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HomeMy WebLinkAboutApplication.pdfje Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION BUILDING PERMIT APPLICATION ❑ Commercial/Multi-Family Cl Demolition 0 Manufactured Home (SF or Duplex) g Residential (SF, Duplex, or Townhome) ❑ Reroof INVOLVED PARTIES Property Owner: N, WA'YME LINDA LANG'3TAFF Phone: ( 970 ) 948-- 5)41 Mailing Address: )335 22.c3 CO 1C350 Contractor: MOR. jT0 RAG E Phone: ( 970) 254 -0 4 WO Mailing Address: 3O 1 O - 7©13 G .! • Cj 6i 504 Architect: Phone: ( Mailing Address: Engineer: Phone: ( Mailing Address: Manufactured Home Installer: Phone: ( Mailing Address: PROJECT NAME AND LOCATION Describe Work: 24: x 2.4' '13v,.CELLLNUNIT 3^.1 I-OQTER STEN. \WALL Job Address: 1335 224, 1RD Assessor's Parcel Number: 2)27- 02;1-66-179 Sub. Lot Block Owner's Valuation of Work: $ Property Size (Sq.Ft or Acres): 75.G33 Ac Sq.Ft of Building: 57G Height: )31 ti of Floors: Class of Work: New ❑ Alteration I ❑ Addition 0 Repair 0 Move/Relocation Garage: PJ/A 0 Attached 0 Detached Septic: ,ISDS 0 Community Type of Heat: 0 Natural Gas g,Propane 0 Electric 0,0ther Woo h Driveway Permit: 0 Exempt 0 Permit ft:4R,,3/3—Z—/1 Building Plan Review Description of Work: Single family dwelling unit on crawl space. Bin #: Location Address: CR 226 Rifle, CO General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -9-13-7708 Parcel: 212702300179 Application Date: 09/10/2013 Owner: Wayne & Linda Langstaff Applicant: Wayne & Linda Langstaff' Applicant Phone: (970)948-5141 Email: Linda. k. la ngstaff@g m Building f ~! A Engineered Foundation Driveway Permit Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Surveyed Site Plan f Flood Plain / Septic Permit and Setbacks f Building height GradelTopography 30% Toning Sign -off Attach Residential Plan Review List /14 Road Impact Fees l ,V%9 Minimum Application Questionnare / HOAIDRC Approval WA Subdivision Plat Notes / Grade!Topography 40% /v/ / 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. ` 40# Snowload Letter - Manu. Homes /U/k Soils Report Thursday, September 26, 2013 Applicant Address Date VALUATION FEE DETERMINATION Langstaff Residence TBD CR 226 Rifle 9/26/2013 Subdivision Lot/Block Contractor Finished (Livable Area): Main 576 salt Upper sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 576 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 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 N/A N/A Mor Storage 43,015.68 0.00 0.00 Crawl Space 576 sq.ft X $9.00 Total Valuation 5,184.00 Decks/ Patios/Porches Covered Open Other Total Valuation Type of Construction: Occupancy: Total 36 sq.ft X $24.00 sq.fl X $12.00 sq.ft X 864.00 Commercial sf X sf X sf X sf X sf X sf X Valuation 0.00 Total Valuation 49,063.68 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. Fhu1Zv /3 Date OF -FICIAL USE ONLY U J L.1 �' Special Conditions: Adjusted Valuation: 4o63.8 Plan Check Fee: 418,44 Permit Fee: 6 43,-75 Manu home Fee: ,...--- Mist' Fees: Total Fees: tobZ,IA Fees Paid: Lill .51- Balance Due: 6.54,,37 BP Flo: eta ---€15g 15D5 No: Setback F-2; ;1zt; $ 6 OCC Group: X R Const Type: -5:12- C. Zoning: -f2 !fes 5 Date BUILDING / PLANNING DIVISION : Signed Approval t/1 I "1' to.1 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. Prop Owner Prn Vito/zo/3 Date