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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com `; iPE OF CONSTRUCTION _ Q Commercial/Multi-Family BUILDING PERMIT APPLICATION Demolition Manufactured Home (Single or Multi -Level) WA Residential (SF, Duplex orTownhome) Reroof C] Accessory Dwelling Unit (ADCs) - MAXIMUM SIZE OF 1,000 SQUARE FEET i INVOLVED PARTIES Property Owner: o hublue sic -0446-'0M Phone: ( gi O ) 31 1 -14S-1-- Mailing 45 -1 -"Mailing Address: 300MU 5`4.1 > 14'76369 (4 -55 • g14'0 1 Email Address: idg\S— ["l )' fUJT1-1-41•1!T1 ©AC' Contractor: h6L M1,'4' 1 G) i .� I AX1-1 Phone: -f(. -3o ` -S L 199' 8' Mailing Address: 11 'a 814,1 ----/APP JJ . i co b !b CZ Email Address: 1�G e " CCG. 1 V 6 014 (r Architect: 61cULC iviajkci 62tf✓ A1cif' re v hone: Dia 1 `�' 3 4 �� JOY (Lure �SOra S /I , V Q.Qg 3 Mailing Address: � Email Address: 6l2k✓A p � e) 6�1y�(L _(- 4"-" Engineer:L AAUP 4J 'cNG/)0Phone:47° i U -S' a -3 Mailing Address: 1191 climoJ Al%oUe GS 14j 7 "' Email Address: • k't , PC ) ' ' Manufactured Home Installer: Phone: () Mailing Address: Email Address: PROJECT DETAILS Describe Work: 5'I C"" OM 1 ` LOVE Job Address: `r a o,exls5 J ogyv) aPit e , covaeo lock . q/6 Z -3 frrc s Ali 4' ` , RAI- f\10 • -1 33 0 Lot C5 Block Assessor's Parcel Number: sub. ksico-16)C.C: �1 Owner's Valuation of Work: $ 1 Q �v 1 U r/V rape Size (Sq. Ft. or ): G12 Sq. Ft. of Building: /14'10 Height: Li 4i of Floors: Class of Work: Garage: 0 New Remodel/Alteration Addition ached Detached PROJECT DETAILS CONTINUED Septic: [JOWTS Type of Heat: Natural Gas Driveway Permit: Exempt nPropane viCommunity Jj ❑ Electric [ ] Other I f 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 ULM 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 pr vi the required information which is correct and accurate to the best of my knowledge. /' ,7 .] 6- • }c) / i,Z% 14'426: 426'• j 9(/ ;: » Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: ROAIIA Ui 124,/^ xSay etiftelekVP 1- + oF- CO%�i'htlk;. ( 190166 Ad'usted Valuation: � Sr., a6 Pan Check Fee: (r! 1114. 16 P rmit Fee: '2)43 Balance Due: 32171(0-3l Const Manu. Home Fee: Nva BP No: . Mize- 404107 Type: ( G Misc. Feesii,,,, 2i7O3 C2� OWTS OWTS No: Total Fees:ees 441017 .3 Paid: t I3�I.22 OCC Group: 1 RG CtsitAtuottig- Zoning: Setbacks: 13 . ivdo�C BUILDING / PLANNING # , 4�j71-1p70 DIVISION : Signed Approval Date r AE: Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com Applicant: - rnrr ri1EL. Phone: C 0 3I 1 --45- P roject Address: -.' 01)D / j77 Cita- Subdivision: j,.,Iiy (jLQ4 Lot: ` 3 BUILDING PERMIT FEE ESTIMATE WORKSHEET Block: Finished Living Space (N/A for Manufactured Homes) 11 1 g $74.68 Unfinished Basement — $41.00 Foundation/ Crawl Space $0.00 $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) --)9 S $32.00 Garage (Unconditioned) $24.00 Covered Patio/Deck �i 5 $18.00 Uncovered Patio/Deck $12.00 Misc: i $0.00 Misc: Total Valuation $0.00 $0.00 Sin:le Level $400) Multi -Level ($600) Total Set Up Fee $o.00 $0.00 $0.00 New Installation ($123) Alteration and/or Repair ($75) Perculation ($150) Total Septic Fee $o.00 $0.00 $0.00 $0.00 This Section Determined byGarfield 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) Total Fees Due $0.00 $0.00 ***All fees are estimates until final plan review is completed*** Garfield County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: '0I-Re--O6-ZO- Co4b3 Building Issues Engineered Foundation 1WA Driveway Permit Surveyed Site Plan _WA,_ Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List r tWA Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application N/A Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report Cova Ftp UNew. Pith° Planning/Zoning Issues Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat 1' Description & Summary: i.tud "" QC 1 IGSI NGL 174A mid ofotte4 rtt= 412,7000 4r4u Vati/v 4i 15.00 1414V125. X25 x ' . 32.00 = ' 26,1400 x 4 I,b . 00 ' .1.111-7. I �D x ' ($• 215?{}. 740) I7 . y SI ASO-