HomeMy WebLinkAboutApplicationGARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
www.earlield-countv.com
1
Parcel No: (this information is available at the assessors office 970-945-9134)
1_tZ5 303 co has"
2
Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description
o5oi it -1f ear.-. LL E 6r�1 60 8rI;5Z
3
,
Lot No: Block No: Subd./ Exem ttn:
L C L0T 3 S z. c. 30 -5 S 27 %c_7 e7a— pM
4
5
6
7
�2GS
Owner: (propert
(—(0/16 L.)
Contractor:
Architect / Engineer:
OW
Sq. Ft. o Buil
1
owner)
. 17e*..1 ff&€L
ing
GUL" t .• L
i ifiq L/01 -1-
t )1`T10
,` r
Mailing.Address:
501 im jl e l..ir. Lauf, 5_1LT
Mailing Address:
Mailing Address:
5 b.h"t.
Sq. Ft. or Acres of Lot:
Z2 -4. 4 c-gf5
t.D - as O )kJ +y► ,fia..Aly
II
Ph: h%htE
vo,e7r 51 - /c
Alt Ph; (g.t.L
q7 LI • 14f3-O6a0
Ph:
Alt Ph:
Ph:
Alt Ph:
Height: A t rt
--U
No. of Floors:
i
12€
,16/3 CMST,
.._ 03 .
8
9
Use o Building
�. -
Describe Work:
rd E.-i.L-
10
Class of Work:
ew o Alteration
Garage: /
tst D ❑ Attached o Detached
o Addition
Septic: gt4er 19(.9 6143/93)
•1S S ❑ Community
11
12
Driveway Permit:
Owners valuation of ark:S �� OD Dad
Authorih,
.klS1h1
This application for
letter of authority,
A Building Permit
NOTICE
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
signed by the Owner, must be provided with this Application,
cannot lx issued without proof of legal and adequate access to the properly for purposes of inspections by the Building Department.
permits may be required (1) State Electrical Permit, (2) County 1SDS Permit. (3) another permit required for use on the property identified above, c g. State or
Legal Access.
Other Permits. Multiple separate
har
County Highway/ Road Access or a State Wastewater Discge Permtl
Void Permit, A Building Permit becomes null and void if the work authonzed is not commenced within 180 days of the date of issuance and if work is suspended or abandoned far a period of 180
days after commencement.
CERTIFICATION
1 hereby certify that I 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 nom. as Owner. to construct the structnreis) and facilities detailed on
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit. 1 agree that I and my agents will comply with provisions of any federal, state or Intal law regulating the work anJ the Garfield County Building
Code, ISDS regulations and applicable land use regulations (County Regulation(s)). 1 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(ics), described above, are not in compliance with County Regulation(s) or any other applicable law
1 hereby grant permission to the Building Department 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(sr or facility(ics) if such is in violation
of County Regulation(s) or any other applicable law.
Re :,ew 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
o• .-repancies. M Owner, I acknowledge that responsibility for emnpliance with federal, state and local laws and County Regulations rest with me and my authorized agents. including without
on my archite esignergineer and/ or builder.
EBY AC LEDG = AT 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE
1 ' Z(2 l
• IP' DATE
OM. RS SIGN
Special Conditions:
STAFF USE ONLY
gtP g G c}i&k3- rr ONLY
Adjusted Valuation:
ft7•4?)
ISDS Fee:
Setbacks:
Plan Check Fee:
46(6./4
Total Fees:
((77• A
Permit Fee:
7(3.76
Fees Paid:
31.01
Balance Due:
OCC Group:
If .
BLDG DEPT:
1\AAC\ \\\\ 2/14/a0 CO
APPROVAL DATE APP OVAL
Manu home Fee:
0
BP No & Issue Date:
- PN 0
Const Type:
It
PLNG DEPT:
Misc Fees:
ISDS No & Issued Date:
Zoning:
2/*/2o1a
DATE
The following items are required by Garfield County for a final Inspection:
1) A final Electrical Inspection from the Colorado State Electrical Inspector.
2) Permanent address assigned by Garfield County Building Department and posted at the
structure and where readily visible from access road.
3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows
installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent
kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all
necessary plumbing.
4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running
water, non-absorbent floors, walls finished, and privacy door.
5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks
over 30" high must be constructed to all IBC and IRC requirements including guardrails.
6) Outside grading completed so that water slopes away from the building;
7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of
extenuating circumstances., i.e. weather. Under such circumstances A Certificate of
Occupancy may be issued conditionally.
8) A final inspection sign off by the Garfield County Road & Bridge Department for driveway
installation, where applicable; as well as any final sign off by the Fire District, and/or State
Agencies where applicable.
A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE
ABOVE ITEMS HAVE BEEN COMPLETED.
A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED.
OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED.
OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN
ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES
UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use and the issuance of a
. for the building identified in the Building Permit.
