HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8"" Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (SF or Duplex)
II Residential (SF, Duplex, or Townhome)
BUILDING PERMIT
APPLICATION
O Demolition
O Reroof
INVOLVED PARTIES
Property Owner: J. Fk"7:4 Ti ALJS I Phone: (C/70) f,
Mailing Address: P O gra
Contractor: [' I?{jGfrn! r pp. -07s � ! r<,��s Phone: (c720 ) (76�-ys�y
Mailing Address: /0"../.7rn q� r.1 5-04,4v)(Ai/kid/yip
, r _ .—
Architect: 5+6 kit k7 Pec -A. 4 er . Dnp Phone: (q 7v )
Mailing Address: `.e? do, (0,,-, 'Cr/6 ! I
Engineer: hi, T (r Phone: (47, ) 96 -/ ,# y
Mailing Address:
X(, ' 1) noks
Gt4Qlfqzd+49 Aq 2
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: ('.roo SiPcfra JU2 , hA'v- 4 i i J Rej pka..) .1t4-4rr) 4
i10.+p i J
Job Address: . 0 4: l-+14 i S r ,,44 ,..:_t,- - 6.:7 7'
Assessor's Parcel Number:2'4 303.24 opo ! Sub. Lot A Block
Owner's Valuation of Work: $ # 53 Apti Property Size (Sq.Ft or Acres): (. 54)/Fte-vS
Sq.Ft of Building: l 76 I — 35.2 L. Height: # of Floors: i E.A.c. 4- .4- 1 I /cp
Class of Work: 0 New 0 Alteration I 0 Addition ❑ Repair Move/Relocation
Garage: 0 Attached Ea Detached
Septic: 0 ISDS cik Community
Type of Heat: Ea Natural Gas 0 Propane 0 Electric 0 Other
Driveway Permit: ®.Exempt 0 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 ISM 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. 1
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.
I 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.
[ 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
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
9 2,84. ¢P
Plan Check Fee:
6/1.09
Permit Fee:
9i9 $
Manu home Fee:
Misc Fees:
Total Fees:
7-5158* B4
Fees Paid:
"A$O6
Balance Due:
7z0,4e
13P N4:
ISDS No:
F -aid n
‘\ in
Setbacks:
ie2s,eZ ; 5/0
OCC Group:
i itc.
Const Type:
12-C,Ru
ning:
BUILDING / PLANNING
DIVISION :•
1.'"---"'-•0,7/X
igned Approval Date
LN. -10-k5 3
•mob'b3 8S8.
1
0,116
Building Plan Review
Description of Work: construct a new basement and relocate an existing cabin
Bin #:
Location Address: Sec03, T08, R88
CARBONDALE, CO
•
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -4-15-8292
Parcel: 246303240001
Application Date: 04/10/2015
Owner: Lewis & Jackie Thompson
Applicant: Lewis & Jackie Thompson
Applicant Phone: (970)963-2772 Email:
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
/Y//4 Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Ai/g
Soils Report
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Monday, April 27, 2015
PlanninglZoninq
/ Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
/-//// Road Impact Fees
OA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat
General Comments:
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.Rarfield-countv.com
Applicant:
Job location:
Sub-Lot/Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Thompson Residence
TBD CR 133 Carbondale
Box T Sub. Exempt. Lot A
Type of Space
Fill ONLY in the yellow areas
Finished Living Space
(NZ4 for Manufactured Hones)
Unfinished Basement
Crawl Space
Garage
Covered Patin/Deck
Uncovered Pati/Deck
Misc:
Misc:
Misc:
Square Feet
986
190
335
280
sq ft X
sq ft X
sq ft X
sq ft X
sq ft X
sq ft X
sq ft X
sq ft X
sq ft X
Value
per sq. ft.
Total Valuation
Valuation
$74.68 $73,634.48
$41.00 $7,790.00
$9.00 $0.00
$18.00 $0.00
$24.00 $8,040.00
$12.00 $3,360.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
{ $92,824.48
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Valuation
$0.00
Septic
Permit ($123.00)
Percolation ($150.00)
Total Se tic Fee
Total fees
This section will be
determined by Garfield County.
Plan Review Fee
Building Permit Fee
( Road unpacz fees )- Other
Pay separately with Cosh or ChecL only
Due at time of Application Submittal $0.00
Due at time of Permit Pick -Up $0.00
$0.00