HomeMy WebLinkAboutApplicationkVA 0
GA17(f10.- CCL14.01
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Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
E Manufactured Home (SF or Duplex)
Residential (5F, Duplex, or Townhome)
O Demolition
O Reroof
INVOLVED PARTIES �}
Property Owner: Na I lt,, C„ No, -S., Ree i- : L, L' • 1 rt, Lr Phone: (i ) �711—J7o1 c1
Mailing Address: ) _ iNv( !"C i154LJ ick F i 3 A Co 3
Contractor: Phone: ( q70 ) 9'711-07)11
Mailing Address:
Architect: Plvone t,1
Mailing Address: niG , cr
Phone:) cgC)) pD79
Engineer: 6i1 Q, L "r .� : ', /IS Phone: (1 3) ) q`I5 -/00(;
(� /p-.wanc/ .5rC(.)
Mailing Address: 713 Locur /L�
Manufactured Home Installer: Phone: ( )
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: �Md 1l r'z 5 • C'� rl � � � 16,00
Job Address: loci 18 c R -1 C 1V 0,,G� Lr Lodiei
(0 . J I (L/ 7 /
Assessor's Parcel Number: 1 Cr). C Sub. 1 1 Lot C:)0uBlock�3�•
Owner's Valuation of Work: $ Property Size (Sq.Ft or Acres): 11 47,6 CC I't
i ' i Height: rel 0 if(a# of Floors: 1
Sq.Ft of Building:
Class of Work:
Garage:
Septic:
Type of Heat:
7 New 0 Alteration 0 Addition 0 Repair 0 Move/Relocation
Fl Attached
OWTS
0 Natural Gas
Propane
O Detached
O Community
0 Electric
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 1 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. 1
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(les) if such is in violation of County Regulations) 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 ovidd the ired information which is correct and accurate to the best of my knowledge.
ropejty Ov►lter Pr aftd Sign
3-cr „5 -
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
/7O,,55992
Plan Check Fee:r
904 a/ . 39
Permit Fee: "�,
) l/./5"
Manu home Fee:
-
Mist Fees:
______
Total Fees:
z z/S 75
Fees Paid:
1Oi'.
Balance Due:
139 •3.r
B
3911DINTS
Na:
Setbacks:
F23 EzS, 5/0
OCC Group:
..TgG
Const Type:
x R.c
Zoning:
BUILDING / PLANNING
_
DIVISION :5
/3
/5"
Signed Approval
/_ 1
Date
.o4.3Z, 0032 31SIS
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
check st.
f
"/
•
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ 2 1 8
109 Btll Street Suite 303
Glenwood Springs, Colorado 81501
Phone (303) 845-8212
Assessor's Parcel No.
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Nome Kelly M. Sims Present Address 10918 CR 245, NeiW Castle
System location
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
fij Septic Tank Capacity (
N, 4.„,a:, ¢�- a ..��� ° x7' 21 - 3P 4f`''4
e,Q _ Pe lotion (minutesiln umber o Bedrooms (or then)
/3 r3 + ,`
Required Absorption Arse - See Attaehed S %X I arf l� T /f /'(4th►
Special Setback Requirements:
01Atr C 6-0 fik
Inspector -
10918 County Road 245. Nets' Castle
This does not constitute
a building or use permit.
Phone 984-0615
Date
ANAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity /SO 6
Septic Tank Manufacturer or Trade Name f?rfP.t.
Septic Tank Access within 8" of surface YE•S
Absorption Area �AS a
Absorption Area Type and/or Manufacturer or Trade Name a ot-Ci Lrrzld Td Z
Adequate compliance with County and State regulatlonslrequirementa.
r'
Other
Date %` 9,4 Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRU ON SITE
*CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health individual Sewage Disposal Systems Chapter
25. Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valid only for connection to structures which have fully compiled with County zoning and building requirements. Con-
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be aviolation or a
requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or Installs an Individual sewage disposal system Inc mannerwhich involves aknowing and material
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — f1
.... n.. 1. t. II ... 11...I k %
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Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
11. la
C NC' 1
JAaSr- fGy!—(/)—o f
Type of Space
FiIIONLY in the yellow rarer-
Square Feet
Finished Living Space
(NA f or A fanufactured Homes)
Unfinished Basement
Crawl Space
Garage - - �-
Covered Patio/Deck
Uncovered Patio/Deck
Misc:
Misc:
Total Valuation
1
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Septic
Permit ($123.00)
Percolation ($150.00)
Total Septic Fee
sq.ft X
sq.ft X,
sq.ft X
sq.ft X
sq.it X
sq.ft X
sq.ft X
sq.ft X
Value Valuation
per sq. ft.
$74.68 (48, 9 l 1,9$0 001
$o.00 j
Moo!
$0.00
$0.oa
264 $0.00
$OAO
$o.00 $0.00
$41.00
$9.00
$18.00 l' l to bet
$24.00 (7 2 0
$12.00
170,,,,4`
$0.00
Valuation
$0.00,
Valuation
50.00
Total fees
This section will be determined by Garfield County.
