HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
=Commercial/Multi-Family
ri Manufactured Home (Single or Multi -Level)
BUILDING PERMIT
APPLICATION
n.Residential (SF, Duplex or Townhome)
T 1
[ ]Demolition
0 Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Ka4k e0>5e4:1Ai Rola pre, Phone:( `it) 366 -til 3
1. 1 ! ( Asia' Crak t:40 d (t -il i? (0 611 t
Email Address: rOSSerOtZZOftcipm;i COM
Contractor:
Mailing Address:
Email Address:
/jaw L(2y i'.)oro 0.'4- i-- Phone: ( 170) G224/-81/2
100,1 CS/. (- -X rr'c r1c.c Jec�. r (11A6 (c- CO
�vt 4. 3[) i'nar /' coot
Architect: uso " 5 Phone: (17'3 ) a79 ' 53C6
Mailing Address: ,23L/0O gt may% 4a; itiV CO «(/(Q? (
Email Address: C ) !e! - 5i9ra 41:'r kS. e'er?
Engineer: 511kl e IONA . truc U ' Phone: ('1`0 ) 30'J -1003
Mailing Address: 3071/ •' & .' F--, C- 3'i ((
Email Address: l+�o�QjtF'' ,S, 4'T
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work:
Job Address:
i 11 614te C.rw)= K;• ck,e a (kv (L /e Gey ? 3
Assessor's Parcel Number:
Sub.
Lot Block
Owner's Valuation of Work: $ GS OrOt)p Property Size (Sq. Ft. or Acres):cr-S
Sq. Ft. of Building: f "�i Irig�l: 171 6"
Class of Work:
Garage:
New
K (Attached
n Remodel/Alteration
# of Floors: R.
EAddition
Detached
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway
Permit:
LOWTS
Natural Gas
10 Propane
Exempt
Community
In Electric ❑ Other
�E 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 lia • iii • the County of errors, omissions or
discrepancies. As the f,wn - - I acknowledge that responsibility r co pliance with federal, state and local laws
and County Regul• -st with me and my : uthorized agent i, ding without r itation my architect
designer, engine and sr bu
I hereby acknow ed: - {-t I a � n =' . r • th = Not a seem
0:37(.0--- #71721ed the re • aired f rmatlon which is correct andaccurate to t best of my know dge.
s� 1/ i ( 1 7 CD
Date
ov = e as, a
Property Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions: ler Inlaid
( 9t ACitVi
adjusted Valuation:
3521(Gp.66
Ilan Check Fee:
P' it 6,k 66e
P rmit Fee:
°2/410,
Manu. �Ra�' e Fee:
' YAgri)76,00
Misc. Fees;,,
total Fees:
3/x77•"I
fees Paid:
152.52
alance Due:
02/-c6a.E
BP No:
OWTS No:
buzE,- (P5g5
se pr-- 69 S' to
Se back§: G,
OCC Group:(p6
Const Type: IRG
Zoning:
.�
BUILDING /PLANNING DIVISION :
.
�-T�/
�/1070
Signed Approval
Date
Pt -4152(r
,` I(
Garfield County
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: 6+6 ,pdpt Phone: 400 g`7'e'$'41,
Project Address: j + ) I Cc !(4?e T�-• IC 6,'�l C;rba�)��(z- (cl `(� 3
Subdivsion: e��'� at efA i rife k Lot: Block:
Type of Space
iSquare Feet
Valuation
Finished Living Space (N/A for Manufactured Homes)
3 f,'7
$74.68
Unfinished Basement
ie.
$41.00
Crawl Spaces
73‘,
$18.00
Garage (Conditioned) (i.e. insulation, sheetrock)
747
$32.00
Garage (Unconditioned)
1v,$24.00
Covered Patio/Deck
1521
$18.00
Uncovered Patio/Deck
4/A
$12.00
Misc:
4)/4
$0.00
Misc:
AVA"
$0.00
Manufactured Home Set -Up
Fee
Single Level ($400)
New Installation ($123)
$0.00
Multi -Level ($600)
$0.00
$0.00
$0.00
SepticIODUTS) _
.Fee
New Installation ($123)
6'03
$0.00
Alteration and/or Repair ($75)
$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
ijagarNME
2 b0
$0.00
***All fees are estimates until final plan review is completed***
i"fr100 bD
at?. 51-
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: Ol-1-
Building Issues
NJA
Engineered Foundation
Driveway Permit
i Surveyed Site Plan
Septic Permit and Setbacks
f Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
N/�► Fire Department Review
Valuation Determination/ Fees
f Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
1•
WA
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
let MAW" :
Rc,cuci
efriet
Cowl SC
avw 'Mtio
(W►GOV,W
AC6ISCOr
Avre-
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
Description & Summary:
tVto1iln %t
(11 4A/ PA/4
73b
4o
?1220s�,
re4,44' w4 1 y e•-703.60
( sf A 9f4a)
t(Urcioin
12-240
?75
217
IIOIb
415
4 7F✓a 2�I)
32.100 24)600.
4 10.0 _ $ 441) ISD,
Q 16..0 z e 14s1166.
Q 12.ao s �
x214.G aj4O.
`73522 WO.