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Home My WebLink AboutApplication.pdfR11C11 Gal:field County NB 2 5 '1 1, Community Development Department 108 8`h Street, Suite 401 GARFIELD COON. `Y lenwood Springs, CO 81601 �h1�111j r ��,}��-Di' IEu� (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family 0 Manufactured Home (SF or Duplex} 2 Residential ,('ST Duplex, or Townhome BUILDING PERMIT APPLICATION 0 Demolition 0 Reroof I INVOLVED PARTIES If Property Owner: e I l�i�Lt: PF167 Phone: ( Cfl ) ?& - Z Z6 Mailing Address: 1 a5-c-comaxvi) t_ SI c_r, eo el Le s`` — Contractor: oc:elezfa- L�t�1z 2CiC'_Tf�?4J Phone: ( (110 ) ' 5- 2144 Mailing Address: t i c C O•p (N l�i2 r si C_ -, (0 Architect: t..-)hti) .7?.) L�(� U?' _ _ Phone: (6/70 ) Mailing Address: L ri ;)cZ, S(L , L`0 8((ce- Engineer:�tC-a.t•vao0'�U(� Mailing Address: ' (Z ?t i iL l r-1 bac. (--7` C� r., .u�,y� 5 s ('C R((e 6 Phone: (MCI ) Manufactured Home Installer: Mailing Address: Phone:( ) PROJECT NAME AND LOCATION Describe Work: rzcs t'bi` Job Address: C. -0u )-(TL( ?(k ' Z' j i:U CAST -LC 1 Ccs e/6,4 -1 - Assessor's /t41 - Assessor's Parcel Number: "Zile. 6-4wo 1- Sub. Lot Block Owner's Valuation of Work: $ 1 ??6, Property Size (Sq.Ft or Acres): Z- ACR(` 5 Sq.Ft of Building: X72 # Height: Class of Work: New ! 0 Alteration 0 Addition 0 Repair 0 Move/Relocation # of Floors: 6501T--1- m k+n Garage: ❑ Attached Septic: )C'OWTS Type of Heat: 0 Natural Gas Driveway Permit: ❑ Exempt 0 Propane 1 Detached 0 Community IgElectric 0 Other E'Permit #: %ice 15T".. 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. 1 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. 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. //2 I% f X9i4. 4/(i - Property Owner Print and Sign Dat OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misr rpoc., szo. Total Fees: 378•fi1, Fees Paid: P Balance Due: 31-(?),? BP No: e r S OWTS o: , Setbacks:✓ / , -z$, R , //V OCC Group: r � C- Const Type: ....7..-5:/e c Zoning: ,/� V. BUILDING / PLANNING / r,/it DIVISION : / / — r` 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.) hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. al -1741,673 Property Owner Print and Sign Date olt Occupancy: Applicant Address Date VALUATION FEE DETERMINATION Dale & Diane Pfaff TBD CR 241 New Castle 9/8/2014 Subdivision Lot/Block Contractor Finished (Livable Area): Main sq.ft Upper sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 0 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 672 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 N/A N/A Becker Construction, Dan Becker 0.00 0.00 12,096.00 0.00 0.00 0.00 12,096.00 Building Plan Review Description of Work: construction of new residential detached garage Bin #: Location Address: TBD CR 241 NEW CASTLE, CO 81647 General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -9-14-8065 Parcel: 212307200107 Application Date: 09/08/2014 Owner: Dale & Diane Pfaff Applicant: Dale & Diane Pfaff Applicant Phone: (970)876-2206 Email: Building Planning/Zoning Engineered Foundation Property Line Setbacks / Driveway Permit 30ft Stream Setbacks Surveyed Site Plan / Flood Plain Nl Septic Permit and Setbacks / Building height Grade/Topography 30% / 7oning Sign -off / Attach Residential Plan Review List //A Road Impact Fees / N/A Minimum Application Questionnare HOA/DRC Approval Subdivision Plat Notes / Grade/Topography 40% t\i/fi Fire Department Review / Planning Issues l Valuation Determination/Fees Subdivision Plat Red Line Plans/Stamps/Sticker General Comments: Attach Conditions Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. /%A 40# Snowload Letter - Manu. Homes /0/ Soils Report Monday, September 8, 2014