Plan Review Fee
Building Permit Fee
Pay separately with Cash or Check only (Road impact fees j. Other
Due at time of Application Submittal
Due at time of Permit Pick -Up
$0.00
$0.00
$0.00
I%1I rasa diunui IJidn I I:JVICIW is LAM IIIJIG6au_
Building Plan Review
Description of Work: Additional Dwelling Unit-(ADU)
Bin #:
Location Address: 10918 245 COUNTY RD
NEW CASTLE, CO 81647
General information
Case Manager: David Bartholomew
Plan Case Number: BLDG -3-15-8238
Parcel: 192519400036
Application Date: 03/05/2015
Contacts
Owner: Susan J. Revocable Trust Nalley
Applicant: Susan J. Revocable Trust Nalley
Applicant Phone: (970)274-0724 Email:
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
V Septic Permit and Setbacks
GradelTopography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
1 Subdivision Plat Notes
N/� Fire Department Review
kir/ 4
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Friday, March 13, 2015
Planning/Zoning
property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
N/4
Road Impact Fees
i1 /f HOA/DRC Approval
Grade/Topography 40%
Planning Issues
-Subdivision Plat
General Comments:
WI-. /9U x ?¢.68 c. /48, 9i/. 9Z
4itY. 6984k /goo //, 6 64 .
Coo. Pi 0,600 L¢. Dd = 6, 7.7-0 • O D
Lac. P, 27246X aZ • 60 .: 3, 269.44
T� /7 559 9z-
Mill al grit' NMI" ITnivel Mir Alt rarerlarIBM 01 111
RecepLient• 852408
01 of 1 Re 03:30:22 S1080oc FeeA0.0 fGARFIELD COUNTY CO
Garfield County
STATEMENT OF AUTHORITY
Pursuant two CR4. §38-30-172, the used executes thisiStaCement of Authority on behalf of
..511.5:241 J NELVe,7' frrisf ,a re.i.'Dcrt$/e P.t -1- (corporation, limited
liability company, general partnership, registered limited Iiabil#€y partnership, registered limited liability
limited partnership, limited partnership association, government agency, trust or other), an entity other
than an individual, capable of holding title to real property (the `Entity", and states•as follows•.
The name of the Entity is _Sf U Sqgm, ' f 1\/0.1 Rc Vocackle 7?usf
and Is formed underthe laws of {/o i' rd 9
The mailing address for the Entity is /s1 Cove Rd Pe., sctco6. F4, ro3
The name and/or position of the person authorized to execute instruments conveying,
otherwise affecting ' to real property on behalf of thea mbering, or
,,- Afo �' EntityisSuS�r.� I Il2`C�
The limitations upon the authority of the person named above or hording the position described above
to bind the Entity are as follows (if no limitations, Insert "Nonel: (Vat{ e
Other matters concerning the manner In which the Entity deals with any Interest in real property are (if
no other matter, leave this section blank):
. EXECUTED this day oft.0-, 2p / 7 .
Signature:
Name (printed): S As a /Vgi flee.
Title (if any):
STATE OF Cd -AD m40).
)SS•
COUNTY OF Cir..-_.. l
The fore ing ' inept was, cknowwledged before me this day of irk 2p_
by [ \i t , on behalf of S l 1 �1'� 1 �(,a
,
U.
Witness my hand and official seaL
My commission expires: r liuir22�al-7
(Date)
r
NOWAY ROC
SEVEOFOCtORIBO
NOTMY02013403502
iNCOMSIONENWESAIGUSTAS17
s 7
Public)
ntson#• 844814
213012013 03 47 29 Prl Jean Atherton
1 of 1 Ree Fee 111 00 Doc Fee 0 00 GARFIELD COWRY CO
STATEMENT OF AUTHORITY
1. This Statement of Authority relates to an entity narned the Revocable Trust of Susan
J. Nalley dated November 20, 2013.
2. The type of entity is a trust.
3. The entity is formed under the laws of Florida.
4. The mailing address for the entity is c/o Susan .1. Nalley, Trustee, 151 Cove Road,
Pensacola, Florida 32503.
5. The name / position of each person authorized to execute instruments conveying,
encumbering, or otherwise affecting title to real property on behalf of the entity is Susan J. Nalley,
Trustee.
6. The authority of the foregoing person to bind the entity is not limited.
7. This Statement of Authority is executed on behalf of the entity pursuant to the
provisions of Section 38-30-172, C.R.S.
8. This Statement of Authority amends and supersedes in all respects any prior
Statement of Authority executed on behalf of the entity.
Executed this 23nd day of December, 2013.
STATE OF COLORADO )
} ss.
COUNTY OF GARFIELD )
The foregoing Statement of Authority was acknowledged before me this 23" day of
December, 2013, by Susan J. Nalley.
Witness my hand and official seal.
My Commission expires: 16//1
KATHY THISSEN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID #19984030478
My CanrniseIOn Evinsi November 2, 2014
Notary Public
Please Ream To
Garfield & Beds. P.C.
