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Home My WebLink AboutApplication.pdfGarfield County Community Development Department 108 gth Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF CONSTRUCTION D Commercial/Multi-Family D Manufactured Home {SF or Duplex) ·lft Residential (SF , Duplex , or Tow nhome) INVOLVED PARTIES ; D Demolition 'D Reroof I Property Owner: L~e . ~fJ DO A, .S YY\ { 'fu Phone : (Cf 7 0 )--""-+-"_,_____._.~~ I Mailing Address <' O U vJl:: I I and '3 I 3 tV.e4 J('ots-f {'('j ~ Yt"'f Contractor: 5 <;. ./ f Phone: 197 0 ) ~ {2{_-(oC{ d 'if' Mailing Address: <.J3 DO L o u u1 hi I O Qd J ( 3 tlb.. J /!wJ~ '7 Architect: J-e er;-':::\.-Sm l 1-W Mailing Address: lQ 3 0 2; QQL ,,~ V1 }q Engineer: 5 f C:d/'C' 0 t/!_, {!{)tee() I { Mailing Adcfress : </-l){) /___:;~Q tt._)_ dr: , Manufactured Home Installer: ____ ...... · -+. l~/4-_____ Phone:( __ ) ______ _ L4 Mailing Address : _______ ~------------------ PROJECT NAME AND LOCATION Describe Work: bo. ,· (J VJ OU6\: d Class of Work: flJ New D Alteration D Addition D Repair D Move/Relocation Garage : D Attached D Detached Septic: El ISDS D Community Type of Heat: D Natural Gas D Propane D Electric ~~er Exe mpt D Permit#: -------Driveway Permit: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized age nt. 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 Divisio n . Other Permits. Multiple se parate permits may be required: (1) State Electrical Permit, (2) County ISDS Permit, (3) another permit required for u se on the property identified above, e.g. State or County Hi ghway/ 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 is suance and if work is suspen ded or abandoned for a period of 180 days after co mmencement. 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 Divi sion accepts the Application, along with the plans and speci fications and other data submitted by me or on my beha lf (submittals), ba se d upon my certification as to accuracy. Assuming completeness of the submitta ls and approva l of this App li cation, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detai led on the submittals reviewed by the Building Division. In consideration of the issuance of the Building Permit, I agree that I and my age nts will comply with provisions of any federa l, state or local law regulating the work and the Garfield County Building Code, ISDS regulations and applicable land u se regulations (County Reg ulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if th e location, construction or use of the structure(s) and facility(ies), descri bed above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permi ssion to the Building Divi si on to enter the property, described above, to in spect the work. I further acknowledge that the iss uance of the Building Permit does not preve nt the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after is suance; or (2) stopping construction or use of th e 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 Divi sion do not constitute an acce ptance of responsibility or liability by the County of errors, omissions or discrepa nci es . As th e Owner, I ack nowledge that re spon sibility for comp li ance with f ederal, state and local laws and County Re gulation s r est with me and my authorized agents, including without limitation my architect designe r, engin ee r and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above as well as Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee : Permit Fee: Manu home Fee : Misc Fees: q1,21s 7b q31.75 Total Fees: Fees Paid: Balance Due: ISDS No: 1547. 29 4 22., 9q l1 1z4.:7o Setbac~s: / OCC Group: fz; ez5 5;1/ rec BUILDING/PlANNINGDIVISION ' ~~ ~ o/te I VALUATION FEE DETERMINATION App licant Add r ess Date _L_ee_S m_it_h/_B_ev_e_rl~y_C_o_rd_e_ll _____ Subdivision TBD CR 3 13 Si lt Lot/Block -------------~ 7/14/2014 Contractor -------------~ Finished (Livable Area): Ma in Upper Low er Other Total Squ are Feet Total Valu ati on Basement: Unfini shed Conversion of Unfini shed to Fini shed Other Tota l Valu at ion Garage/Storage (w ood fram ed) Conv ers ion of ga rage to fini shed li vin g Ca rp ort Oth er Total Valu ati on Crawl Space Total Valu ati on Decks/ Pati os/Porch es Cov ered Open Other Total Valu ati on Type of Construction: Occupancy: T otal Valu ati on Total Valuation - 576 sq.ft 576 sq .ft sq .ft sq.ft X $74 .68 1152 sq.h sq.ft X $41 .00 sq.fl X $33.6 8 sq.ft X sq.ft X $18.00 sq.ft X $56.68 sq.ft X $12 .00 sq.ft X 576 sq.ft X $9.00 Commercial sq.ft X sq.fl X sq.ft X s f X s f X s f X s f X sf X sf X $24 .00 $12.00 Smith Sub Exempti on Parcel A Jerry Smith 86,031.36 0.00 0.00 5,184.00 0.00 0.00 91,215.36 Building Plan Review Description of Work: construction of new small single/ fam ily home (cabin) Bin#: Location Add ress: T BD CR 3 13 RD SILT, CO Ca se Ma nage r : David Bartholomew Plan Case Number: BLDG-5-1 4-793 1 Pa rc el: 2399222 00 I 09 Applicatio n Date: 05120/20 14 Building tJ/A I Engineered Foundation / Driveway Permit / Surveyed Site Plan / Septic Permit and Setbacks / Grade/Topography 30% / Attach Residential Plan Review List / Minimum Application Questionnare / Subdivision Plat Notes µ/A Fi re Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker / Attach Conditions / Application Signed /' Plan Reviewer To Sign Application / Parcel/Schedule No. tv/A 40# Snowload Letter -Manu . Homes J-i/ II Soils Report Monday, July 14, 2014 Contacts Own er : Lee Smith A pplicant: Lee Smith Appllcant Phone: 618-6928 Email: Planning/Zoning / Property Line Setbacks / 30ft Stream Setbacks / Flood Plain / Building height / Zoning Sign-off !V/A Road Impact Fees tJ/A I HOA/DRC Approval I Grade/Topography 40% ( Planning Issues / Subdivision Plat General Comments: