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Home My WebLink AboutApplication.pdfGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family ❑ Manufactured Home (SF or Duplex) JLResidential (SF, Duplex, or Townhome) INVOLVED PARTIES Property Owner: Mailing Address: BUILDING PERMIT APPLICATION O Demolition O Reroof Phone: ((O__) 333 - 4) O //0 e.'42 ;5(7 ; i Contractor: Mailing Address: /10 � 'kt f' D( r &� • Phone: (`. ) n Architect: ! �X/ (?6")1 Mailing Address: rCf Levi EN , /1 i.. !' C� 9./6 Phone: ( ) 75-4 Engineer: YuAI_ e! AC 04- ft C„ Phone: ('TN ) ' 4505 - Mailing Address: 60/2. 414 (?1) )52/ ,+ 5 , -e) '""(� Manufactured Home Installer: Phone: } Mailing Address: PROJECT NAME AND LOCATION �" Describe Work: Ate -0 &e Si - i ' 1,1t (A ;15. tt t , Job Address: 1,! a,' 5 eZwt Assessor's Parcel Number: Owner's Valuation of Work: $ , . �w // Property Size (Sq.Ft or Acres): , 4/0 0 #/33/ OS -0 Sub. I9.0 7 crkl JY) . Lot Li Block q. Building: Z3 e7 Height: 7 C:? `� # of Floors: Sq.Ft of Class of Work: [X New ❑ Alteration ❑ Addition 0 Repair 0 Move/Relocation Garage: Septic: 0LAttached O Detached 0 ISDS 0 Community Type of Heat: pi,Natural Gas 0 Propane Driveway Permit: ''Exempt 0 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 461.11111 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. GLt /u% V/7//9 Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation; 1.9 3z66. -n= Plan Check Fee: 988./0 Permit Fee: /50°,45'Y\ Manu ho e Fee: (lam Misc Fees: F.2 "77 "otr,xG ,,ei r Total Fees: /n zso SrZ5 FFf/e'�ens Paid: i��1 /�J 1(a1. 1' Balance Due: 1 -'58. SS- BP No: ISDS No: /_ 22 BI-Z,-333LA Setbacks: gi41ov. OCC Group: rg•G Const Type: s ZC— Zoning: PRO BUILDING / PLANNING DIVISION : / Q /g3 Signed Approval ate pdk. /1961.30 re (Z4 , -1 y%iA4' CGS 151744 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com Applicant: Job location: Sub-Lot/Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET Fill ONLY in the yellow areas Type of Space Square Feet Value per sq. ft. Valuation Finished Living Space (N/A for Manufactured Homes) 0 sq.ft X • $74.68 1 1 7 73 5 Unfinished Basement sq ft X $41.00 Crawl Space sq ft X $9.00 Garage 544 sq.ft X $18.00 q' b q Covered Patio/Deck 131 sq.ft X $24.00 03 z pet Uncovered Patio/Deck / 0 sq.ft X $12.00 -) } /4 c� 4,t• Misc: sq.ft X $0.00 Misc: sq.ft X $0.00 Total Valuation Manufactured Home Set -Up Single level ($400.00) Multi -Level ($600.00) Total Set -Up Fee Valuation Septic Permit ($73.00) Perculation ($100.00) Total Septic Fee Valuation j Total fees This section will be determined by Garfield County. Plan Review Fee Building Permit Fee Pay separately with Cash or Check only (Road impact fees)- Other Due at time of Application Submittal Due at time of Permit Pick -Up ***AII fees are estimates until plan review is completed'' 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.) hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. /bb' Y//// //y Property Owner Print and Sign Date Occupancy: Applicant Address Date VALUATION FEE DETERMINATION Abdi Pirzadeh/Ray Ansari TBD Cliffrose Lane, GWS 8/18/2014 Subdivision Lot/Block Contractor Finished (Livable Area): Main 1151 milt Upper sq.ft Lower 1229 sq.ft Other sq.ft X $74.68 Total Square Feet 2380 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/Pati os/Porches Covered Open Other Total Valuation Type of Construction: Total Valuation Total Valuation 548 137 198 sq.ft X $41.00 sq.ft X $33.68 sq.ft X sq.ft X $18.00 sq.ft X $56.68 sq.ft X $12.00 sq.ft X sq.ft X $9.00 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 Pinyon Mesa Lot # 42 Image Construction Inc. Abdi Pirzadeh 177,738.40 0.00 9,864.00 0.00 5,664.00 0.00 193,266.40 Building Plan Review Description of Work: New SIF residence Bin #: Location Address: Sec07, T07, R88 GLENWOOD SPRINGS, CO 81601 General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -8-14-8033 Parcel: 239308205042 Application Date: 08/11/2014 Owner: Image Construction Applicant: Image Construction Applicant Phone: Email: Building Engineered Foundation NM Driveway Permit Surveyed Site Plan N)/A Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes /Jl R Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions / Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. N/A 40# Snowload Letter - Manu. Homes Soils Report Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height Toning Sign -off Road Impact Fees HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat General Comments: Monday, August 18, 2014