HomeMy WebLinkAboutApplication.pdfRE
Garfield County
JUN 2Community Development Department
108 8th Street, Suite 401
GARFIELD Co) wood Springs, CO 81601
QMMUNITY DEVEI OPMF• (970) 945-8212
www.garfield-county.com
BUILDING PERMIT.
TYPE OF CONSTRUCTION
O Commercial/Multi-Family
O Manufactured Home (SF or Duplex)
O Residential (SF, Duplex, or Townhome)
j 0 Demolition
7 ❑ Reroof
INVOLVED PARTIES
Property Owner: Mike and Karen Poulos
Mailing Address: 772 N. Park Boulevard, Glen Ellyn, IL 60137
Phone:(
Contractor: Maley Building Corp
Mailing Address: PO Box 4028, Basalt, CO 81621
Phone: ( 970 )927-1026
Architect: KA DesignWorks, Inc Phone: ( 970 ) 948-9510
Mailing Address: PO Box 12204, Aspen, CO 81612
Engineer: Riverstone Structural Concepts
Mailing Address: PO Box 2727, Boise, ID 83706
Phone: ( 208 )343-2092
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: Construction of a new 720sf studio (detatched accessory building)
Job Address: 611 Harmony Lane, Carbondale CO 81623
Assessor's Parcel Number: 2391-283-00-238 Sub, Glen Subdiv Exempt Lot A Block
Owner's Valuation of Work: $60,000.00
Sq.Ft of Building: 720
Class of Work:
O New
Property Size (Sq.Ft or Acres): 5.333ac
Height: 13'-10" (to midpt) # of Floors:1
0 Alteration 0 Addition
Garage:
❑ Attached
Septic:
El ISDS
O Repair 0 Move/Relocation
O Detached
O Community
Type of Heat:
O Natural Gas
_Driveway Permit: 0 Exempt
0 Propane
`Electric
0 Other
O 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 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.
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 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.
M iclAkt\
Property Owner Print and Sign
Date
a31
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
66,¢59.60
Plan Check Fee:
495,19
Permit Fee:
762.'75
Manu home Fee:
14IP‘
Misc Fees:
NIR -
Total Fees:
1258.4
5
Fees Paid:
11-3.OL
Balance Due:
785.50
BP No:
ISDS No:
gl -- c 32-9
0 I n
Setbacks: /
FZ,j 114- 5/0
OCC Group:
..TLC
Const Type:
r f2C_
Zoning:
BUILDING / PLANNING
DIVISION :
7,S j
Signed Approval Date
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.
\i\id„..ti pc,,A,I., /\ JTK,)e a3a 0 i 4
J
Property Owner Print and Sign Date
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Mike Poulos
611 Harmony Lane, Carbondale (Missouri Height
Glen Subdivision Exemption, Lot A
Fill ONLY in the yellow areas
Type of Space
Square Feet
Value
per sq. ft.
Valuation
Finished Living Space
(N/A for Manufactured Homes)
720
sq.ft X
$74.68
$53,769.60
Unfinished Basement
sq.ft X
$41.00
Crawl Space
720
sq.ft X
$9.00
$6,480.00
Garage
sq.ft X
$18.00
Covered Patio/Deck
70
sq.ft X
$24.00
$1,680.00
Uncovered Patio/Deck
sq.ft X
$12.00
Misc:
sq.ft X
$0.00
Misc:
sq.ft X
$0.00
Total Valuation I
$61,929.60
Manufactured Home Set -Up
Valuation
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($73.00)
Perculation ($100.00)
Total Septic Fee
Valuation
Total fees
IMINIIMMINSOf
This section will be determined by Garfield County.
Plan Review Fee
Building Permit Fee
Pay separately with Cash or Check only (Road impactfees)- Other
Due at time of Application Submittal
Due at time of Permit Pick -Up
***AII fees are estimates until plan review is completed *"
Building Plan Review
Description of Work: construction of a new 720sf studio (detached accessory building)
Bin #:
Location Address: 611 HARMONY RD
CARBONDALE, CO 81623
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -6-14-7980
Parcel: 239128300238
Application Date: 06/26/2014
Contacts
Owner: Michael & Karen Poulos
Applicant: Michael & Karen Poulos
Applicant Phone: (312)368-4075 Email:
Building
Engineered Foundation
N/14 Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
tt/4
40# Snowload Letter - Manu. Homes
/ Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
/ Flood Plain
/ Building height
7oning Sign -off
/1.1/4 Road Impact Fees
�L HOAIDRC Approval
Grade/Topography 40%
Planning Issues
1
Subdivision Plat
General Comments:
Friday, July 25, 2014
Occupancy:
Applicant
Address
Date
VALUATION FEE DETERMINATION
Mike and Karen Poulos
611 Harmony Lane, Carbondale
7/25/2014
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 720 sq.ft
Upper sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 720 sq.ft
Total Valuation
Basement:
Unfinished sq.ft X $41.00
Conversion of Unfinished to Finished sq.ft X $33.68
Other sq.ft X
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
sq.ft X $18.00
sq.ft X $56.68
sq.ft X $12.00
sq.ft X
720 sq.fi X $9.00
260
sq.ft X $24.00
sq.ftX $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
Glen Exemption
Lot A
Maley Building Corp
53,769.60
0.00
0.00
6,480.00
6,240.00
0.00
Total Valuation 66,489.60