HomeMy WebLinkAboutApplication4111;i2Gcz7^feld County
108 8'h Street, Suite 401, Glenwood Springs, CO 81601
Ph: 970-945-8212 Fr 970-384-3440 Inspection Line:888-868-5306
www.aarfield-countv.com
BUILDING PERMIT APPLICATION
i
STAFF USE ONLY
Special Conditions:
e ifPaal' I E3/3o/i_
Parcel No: (this information is available al the asscu e.rs office 970-945-9134)
2175-312-00-013
Lot No: Block No: Subd./ Exemption:
2
Job Address: (flan address has not been assigned, plcasr provide CR. HH')' or Street Nam- & .1iti) or and legal description
1036 County Road 323 Rifle, CO 81650
3
Owner: (propertyan7ter)
Denise & Phil Vaughan
Mailing Address:
1038 CR 323 Rifle, CO 81650
Ph:
970-625-5350
Alt Ph:
4
Contractor:
Phil Vaughan Const. Mgmt. Inc.
Mailing Address:
1038 CR 323 Rife, CO 81650
Ph:
970-625-5350
Alt Ph:
5
Manufactured home installer:
NA
Mailing Address;
Ph:
Lic 11:
6
Architect:
NA
Mailing Address:
Ph:
Alt Ph:
7
Engineer:
NA
Mailing Address:
Ph:
Alt Ph:
8
Sq. Ft. of Building:
336
Sq, Ft. or Acres of Lot;
4 acres +1-
Height:
10'-3"
No, of Floors:
1
9
Use of Building:
®Residential OlCommercial DOther
Class of Work:
rJNew ['Alteration DAddition ❑Repair ❑Demo ❑Move
10
Describe Work:
Construction of an residential accessory storage building. Please call Phil Vaughan 970-625.5350 when permit is ready
11
Garage:
DAttached ❑Detached
Septic:
IJIISDS ❑Community
Type of Heat:
Gas ['Propane DjElectric ❑Other
■'Nat,
12
Driveway Permit:
Existing access from County Road 323
Owners valuation of Work:
$8,200.00
Authority. This application for a Building Permit must be signed
letter of authority, signed by the Owner, must be
Leeal Acress. A Building Permit cannot be issued without
NOTICE
by the Owner of the property, described above, or an authorized agent. lithe signature below is not that of tie Owner, a sepamtc
provided wish this Application.
proof of legal and adequate access to the property for purposes of inspections by the Building Department.
(I) State Electrical Permit, (2) County ISDS Permu, (3) another permit required for use on the property identified above, a g. Stale or
Wastewater Discharge Permit.
work authorized is not commenced within 180 days of the dale of issuance and if work is suspended or abandoned for a pmol of 180
CERTIFICATION
information contained above is true and correct. 1 understand that the Building Department accepts the Application, along with the plans
behalf (submittals), based upon my certification as to accuracy.
Application, a Building Permil will be issued granting permission to me, as Owner, to construct the stneturc(s) and facilities detailed on
that I and my agents will comply with provisions of any federal, site or local maw regulating the work and the Garfield County Building
Regulation(s)). I acknowledge Ilial the Building Permit may be suspended or revoked, upon notice from the County, lithe location-
above, are not in compliance with County Regulation(s) or any other applicable law
the properly, described above- Io inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the
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 the work by the Building Department do not constitute an acceptance of responsibility ur liability by the County of errors, omissions
fur compliance with federal. state and local haws and County Regulations rest with me and my authorized agents, including without
UNDERSTAND THE NOTICE & CERTIFICATION ABOVE.
8/29112
Other Permits. Multiple separate permits may be required.
County Highway.' Road Access or a Stale
Vold Permit. A Building Permit becomes null and v oid if the
days ager commencement
1 hereby certify that I have read this Application and that the
and specifications and other data submitted by me or on my
Assuming compkleness of the submiaals and approval of this
the submillals reviewed by the Building Department.
In consideration of the issuance of the Building Pcrmil, 1 agree
Code, ISDS regulations and applicable land use regulations (County
constmction or use of the stmemie(s) and facility(ics), describes!
T hereby gmnl permission to the Building Department 10 enter
Building Official from: (I) requiring the correction of errors
of County Regulalion(s) or any oilier applicable law.
Review of this Application, including submittals, and inspections
or discrepancies. As the Owner,1 acknowledge that responsibility
limitalian my architect designer, engineer and/or builder.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND
a,
OWNER SIGNATURE DATE
STAFF USE ONLY
Special Conditions:
e ifPaal' I E3/3o/i_
Adjusted Valuation:
6 b '8. ---
Ian Check Fee:
9c .5/
Permit Fee:
1 9'. LC
Manu home Fee:
Misc Fees:
-
Total Fees:
2-9. 76
Fees Paid:
108.7)
Balance Due:
IZi.ds
HP No & Issue Date:
ISDS No & Issued Date:
15r1 atoll
Setbacks:
,45.•�eZi 5/0
OCC Group.
.L�G
Const
Type:
LSC
Zoning:
, i
BILI DE T.
APPROVAL
B/ /Z
Ay',.S...**"..--/C-,..„......e//Q/.
DATE
APPROVAL DATE
Coritar.:s
Building Plan Review
Description of Work: Construction of a residential accessory storage building. Please call
Bin #:
Location Address: 1038 CR 323
RIFLE, CO 81650
General Information
rCase Manager: David Bartholomew
Plan Case Number. BLDG -8-12-7365
Parcel: 217531200013
Application Date: 08x29/2012
1,10/1
Owner. Philip & Denise Vaughan
Applicant: Philip & Denise Vaughan
Applicant Phone: (970)625-5350
Email: phil@pvcmi.com
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
GradefTopography 30%
Attach Residential Plan Review List
Minimum Application Questlonnare
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Hom S4CQ
Soils Report
Planning/Zoning
/
property Line Setbacks
i
30ft Stream Setbacks
Flood Plain
/v
Ruilding height
zoning Sign -oft
oad Impact Fees
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat
General Comments:
Thursday, August 30, 2012
Applicant:
Job Address:
Subd- Lot/block:
FEE ESTIMATE
FOR S/F STICK BUILT HOMES
(ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED)
\\,c? trvOvl �e V oN, r�
FINISHED LIVING SPACE:
UNFINISHED BASEMENT:
CRAWL SPACE:
sf X 74.68=
sf X 41.00=
sf X 9.00=
GARAGE: \\X\ — 2-26 sf X 18.00= CQi ‘V1�o�Q
UNCOVERED PATIO/DECK: sf X 12.00=
COVERED PATIO/DECK: sr X 24.00=
MISC:
MISC:
TOTAL VALUATION:
THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING
PLAN REVIEW FEE:
PERMIT FEE:
TOTAL:
SEPTIC=
PERMIT:
PERC:
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.)
1 hereby acknowledge I have read, understand, and will abide by the requirements of this
checklist.
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-countv.com