HomeMy WebLinkAboutApplication.pdfLie Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
o ommercial/Multi-Family
CE' Residential (SF, Duplex, or Townhome)
BUILDING PERMIT
APPLICATION
❑ Demolition
❑ Reroof
O Manufactured Home (SF or Duplex)
O Grading
INVOLVED PARTIES
Property Owner: J6 t -M -i M A C !. C 4 J4 Phone: (TM ) qz5. 2241
Mailing Address:
SUS (y Et i4speN Co 9i4,1 r
Contractor: Phone:
Mailing Address:
Architect: Phone: (
Mailing Address:
Engineer: Phone:
Mailing Address:
Manufactured Home Installer: Phone:
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: l-coS4-iQUCT CcLr�u. 6•Cc;f
Job Address:
Assessor's Parcel Number:218 T 2143000 21. Sub. 1-6.0-ur.i1Zad i,1T Lot 24 Block
Owner's Valuation of Work: $ 4 CC7 i"7 Property Size (Sq.Ft or Acres): 40.OJ 19G
Sq.Ft of Building:
Class of Work:
Garage:
�12.6
I�New
Septic:
Height: (84‘r # of Floors: ( -1+ (e4
0 Alteration
0 Addition
O Repair
❑ Attached
II]liDS
❑ Detached
0 Move/Relocation
O Community
Type of Heat:
0 Natural Gas
0 Propane
Driveway Permit:
®'Exempt
IPEfectric anther
O Permit #:
Grading
Square Feet of Earthwork
Cubic Yards of Earthwork
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 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 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, 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.
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.
perty Owner Print and Sign
c 6 t- c kk (44 c
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
-74 086.7 7-
Plan Check Fee:
518.5+
Permit Fee:
7'77.75
Manu hon
N
g,Fee:
Ilk,
Misc Fees:
---
Total Fees:
13/6. z qgS
Fes aid
01
Balance Due:
930,68
BP No:
qty
32402
ISDS No:
Setbacks:
F-2,5;izS, 51012-
OCC Group: �C
Const Type: roc
Zoning:
BUILDING DIVISION :
4
fined Appro
Date
PLANNING DIVISION:
6,
Signed Approval G D to
pit 3Mel, tr# ioie��-
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 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.
vl / wt -O
rty Owner Print and Sign
Jb 2 S C. Lt rpt_ vu-e_GksQJL
6 -/ 1 r (cF
Date
Garfield County
Community Development Department
1088th 3reet, Slite 401
Genwood Springs, 0081601
(970) 945-8212
www.garf ield-countv.com
BUILDING PERMIT
f l� EST1 M ATE
WORKS 1EE
Applicant: Je'K VC.14v14t AC14G -la.
Project Address:
Sibdivsion: I.40P,w g-kad es/
Phone: 9.1O.412,. 2244 3
Lot: ZS.
Block:
Type of 3Dace
Sluare Feet
:
Valuation
x 74.68
(_: Q , .,, Y.'
Finished Living Space (n/a for Manufactured Homes)
Unfinished Basement
x41
Crawl l 3pace
`� i i I. \
9
4 e,
x 8
Obvered Patio/Deck
176
x 24
41 22'4
Uncovered Patio/Deck
x 12
Mist:
Misc:
al Valuation
Manufactured Home Sot -Up
Fee
S ngle Level ($400)
Multi -Level ($600)
Septic
Fee
Permit ($73)
Ferculation ($100)
tri
Building Permit Fee
This Section Determined by Garfield County
Manufactured Homet-Up Fee
Saptic Fee
wort- refsm+ ree 1 2 3 5•''41
of al Fees Due
***NI fees are estimates until final plans are reviewed***
1
Building Plan Review
Description of Work: construct cabin
Bin #:
Location Address: Sec24, T06, R88
CARBONDALE, CO 81623
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -6-14-7965
Parcel: 21 8724300026
Application Date: 06/11/2014
Contacts
Owner: John Schuhmacker
Applicant: John Schuhmacker
Applicant Phone: (970)925-2243 Email:
Building
Planning/Zoning
Ni4 Engineered Foundation /
Property Line Setbacks
/
/UP Driveway Permit 30ft Stream Setbacks
/ Surveyed Site Plan / Flood Plain
/
7 Septic Permit and Setbacks Building height
7 /
Grade/Topography 30% Toning Sign -off
7
Attach Residential Plan Review List N/A Road Impact Fees
Minimum Application Questionnare N/ HOA/DRC Approval
f�
Subdivision Plat Notes / Grade/Topography 40%
N! A Fire Department Review / Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
/ Attach Conditions 04/1
Application Signed
/ G/V.5 , e29 71.68 6/,909.72_
Plan Reviewer To Sign Application
Cr,Sr ,sz9`x 9.00' 4 76/.OBJ
Parcel/Schedule No. �
Nr 40# Snowload Letter - Manu. Homes C0.& , �C� /840x X4.00 4,4./6 .065
N/A Soils Report
�; `7I, 686.7
Thursday, June 19, 2014