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ommunity Development Department AUG 1 6 2013 108 8th Street, Suite 401 Glenwood Springs, CO 81601 GARFIELD COUNlY (970) 945-8212 )MMUNITY REVELOM"Www.garfield-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION O Commercial/Multi-Family 0 Demolition O Manufactured Home (SF or Duplex) ;Q Residential (SF, Duplex, or Townhome) 0 Reroof INVOLVED PARTIES Property Owner: - Pc flkol.t-rikkd IWA Phone: (?7o ) Mailing Address: 0035— MSD i/l yJ ! Q rZuJ AlaoG, 57z60, VI -7 Contractor: 0961g; //VC- Phone: (%70) 307 -48231 Mailing Address: Architect: G'•/ /5f,P/472 ki2 ,8,/#c fhg Phone: (? ) Z4 -3-3,5-"R-7 / Mailing Address: Po /icy( C9\-' Co R/6 -6.Z fs o -8831 Engineer: Phone: ( ) Mailing Address: Manufactured Home Installer: Phone: ( Mailing Address: PROJECT NAME AND LOCATION Describe Work: . c,k-.)Ze73 6tig C(t 57'72''7 9 cr. �rtlX72_/ /c �h%r—G Job Address: V s�7r /17,1/ coi Assessor's Parcel Number: dq(1-1tDa,y-(' -Li54Sub. Lot —Owner's Valuation of Work: $ \ MC) . Block ��/� Property Size (Sq.Ft or Acres): " —Sq.Ft of Building: '� --Height: ) c, --# of Floors: 0 New LisAlteration Of Addition CI Repair 0 Move/Relocation O Detached Class of Work: Garage: / Septic: Type of Heat — Driveway Per t: 0 Attached ❑ ISDS 0 Natural Gas O Community 0 Propane 0 Electric 0 Other 0 Exempt O Permit #: 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. 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. Property Owner Print and Sign g -,%3 Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: /6? /O46). Plan Check Fee: /q 7/ Permit Fee: 3o 7. ZS Manu home Fee: - Misc Fees: ----_ Total Fees: 54. 96 Fees Paid:d:: } 4}.`(1 1 Balance Due: 3 6'©, 0,5' BP No: ISDS No: k RG-a►gL1 g Setbacks: , , FZS,P4, 516 OCC Group: SgG Const Type: IjlC Zoning: BUILDING / PLANNING DIVISION :07 a Signed Approval Date Building Plan Review Description of Work: covered barbecue structure, under deck shed. Bin #: Location Address: 105 MID VALLEY DR NEW CASTLE, CO General Information rCase Manager: David Bartholomew Plan Case Number: BLDG -8-I3-7674 Parcel: 217912400459 Application Date: 08/16/2013 Contacts Owner: Diana Mol!man Applicant: Diana Mailman Applicant Phone: 970-876-5874 Email: Building Planning(Zoninq rope En Engineered Foundation Line Setbacks 9 rtY I if A Driveway Permit 30ft Stream Setbacks Surveyed Site Plan Flood Plain NVQ Septic Permit and Setbacks / Building height ,r Grade/Topography 30% Zoning Sign -off Attach Residential Plan Review List / Road Impact Fees Minimum Application Questionnare '1HONDRC Approval ,% Subdivision Plat Notes / Grade/Topography 40% -�A Fire Department ReviewPlanning Issues Valuation Determination/Fees Subdivision Plat Red Line Plans/Stamps/Sticker General Comments: Attach Conditions l NfA Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Tuesday, August 27, 2013 1 Applicant Address Date VALUATION FEE DETERMINATION Diana Mollman 108 Mid Valley Dr. New Castle 8/27/2013 Subdivision Lot/Block Contractor Finished (Livable Arca): Main sq ft Upper sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 0 sq.ft Total Valuation N/A N/A Brad Mailman 0.00 Basement: Unfinished sq.ft X $41.00 Conversion of Unfinished to Finished sq.ft X $33.68 Other sq.ft X Total Valuation 0.00 Garage/Storage (wood framed) sq ft X $18.00 Conversion of garage to finished living sq.ft X $56.68 Carport sq.ft X $12.00 Other: Under Deck Storage Enclosure 622 sq.ft X $18.00 Total Valuation 11,196.00 Crawl Space sq.ft X $9.00 Total Valuation 0.00 Decks/ Patios/Porches Covered Open Other Total Valuation Type of Construction: Occupancy: Total Valuation 288 sq.ft X $24.00 sq.ftX $12.00 sq.ft X Commercial sf X sf X sf X sf X sf X sf X 6,912.00 0.00 Total Valuation 18,108.00 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.) I hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. 4.44 Property Owner Print and ign Date g../tom /3