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HomeMy WebLinkAboutApplication.pdfRIC VA Garfield County niiti °t 2i)k Community Development Department 108 8th Street, Suite 401 MF �N,v� )N} Of ��lenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION O Commercial/Multi-Family O Demolition O Manufactured Home (SF or Duplex) .2 Residential {'S , Duplex, or Townhome) O Reroof INVOLVED PARTIES Property Owner: -Pt A C t�4 t c?FkFF Phone: ( crf ) 8q6 - Z ZaG Mailing Address: Z &l-COii4-O1) Di?. St L-1", 10 8r6S2 Contractor:ICC' 7._ e t l i-rzu�-T-1 .1 Phone: ((1 }O ) 'l,-1`",- r1414 Mailing Address: (-COQ i �/tJ `)?z i slot e0 e(IasZ, Architect: Dhi..► . EOC,((C -.. Phone: ( ) z7-44 Mailing Address: [ Vri O'D i N >i , S (�� CO S% k;Z1 Engineer: enC-e..IWOOt 7Z(JC,.-C1.10A-t Phone:(' ) '1Zg " 01 Mailing Address: 81 Z ?ITIC0-1 Lc. . C4 LES-Ni.4380b SM i S COR(It 0 , Manufactured Home Installer: Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION Describe Work: Li t-&% TtS t p ►.c'Z't (_ 81 ,..34 cLc i=kw) / L"--( to+ -j Job Address: COU u ( ?-0,k Z4lC--u% CAS --SLI.` co e ( dc, "¢ Assessor's Parcel Number: Zi(� 71ZOOIe} Sub. i,l J\ Lot Block Owner's Valuation of Work: $ WO, 1)6 C.% Property Size (Sq.Ft or Acres): Z- Aetz( Sq.Ft of Building: i; 80 Height: -V; ' # of Floors: .� 6(4111 '14 i" l'i Class of Work: ,,0"New 0 Alteration ■ Addition • Repair • Move/Relocation Garage:■ letrfeo_ Attached f) Detached Septic: ,,2 OWTS • Community Type of Heat: • Natural Gas • Propane ,0`Electric • Other Driveway Permit: • Exempt ,Permit #: 4 R — IT- 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. 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 wF th is correct and accurate to the best of my knowledge. ALF?''- Property Owner Print and Sign 0 Dat /L7 OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 1 7 0, 174,40 Plan Check Fee: .7°4. 3g Permit Fee: 131 /. 3 5 Manu home Fee: n10,-, Misc Fees: 1\ Total Fees: Z 9C: 73 Fees Paid: 10Q9.94-- Balance Due: }3'? 19 BP No: OWTS No: BU2 33C( Sq - 3;s2_ Setbacks: t -`ZS. �S, Sia OCC Group: -.012 G Const Type: --RG Zoning: K BUILDING /PLANNING DIVISION : L1 / Signed Approval Date rd • 4 (Om °P-1-, 4,4- 4 I, g- 2S - /4- 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. P4/.6 )'00.:1% Property Owner Print and Sign Date Gwfiieltl COW/tp Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com Applicant: Y lam. �7 c' kFi— Job location: _Co&CIL( WO AO 244� Czkk1 eksz"t CQ 91(04-1 BUILDING PERMIT FEE ESTIMATE WORKSHEET Sub-Lot/Block: J,1, - Fill ONLY in the yellow areas Type of Space Finished Living Space (.fir/A for Manufactured Honied Unfinished Basement Crawl Space Garage Covered Patio/Deck Uncovered Patio/Deck Misc: Misc: Total Valuation 2A it2` , CQ�Z Square Feet Value per sq. ft. ?SO sq.ft X 1 3 S© sq.ft x 141 sq.ft X -' sq.ft X sq.ft X Z�(p sq.ft X sq.ft X sq.ft X $74.68 $41.00 $9.00 $18.00 $24.00 $12.00 $0.00 $0.00 Valuation 1 v 3,8 >be -8o r;-(orc-Qj(j $0.00 -- 0 — $0.00 z_Lo (p $0.00 $0.00 Zic3 7. $0.00 $0.00 $0.00 l z. $0.00 Manufactured Home Set -Up Single level ($400.00)------- Multi-Level.(-$60-0.00) $400.00)..--''Multi-LeveL($60 J.00) Tot -al et -Up Fee Valuation $0.00 Septic Permit ($123.00) Percolation ($150.00) Total Septic Fee Valuation $0.00 Total fees This section will be determined by Garfield County. Plan Review Fee Building Permit Fee (Road impactlees)- Other Pay separately with Cash or Check only Due at time of Application Submittal Due at time of Permit Pick -Up $0.00 $0.00 $0.00 ***AII fees are estimates until plan review is completed *** 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 1380 sq.ft Upper sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 1380 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: Occupancy: Total Valuation 1380 282 314 sq.ft X $41.00 sq.ft X $33.68 sq.ft X sq.ft X $18.00 sq.ft X $56.68 sq.ftX $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 103,058.40 56,580.00 0.00 0.00 10,536.00 0.00 Total Valuation 170,174.40 Building Plan Review Description of Work: New S/F residential home Bin #: Location Address: TBD CR 241 NEW CASTLE, CO 81647 General Information Case Manager: David Bartholomew Plan Case Number: BLDG -8-14-8051 Parcel: 212307200107 Application Date: 08/25/2014 Contacts 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 / Septic Permit and Setbacks Grade/Topography 30% Building height Zoning Sign -off f Attach Residential Plan Review List N)//i Road Impact Fees 7 Minimum Application Questionnare N/A HOA/DRC Approval A)/4 Subdivision Plat Notes / Grade/Topography 40% N/7` Fire Department Review // Planning Issues / Valuation Determination/Fees Subdivision Plat / Red Line Plans/Stamps/Sticker General Comments: Attach Conditions Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. p/X 40# Snowload Letter - Manu. Homes / Soils Report Monday, September 8, 2014 1