HomeMy WebLinkAboutApplication.pdfGarfield County
Communityevelopment Department
SEP r 4 2O1 .08 8th Street, Suite 401
Glenwood Springs, CO 81601
GARFIE:LD COUN I Y(970) 945-8212
'r9MUNITY DEVs► N/W;garfield-county.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (SF or Duplex)
Residential (SF, Duplex, or Townhome) 0 Reroof
BUILDING PERMIT
APPLICATION
0 Demolition
J
I -INVOLVED PARTIES
Property Owner: PAT Don/A-A 'Ji vc.KER Phone: ($0 ) 73`%
Mailing Address: ((onq-o eSZoka.R.y ff IL PA-,uK.E.2 Lc &d (34
Contractor: T g • Phone: (
Mailing Address:
Architect: EAb -oRDAI3 /Jo kg-z-thi c.7-vgphone: ( / %D ) 645 • 66gQ
Mailing Address: Pe (sok (p spG,S, 6.3 e((ot,
Engineer: /-545ou h -'k5/ Phone: (9 ?0 ) 8 • Ce 2-11
Mailing Address: f !Y 4 Z tY6, 5 OLA-R-_t•Gft b (."1- 13
Manufactured Home Installer: A[/A, Phone: ( )
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: o13 2vt--T 7t,SLE Ff}n�ft— geSr1Jt.J�-t
Job Address: 5 Z- LA l2-1c5f' Lo -r I(.o C4-A-t5E/24A-Y--ft �
Assessor's Parcel Number:2.39( '3Z 04 o ((..0 Sub. 6_6_2_154 P ArJ04 Lot Block
Owner's Valuation of Work: $339, 9 Z5. 4 0 Property Size (Sq.Ft or Acres):.1 r;
Height:VAR-415/24: M. Pr. # of Floors: .1 w/Wkfuc o 0 r
Sq.Ft of Building:14.0(P4 C.4 JA$[.6
Class of Work:
Garage:
Septic:
Type of Heat:
X,New 1 0 Alteration
Attached
0 OWTS
Natural Gas
Driveway Permit: X Exempt
L
0 Addition
O Repair
0 Move/Relocation
O Detached
0 Propane
Community
0 Electric
O Permit #:
0 Other
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.
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 w • is corr ctd accurate to the best of my knowledge.
5(.b daR�yW - �nrs
Property Owner Print and Sign
U9 SEP &;4
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
432,69¢. 52.
Plan Check Fee:
1 eSe.06
Permit Fee:
2. asg . 55
Manu home Fee:
u) Pt
Misc Fees:
AP
Total Fees:
4716.6
Fees Paid:
/19. 5(f
Balance Due:
319 7, a 7
BP No:
l::11 �- 3Ldy
OWTS No:
emmcana
Setbacks:
g[ j -Env •
OCC Group:
.r.gc_,
Const Type:
S IZG
Zoning:
R
BUILDING / PLANNING
DIVISION :
Signed Approval Date
�d 4�9.1y
(z./, 6! q, 1/4511
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/C0
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.
Zc„ 9...P Za I4 -
Property Owner Print and Sign Date
$0.00
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Pat and Donna Stucker
Project Address: 32 Larkspur; parcel #2391 332 04 016
Subdivsion: Cerise Ranch
Phone: 303.888.8737
Lot: 16
Block:
Type of Space
Square Feet
Valuation
Finished Living Space (n/a for Manufactured Homes)
2630
$74.68
Unfinished Basement
2034
$41.00
Crawl Space
731
$9.00
Garage
1120
$18.00
Covered Patio/Deck
616
$24.00
Uncovered Patio/Deck
1550
$12.00
Misc:
0
$0.00
Misc:
0
$0.00
Permit ($73)
Perculation ($100)
so
so
$0.00
$0.00
Total Septic Fee
This Section Determined by Garfield County
Plan Review Fee
Building Permit Fee
Manufactured Home Set -Up Fee
Septic Fee
Other (road impact fee)
Total Fees Due
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
***AII fees are estimates until final plans are reviewed***
Single Level ($400)
0
$400.00
Multi -Level ($600) 0
$600.00
Total Set -Up Fee An
a
Permit ($73)
Perculation ($100)
so
so
$0.00
$0.00
Total Septic Fee
This Section Determined by Garfield County
Plan Review Fee
Building Permit Fee
Manufactured Home Set -Up Fee
Septic Fee
Other (road impact fee)
Total Fees Due
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
***AII fees are estimates until final plans are reviewed***
Applicant
Address
Date
VALUATION FEE DETERMINATION
Pat & Donna Stucker
32 Larkspur Dr. Carbondale
10/14/2014
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 2630 sq.ft
Upper sq.ft
Lower 2034 sq.ft
Other sq.ft X $74.68
Total Square Feet 4664 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
2468
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq.ftX $18.00
sq.ft X $56.68
sq.ft X $12.00
sq.ft X
731 sq.ft X $9.00
616
1550
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
Cerise Ranch
Lot # 16
TBD
348,307.52
0.00
44,424.00
6,579.00
33,384.00
0.00
Total Valuation 432,694.52
Building Plan Review
Description of Work: new s/f dwelling with attached garage and unfinished basement w/ c(
Bin #:
Location Address: 32 LARKSPUR DR
CARBONDALE, CO
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -9-I4-8093
Parcel: 239133204016
Application Date: 09/29/2014
Owner: Pat & Donna Stucker
Applicant: Pat & Donna Stucker
Applicant Phone: (303)888-8737 Email:
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
NSA -
7
Minimum Application Questionnare
l
Subdivision Plat Notes
Fire Department Review
l
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
N4-
40# Snowload Letter - Manu. Homes
Soils Report
7
1J`A
l
Subdivision Plat
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
Road Impact Fees
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
General Comments:
Tuesday, October 14, 2014