HomeMy WebLinkAboutApplication+ cx lrc1 +bra a P1ty
108 8th Street, Suite 901, Glenwood Springs, CO 81601
Ph: 970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306
www. garf ie l d -co u nty.com
BUILDING PERMIT APPLICATION
1
Parcel No: (this information is available at the assessors office 970-935-9134)
3' 1 - 31 2-11-oo(5
Lot No: Block No: Subd./ Exemption:
155 461e.4 bQ0t;61`R2tl1rsi EsrPt .
2
Job Address: (On address has not been assigned, please provide CR, HWY or Street Nome tt City) or and legal description
$ 1✓QVe6T -irNN VEq' LAc26oI4v) t tCo 6162.3
3
Owner: (properryowner)
EISA -t2Di -- Win
Mailing Address:
32 CDT5WC1'® VO-)11,Splikm 1411
Ph:
SS q-9 .-561i.3562
Alt Ph:
4
Contractor:
01,41E2
Mailing Address: l DNA)
Ph:
Alt Ph:
5
Manufactured home installer:
! .A.1 1 oMt .0 , NC.,
Mailing Address: -74, Mni1t 6r
iti41-THAM FMA 0246 i
Ph:
ii -ig4 -355/
Lic #:
_ TSD
6
Architect:
Mailing Address:
Ph:
Alt Ph:
7
Engineer:
15E1 iri€ .
Mailing Address: 2'`11-0 TaLik c-oc,y tZ
noire 2i2) Mluteterp,ICA el 21;v3
Ph:
(I51-bvb -0O3/
Alt Ph:
8
Sq. Ft. of Building:
2�(7�G SI
Sq. Ft. or Acres of Lot:
1412-14 6F
Height:,No.
143~(6"
of Floors: i
9
Use of Building:
%Residential ❑Commercial :Other
Class of Work:
1gNew ❑Alteration ❑Addition ❑12epair ❑Demo ❑Move
10
Describe Work: [VIM 5itUttZ FAMILY( DvoGIA.ttAt AMID 2-CA9- 60142-# 1i
11
Garage:
Attached ❑Detached
Septic:
❑ISMS41[Community
Type of Heat:
at. Gas ❑Propane DElectric ❑Other
12
Driveway Permit:
Ri.emer
Owners valuation of Work:
4450, 000
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.
Leval Access, A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department.
Other Permits. Multiple separate pennits may be required: (1) State Electrical Pennit, (2) County 1SDS Permit, (3) another permit required for use on the property identified above, e.g. Stale or
County Highway/ Road Access or a State Wastewater Discharge Permit.
Void Permit. A Building Pemsit 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
1 hereby certify that 1 have read this Application and that the information contained above is true and correct. 1 understand that the Building Department 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 Department
In consideration of the issuance of the Building Permit, l 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. Pemtii 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 Department to elver the property, described above, to inspect the work. I funher acknowledge that the issuance of the Building Pennit does not prevent the
Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance: or (2) stopping constnietion 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 Department 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 THATTHy1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
! fl)/9 r -CJ !1/ 11
.,QWNEF3,S SIGNATitREY _ „ DATE
Utas S.l( r1c7,
lira - e -104
5-
t_ 001 STAFF USE ONLY
Special Conditions: 1
Adjusted Valuation:
6/,700,76
Plan Check Fee:
475,0y
Permit Fee:
'7ZZ, 75
Manu home Fee:
400,
Misc Fees:
---
Total Fees:
16, 00,79
Fees Paid:
400--
Balance Due:
1200.77
BP No & issue Date:
ISDS No & issued Date:
ELK- DPiq
ik COMfl
Setbacks:
/ '
C2-,3' /ZZ-,5/,.S
OCC Group
g. C..
Const Type:
�?
Zoning:
.
BL DEP '
P D ..�'�
Z ----
APP OVAL DATE / /
AP ROVAL f DATE
Building Plan Review
Description of Work: Single level manufactured home on crawl space with an attached 2 c
Bin #:
Location Address: 8 EQUESTRIAN WAY
CARBONDALE, CO 81623
r
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -5-12-7264
Parcel: 239131217005
Application Date: 05116/2012
Owner: Lisa Witt
Applicant: I,isa Witt
Applicant Phone: (845)598-3562
Email: Ikroll100@yahoo.com
Building
Planning/Zoning
Engineered Foundation Property Line Setbacks
Nf Driveway Permit 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
F iq Septic Permit and Setbacks Ruilding height
GradelTopography 30% Zoning Sign -off
//i
Attach Residential Plan Review List / ! ' f Road Impact Fees
Minimum Application Questionnare HOA/DRC Approval
Subdivision Plat Notes GradelTopography 40%
Fire Department Review Planning Issues
Valuation DeterminationlFees Subdivision Plat
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
General Comments:
Tuesday, May 29, 2012
VALUATION FEE DETERMINATION
Applicant Lisa Witt Subdivision
Address 8 Equestrian Way, Carbondale Lot/Block
Date 5/29/2012 Contractor
Finished (Livable Area):
Main 282 sq.ft
Upper sq.ft
Lower sq,ft
Other sq.ft X $74.68
Total Square Feet 282 set
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
609
sq.ft X $4 1.00
sq.f1X $33.68
sq.ft X
sq.ft X $18.00
sq.ft X $56.68
sq.ftX $12.00
sq.ft X
2055 sq.ft X $9.00
98
736
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
Aspen Equestrian Estates
Lot B5
Owner
21,059.76
0.00
10,962.00
18,495.00
11,184.00
0.00
Total Valuation 61,700.76
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The building department 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.)
I hereby acknowledge I have read, understand, and will abide by the requirements of this
checklist.
,s/ _5.7. /
Signature of Owner Date
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www,garfield-county.com