42e sevandl Strom, Suite mo
GIsnwood springs, Co et6ot
LAND USE CHANGE PERMIT
for
A Parcel of Land Located at 10918 County Road 245, approximately 10 miles
northwest of the Town of New Castle in Section 19, T4S, R91 W owned by the
Susan J. Nalley Revocable Trust and further described in a Special Warranty
Deed recorded at Reception No. 844813 with the Garfield County Clerk and
Recorders Office.
(Assessor's Parcel No. 1925-194-00-036)
In accordance with and pursuant to provisions of the Garfield County Land Use and
Development Code, as amended, and the Susan J. Nalley Revocable Trust Accessory
Dwelling Unit Director's Decision Letter dated November 5, 2014, the Director of the
Community Development Department hereby authorizes the following activity:
An Accessory Dwelling Unit as shown on the site plan attached as Exhibit "A"
(GAPA-8016)
This Administrative Land Use Change Permit is issued subject to the conditions set
forth in Exhibit "B" and shall be valid only during compliance with such conditions and
other applicable provisions of the Garfield County Land Use and Development Code, as
amended, Building Code, and other regulations of the Board of County Commissioners
of Garfield County, Colorado.
COMMUNITY DEVELOPMENT DEPARTMENT
GARFIELD COUNTY, COLORADO
Fred A. Jarman, AICP Date
Director of Community Development
Exhibit B
(Conditions of Approval)
1. All representation of the Applicant contained in the application shall be considered
conditions of approval unless specifically modified by the Director Decision.
2. The Applicant shall comply with Standards for ADU's contained in Section 7-701 of the
Land Use and Development Code.
3. Prior to the issuance of the Land Use Change Permit, the Applicant shall provide an
assessment of the supplemental water quality tests on bacteria. The assessment shall be by a
qualified professional or the CDPHE and shall indicate that the water is acceptable for
consumption or provide a required treatment plan if necessary.
4. A waiver from the Roadway Standards contained in Table 7-107 allowing the existing
driveway to serve the proposed use is approved subject to the Applicant providing prior to
issuance of the Land Use Permit a supplemental engineer's assessment of the switch back
section of roadway and the potential need for additional grading or drainage berms at the
outside of the curve. The Applicant shall maintain the gravel surfacing of the driveway and shall
provide ongoing winter time maintenance including plowing and sanding of the driveway.
5. Prior to issuance of the Land Use Change Permit the Applicant shall conduct a
supplemental site visit with the Colorado River Fire Rescue District to provide the District with
the requested details on the access to the ADU. The Applicant shall comply with the
recommendations of the District including dimensions and layout of a fire truck turnaround if
required.
6. Prior to issuance of the Land Use Change Permit, the Applicant will provide mapping of
any noxious weeds found on the site and submittal of an appropriate weed management plan.
Subject to approval by the County Vegetation Manager this requirement may be deferred to no
later than June 15, 2015 due to seasonal constraints.
7. At the time of Building Permit Submittal, the Applicant shall complete an inspection of
the existing OWTS by a qualified professional verifying that the system meets the additional
future loads from the ADU or provide an engineered design for the expansion of the system to
serve the ADU. The Applicant shall apply for all required permitting from the County Building
Department and shall comply with any conditions of approval. A site specific assessment of the
soils may be required.
8. At the time of building permit review the Applicant shall provide a grading and drainage
plan for the ADU including a site specific soils test in the location of the proposed ADU and a
Soil Stabilization Report for the grading work associated with the ADU location. The Applicant
shall comply with the recommendations of said reports including foundation design, slope
stability, retaining wall proposals and slope re -vegetation. An engineered foundation may be
required based on the recommendations of the soils report. Failure to proceed with obtaining a
building permit including grading or a separate grading permit within 60 days of the Director's
Decision may result in a "Stop Work Order" from the Building Department associated with the
current grading activity.
9. The ADU shall be required to meet all Garfield County Building Code Requirements.
10. The Applicant shall maintain compliance with all conditions of the Lopez Spring decree
and for any other well permits located on the property. At the time of building permit review the
Applicant shall provide detailed plans for connection of the ADU to the existing Lopez Spring
water system.
11. The Applicant shall comply with the lighting standards contained in Section 7-304
12. The Applicant shall comply with the Colorado Forest Service recommendations for wild
fire protection including maintaining an adequate defensible space around the ADU.
13. The Applicant shall reseed and re -vegetate any disturbed areas immediately upon
completion of construction.
14. The Applicant shall utilize bear proof trash containers or store all trash within a secure
portion of the structure such as a garage. Any fencing on the site shall be wildlife compatible
pursuant to CPW guidelines.
1
---(904016)---..- I
41
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pats sax .rr
D
.Li "SDP
sdsn
Water line hook up
1" pur core
Supply to ADO
Existing house
Pressure
tank
�-Filters
`existing
booster
pump
1.5inpur core