HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfie ld-cou nty.com
BUILDING PERMIT
APPLICATION
EFYPE OF CONSTRUCTION
ED Commercial/Multi-Family
n Demolition
Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
n Reroof
0 Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner: Fenctall Jvd41- EVar►5 Phone: (170 )14.8 -1675
Mailing Address: 45 Pinna Lana. , Carbondale., CO 81423
Email Address: )U dy eVom5 1601 C! 9 roan co f,n
Contractor: ¥ 1 M- �i4 Co nsi-oscl+De- Phone: ( 970 ) 230' 9092
Mailing Address: 115 Earard Pw . -1 6tanwood Sp 1A A. Co elGo l
Email Address: OR?L. . rm.,-. �^^
Architect: 'Fe. INA AYZh(i-eLi-S LLL -
Phone: (970 ) crg1- 21e1
Mailing Address: ?a•QO`K 6742, $'7gL,s'4$J V''Iloje, C' 0/6/i ---
Email Address: like CCancitn aroii;JeaiS. Awl"
Engineer: Si/vee 70Wr1 Vyie/v✓si
Mailing Address:
Email Address:
Phone: (74 )YOU - /003
307n/ A1984 /-spar, Co 011.//
moray er 2.o 0 SoP,,•S. he./
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: 2nd 574r) adcr))n OW/ jaraji LU Ali,"Ali,"A
Gf c4:34 o r, 11,dGv CK o / d'uy .
Job Address: 45 l *i"L.arse, C4✓4Dnda/L
Assessor's Parcel Number: 23? 2 J !2O / 3) 1 2.000 lD
Sub. B/v( C/Ge,k /t�sA Lot 10 Block —
Owner's Valuation of Work: $ 35; 14.6
Height: 21.-1"# of Floors: 2.
Sq. Ft. of Building: 2,4&3 f 47,
Class of Work:
Property Size (Sq. Ft. or Acres): 0' 2.11' t
New Remodel/Alteration
Garage: (Attached
M/..kddition
Detached
PROJECT DETAILS CONTINUED
Septic: II lOWTS
Type of Heat: Natural Gas
j7 Propane
Community
Electric
❑ Other
Driveway INExempt ❑ Permit #: _
Permit: li
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.
I 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.
L-G/�l�4Gi ILV,*-k-(
Property Owner Print and Sign
G - Z - Z -0 Lb
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
* 3�-770.00
Pan Check Fee:
4
Permit Fee:
`� 502.
Manu. Home Fee:
WA
Misc. Fees:
1�/Q
7
Total Fees:ees
$ 4d
Paid:
132(f.St7
B lance Due:
(� O2.3g
BP
OWTS No:
$ 4 acti
CAYM1111 u.V1 i
Setb4s Ut 1 CPC
OCC Group:I
Const Type: (bGZonin
Zoning:
not/
BUILDING / PLANNING
1.
I °1/ Gf16/70X0
DIVISION :
Signed Approval Date
Fee.* 334. 1 1144, 11 71471'
Garfield County l
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: gmi. dd/I7 /d44 1F* + 3
Project Address: itt5 R„i.+ Lm, e,
Subdivsion: 13/Gs efe.41 . / # CI
Phone: 176. 7y'$. 987 S
Lot:
Block:
Type of Space
Square Feet
Valuation
Finished Living Space (N/A for Manufactured Homes)
411
$74.68
Unfinished Basement
$0.00
$41.00
Crawl Space
317
$18.00
Garage (Conditioned) (i.e. insulation, sheetrock)
$32.00
Garage (Unconditioned)
$24.00
Covered Patio/Deck
$18.00
Uncovered Patio/Deck
$12.00
Misc:
$0.00
Misc:
$0.00
fry/1AP
r —i -M
Manufactured Home Set -Up
Fee
—,
Single Level ($400)
$0.00
Multi -Level ($600)
$0.00
y
°- iQ
New Installation ($123)
Alteration and/or Repair ($75)
Total Septic Fee
Fee
$0.00
$0.00
This Section Determined by Garfield County
Plan Review Fee
Building Permit Fee
Manufactured Home Set -Up Fee
Septic Fee (OWTS)
Other (Ex: Road Impact Fee)
Total Fees Due
$0.00
***All fees are estimates until final plan review is completed***
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 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.
c(ee 'Fe.Z s
Property Owner Print and Sign Date
je Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: $I. - O(.' -1 .to9,4
Building Issues Planning/Zoning Issues
Engineered Foundation V Property Line Setbacks
N/A Driveway Permit 30 ft. Stream Setbacks
Surveyed Site Plan N/Ak Flood Plain
7A Septic Permit and Setbacks Building Height
Grade/ Topography 30% Zoning Sign -Off
Attach Residential Plan Review List Nn Road Impact Fees
l Subdivision Plat Notes Grade/ Topography 40%
WA Fire Department Review Planning Issues
Valuation Determination/ Fees Subdivision Plat
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed Description & Summary:
Plan Reviewer to Sign Application/ (kw AW4i, < 506 s.)
ed I P.lG r NSA
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
Naw AAAtf i ave kt,31,alkivt,
NAA Growl S(,n itcc. Ara..
'i?( x I-7444 `b35/I-7.
33 4 I q,. oo 515.
VAtittioh - 4 35(770. W