HomeMy WebLinkAboutApplication.pdfGarfield County
i . -Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
JUL. 0 0 (970) 945-8212
www.garfield-county.com
;;vl(VitiN Y PPISA NSTI"RUCTION
❑ Commercial/Multi-Family 1 ❑ Demolition
0 Manufactured Home (SF or Duplex)
Residential (SF, Duplex, or Townhome) I ❑ Reroof-
INVOLVED PARTIES
Property Owner: ( p ' \QfLLak- E 5_L> /6' 'e: ( )
Mailing Address: /n�r t14 u,M //440. fii/reldb 1,4,nevt) 018 -
Contractor:
Contractor: 7�J/4/519/14)j/i'� d/1iS71: ✓ G'1 ::‹ Phone: 2 ) 07/ f- ,�/D'
Mailing Address: /S//3 /i1!/'A4 O A Agl C fs
Architect: � L��/J,�f%/j%
Mailing Address: '�7—' (�/,s.rz
Engineer: F111hel/ k1 oL' 4,2
Mailing Address: �7&2 /17// JJ,
Phone: (e;' )
/�a9W.4 P74414 fai3&•
Phone: () )
e�Gz, /,0 /_
Manufactured Home Installer: Phone: ( )
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: ,/U�/i/ //4
6-,,2,1? :22(? m/
,S;14
Job Address:
��'Y9� v
Assessor's Parcel Number: ��� b,
Owner's Valuation of Work: $
Sq.Ft of Building: OW
Class of Work:
Garage:
1�✓
Height:
Lot C- 15 Block
Property Size (Sq.Ft or Acres):
071.77 /// # of Floors:
New 0 Alteration
,'Attached
Septic:
Type of Heat:^
Driveway Permit:
❑ OWTS
Natural Gas
Exempt
❑ Addition 0 Repair
❑ Detached
'Community
0 Electric
0 Permit #:
0 Propane
0 Move/Relocation
0 Other
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.
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 ' ead-arrd-ut
have provided the required infor(nation which
Property Owner Print and Sign
derstand the Notice and Certification above as well as
correct and accurate to the best of y kno ledge.
? G1 ,,,r,_,
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
294, 5P2 La
Plan Check Fee:
t;55.74
Permit Fee:
208 5-',
7,5
Manu home Fee:
‘,1 A
Misc Fees: /1/24, 02 -
69copirs 0411/1s
Total Fees:
0kV. 4 °t
Fees Paid:
'1/(5-626 AL
Balance Due:
Ia`i.(aa
BP No:
OWTS No:
3 L2-3 78l
m'mw�i
Setbacks: (en (/)
f (Qzo Seo
OCC Group:
Const Type:
��C✓
Zoning:
17l5b
BUILDING / PLANNING
DIVISION : '
0//,
s.4.4-4.4...-
Signed Approval
Date
6 ►�{ `x,,566,
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 occupan and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attach o your approved field set of plans.)
hereby acknowledge I ha )6e ead, under- and, and will abide by t
checklist.
Property Owner Print and Sign Date
e req
irements of this
Building Plan Review
Description of Work: new s/ f dwelling on crawl space w/ attached garage and covered pa
Bin #:
Location Address: TBD Buffalo LANE
CARBONDALE, CO
•
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -7-14-8001
Parcel: 239320301015
Application Date: 07/09/2014
Owner: Carbondale Glen Lot E 15 LLC
Applicant: Carbondale Glen Lot E 15 LLC
Applicant Phone: Email:
Building
/ Engineered Foundation Property Line Setbacks
N/Driveway Permit / 30ft Stream Setbacks
Surveyed Site Plan / Flood Plain
PP Septic Permit and Setbacks / Building height
/ /
Grade/Topography 30% Toning Sign -off
/
Attach Residential Plan Review List' oad Impact Fees
/ /
Minimum Application Questionnare HOA/DRC Approval
/ Subdivision Plat Notes / Grade/Topography 40%
/ Fire Department Review / Planning Issues
/ /
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Planning/Zoninq
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
/ Soils Report
Monday, July 21, 2014
1
Occupancy:
Applicant
Address
Date
VALUATION FEE DETERMINATION
Carbondale Glen, Lot E15, LLC
TBD Buffalo Lane, Carbondale
7/21/2014
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 3285 sq.ft
Upper sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 3285 sq.ft
Total Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Other
Total Valuation
Garage/Storage (wood framed)
Conversion of garage to finished living
Carport
Other
Total Valuation
Crawl Space
Total
Valuation
Decks/ Patios/Porches
Covered
Open
Other
Total Valuation
Type of Construction:
Total Valuation
Total Valuation
792
sq.ft X $41.00
sq.fl X $33.68
sq.ft X
sq.ft X $18.00
sq.ft X $56.68
sq.ft X $12.00
sq.ft X
3285 sq.ft X $9.00
227
sq.ft X $24.00
sq.ft X $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
Aspen Glen
Lot E-15
Mountainview Construction Services
245,323.80
0.00
14,256.00
29,565.00
5,448.00
0.00
294,592.80