HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8t" Street, Suite 401
Glenwood Springs, CO 81601
(970)945-8212
www.garbeld•count
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
nCommercial/Multl-Family �=Demolition
Q Manufactured Home (Single or Multi -Level)
El Residential (SF, Duplex or Townhome) Q Reroof
[] Accessory Dwelling Unit (ADD) - MAXIMUM SIZE OF 1,000 SQUARE FEET
-4- C—I nagOs. atat. -. and pod--] O cc J QJ✓ +0 LS Is irl
INVOLVED PARTIES
(� m- odulcA le-OL
Property Owner: X`lt, Ylrl Und S t .�]ncklfl1 Phone: (-1r1:7! 9, Ft q $3 tP
Mailing Address: (1, 7.2,1 - S.1 I Cr)ES I t - 7
Email Address: Ci !, pin ' S ta. Y7r lY1'11 i.Jt- ri
Contractor: -1-t iefl oU ( J+- Phone: ( )
Mailing Address:. Avl tJ
Email Address:
Architect:
Mailing Address:
Email Address:
Phone: ( ) rye r ( t ct r- F
Engineer: Phone: (_ j
Mailing Address:
Email Address:
Manufactured Home Installer: Phone: (-_} +
Mailing Address:
Email Address:
PROIECF DETAILS
Describe Work: -en ,{ A 1 [i j aL 3 [ Y i kh ro 9 Q ra-Irlds
r i coil( ne-1,-i r-rLax-hr) re -Ai t o i- 1-y1.4 cam.
Job Address:t1.2sI C.2 -3 !w(r) E111(r)�i�.
Assessor's Parcel Number: Z I L 3L ?j (] (Va. 7y - TrGc_1- 2
soh Q-Ci-tC11 z�
Owner's Valuation of Work: $ i@ il 5r) yQG() Property Size (Sq. Ft. or Acres): I U AN-4_,O,
Sq. Ft. of Building: I P)( 0 % Height: # of Floors: f
Class of Work:
po"!D C�7
New nRernodel/Alteration Addition :t^AYtC( Cal al
II II
Garage:
PROJECT DETAILS CONTINUED
Septic• tJ\ oriWS }Community
Type of pia ❑Natural Gas ❑ Propane riiI Electric j Other
Drivewa Exempt Permit #: j
P ermit: f�+ ` i
NOTICE
Authority. This application fora 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.
Lagal Access A Building Permit cannot be issued without proof of legal and adequate access to the property for
purpnses of inspections by the Building Division.
O ther PermlLs. Multiple separate permIs 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.
Vold 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 nrrepts the Application, along with the plaits auL speclflcatlons 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 structures) and facilities detailed on the submittals reviewed by
the Building Division. In consideration of the issuance of the Building Permit, I agree that 1 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 structuie(s) and faciiity(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 prevenr 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 Iacility()es} 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.
Pr erty'Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
BUILDING / PLANNING DIVISION :
Pp 3 2.4g ct,i2ixelzoto
(c5j7C.i
Date
•iiian Cheek Feel P r It Fee: Manu, yorpe Fee: Misc. Fees: , 1 p
ic
sd:f 4I57ub 01)5 OWN
TSNo: _ m.
OCC Group: r.., 6 Const Tyype: pr i J Zoning: /1iA - l _
00
/l2/ 2I
Date
Signed Approval
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
ww w.ga rf i el d-co u ntv.c o m
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: ROSE
Project Address: 831 CR 237, SILT
Subdivision: ANTLERS ORCHARD
Phone:
Lot: TR 24
Block:
Type of Space
qua .
a ua en
Finished Living Space (N/A for Manufactured Homes)
$74.68
Unfinished Basement
$41.00
Crawl Space
$18.00
Garage (Conditioned) (i.e. insulation, sheetrock)
$32.00
Garage (Unconditioned)
$24.00
Covered Patio/Deck
366
$18.00
Uncovered Patio/Deck
3014
$12.00
Misc:
$24.00
Misc:
$18.00
Total Valuation
$42,756.00
Manufactured Home Set -Up
Single Level ($400)
Multi -Level ($600)
F
$0.00
$0.00
6 a Set -Up
Septic (OWTS)
Fee
New Installation ($123)
$0.00
Aiseration and/or Repair ($75)
$0.00
f1
• 1
This Section Determined by Garfield County
Plan Review Fee
$372.48
Building Permit Fee
$573.05
Manufactured Home Set -Up Fee
N/A
Septic Fee (OWTS)
N/A
Other (Ex: Road Impact Fee)
Total Fees Due
***AII fees are estimates until final plan review is completed***
N/A
$945.
• Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre -manufactured structures require the engineers stamp, signature and date.
• Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
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.
o rIA.?" 1 1� -
Pr ert Owner Print nd Sign Date
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:
Building Issues
Engineered Foundation
Driveway Permit
Planning/Zoning Issues
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
U,A
Fire Department Review
Valuation Determination/ Fees
/
NIA
t\l/A
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
9401 wiev y -
1'
N/A
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
VAutittiefri
70 x 414.6o toi 66,6.
31b1� x 3t�.0o v. 41 )1ga.
&4i1 fib.