 3o6. 9.3