OW "ERS SIGN
Bappl icati ondecember"
o7
4
10/0
` IATE
BL'1LD1.VG & PLANNING DEP-IRTMEVT
AGRICULTURAL EMPLOYEE AFFIDAVIT
FOR EMPLOYEE HOUSING
L-(11,4 OE'f. I_ , state that the residential structure
described below will be occupied solely as an agricultural employee dwelling unit
provided to an individual and related family member who is/are employed in an
agricultural use, including farms, garden, greenhouse, nursery, orchard, ranch, small
animal farm for production of poultry, fish, forbearing or other small animals, as
prescribed in Garfield County Zoning Resolution Section 3.02.01 and in Section 2.02.02
Agricultural Land, on the property at which the dwelling is located and further, pays no
rent.
It is agreed that proof of employment, in the form of Internal Revenue Service Forms
W-2 or 1099 for each person employed as described above will be submitted to the
Garfield County Building and Planning Department upon request by the county.
It is agreed that this property will not be sold to another party without representing that
the agricultural employee dwelling structure is for agricultural employees only and may
not be used for any other purpose.
Property and Building Description:
Address 9,1 t1.1oLL (a 3765 2 --
Assessors
Assessors Parcel Number 2.1 Z 1 0 'QC 0
Building Description } : - _ U 5t_
Building Square Feet Habit ble co
Building Permit Number 0 c L RE- 4 40
ISDS (Septic) Permit Number
Owner L' tl[ k..) :FOC 6t,
Owner Address MJ#t
Date 61-J, ill Z oC 0_
Witness
8
20
3
108 8th Street, Suite 401, GfenwvoodSprings, Cofnrado 81601
(970) 945-8212 'Far (970) 384-3470
(Signature)
Applicant:
Job Address:
Subd- Lot/block:
FEE ESTIMATE
FOR S/F STICK BUILT HOMES
(ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED)
FINISHED LIVING SPACE:
UNFINISHED BASEMENT:
CRAWL SPACE:
GARAGE:
eta'
se X 74.68=
se X 41.00=
se X 9.00=
se X 18.00=
UNCOVERED PATIO/DECK:
se X 12.00=
j
COVERED PATIO/DECK:(D sr X 24.00= .f
MISC:
MISC:
cru - C4.5 4-5,00o (2) a1 Adz -u l LT
TOTAL VALUATION:
41
THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING
PLAN REVIEW FEE:
PERMIT FEE:
TOTAL:
�o 96. ;y
SEPTIC=
PERMIT: k1%
PERC:
tg6q ('/zo/q)
Building Plan Review
Description of Work: Agricultural Employee Housing on foundation w/covered deck
Bin #: pif
Location Address: 501 Ingersoll LANE
Silt, CO 81652
General Information
rCase Manager: Ken Smith
Plan Case Number: BLDG -2-10-6290
Parcel: 000000000000
Application Date: 02/092010
Owner: Lyman Fogel
Applicant: Lyman Fogel
Applicant Phone: (970)876-5115 emit
ti
Building
Planning/Zoning
Engineered Foundation Property Line Setbacks
Driveway Permit 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
Septic Permit and Setbacks Building height
Grade/Topography 30% Toning Sign -off
Attach Residential Plan Review List Road Impact Fees
Minimum Application Questionnare HOAIDRC Approval
Subdivision Plat Notes Grade/Topography 40%
Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
LA `(j -74,A7 S bZ.i,
Application Signed 61/1 rAr 24-eX) 542 g0.00
plan Reviewer To Sign Application 6-'47,
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Tuesday, February 9, 2010
Building Plan Review
Description of Work: revisions
Bin #:
Location Address: 501 INGERSOLL LN
SILT, CO
General Information
Contacts
rCase Manager: David Bartholomew
Plan Case Number: BLDG -4-11-6810
Parcel: 212530300085
Application Date: 04/08/2011
Owner. Lyman Fogel
Applicant: Lyman Fogel
Applicant Phone: Emelt
Building
Planning/Zoning
Engineered Foundation Property Line Setbacks
Driveway Permit 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
Septic Permit and Setbacks Building height
Grade/Topography 30% zoning Sign -off
Attach Residential Plan Review List _____Road Impact Fees
Minimum Application Questionnare HOA/DRC Approval
Subdivision Plat Notes GradelTopography 40%
Fire Department Review Planning Issues
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
r'ubdivision Plat
General Comments:
L'41btA- yr 103/ 7B Z. 9 Z-
��Y,�c Pe 1016 • I5
11 fee 6 6 b . s°
-7-E)T41- 1676.65
Av .Ptd Ct77.69
tette - Lf qS.q,
501 Ingersoll Lane, Silt
4/19/2011
Lyman & donna Fogel
Applicant
Address
Date
VALUATION FEE DETERMINATION
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 1319 sq.ft
Upper sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 1319 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
220
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
stilt X $18.00
sq.ft X $56.68
sq.ftX $12.00
sq.ft X
sq.ft X $9.00
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
N/A
Lot 3
Owner
98,502.92
0.00
0.00
0.00
5,280.00
0.00
Total Valuation 103,782.92