HomeMy WebLinkAboutApplication411E:(Gt7Z7-'fii 'id'C`( 1,-1 A IIG 2 4 22012
RECE LVFJD
108 8th Street, Suite 401, Glenwood Springs, CO 81601
Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306GAR -ILLU (,, OUIN 1 Y
www.garfield-county.com BUILDING R; p1 Ai,INIIN(
BUILDING PERMIT APPLICATION -5
1
Parcel No: (this information is available at the assessors office 970-945-9134)
ISciI-no,- ol- o2.5
Lot No: Block No: Subdi Exemption:
}}0wmts+eN8 15 PAnrvlio^.4 (nto6$
2
Job Address: (if an address has not been assigned, please provide CR, HWY or Street Name & City) or and legal description
1gn`Ij PAND0.9MA 'Oft CAik)ovNdAle.
3
Owner: (property owner)
111 o r' ct i u
Mailing Address:
I S)73 Pima RpMA OA. C -.144.10(1441k
Ph:
/) )0 -,:)4-653)5
Alt Ph:
4
Contractor:
tO W N 641,
Mailing Address:
Ph:
Alt Ph:
5
Manufactured home installer:
Mailing Address:
Ph:
Lic #:
6
Architect:
Mailing Address:
Ph:
Alt Ph:
7
Engineer:
f4iNMS+ - AL
Mailing Address: Caaa.ta���
3ko MAiN. ' R0.'S is
Ph:
Qt71)- G%-31).:
Alt Ph:
8
Sq. Ft. of Building:
X710
Sq. Ft. or Acres of Lot:
5.(L
Height:
ILI ,011
No. of Floors:
9
Use of Building:
Residential :Commercial :Other
Class of Work:
Rslew :Alteration :Addition ❑Repair :Demo :Move
10
Describe Work:
t+'AZ, \Aed G1411415e_..
11
Garage:
DAttached aDetached
Septic:
15IISDS :Community
Type of Heat:
glNat. Gas EPropane :Electric :Other
12
Driveway Permit:
Owners valuation of Work:
NOTICE
Autho rits. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. ]f 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 Department.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the properly 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 1 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 me, as Owner, to construct the structure(s) and facilities detailed on
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit, I agree that I and my agents will COM ply with provisions of any federal, state or local law regulating time 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 time County, if the location,
coustnaction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulations) or any other applicable law.
I 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: (I) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structures) 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 Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
or discrepancies. As the Owner, 1 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/ AVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
0 "5/2 Oi 2.
O NERS,SIATURE ,. DATE
% W ' •C�L1.
C�- 1 , STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
f0 6E3'. ad
Plan Check Fee:
1Z6. 9i
Permit Fee:
1?5. z.5
Manu home Fee:
--____—
Misc Fees:
Total Fees:
32Z,/6
Fees Paid:
1 Z - h. 9'l
Balance Due:
f `l, c. z,S
i3P No & Issue Date:
ISDS No & Issued Date:
496,111
Setbacks:... -/OCC
rf✓ z5, gz,>, 510
Group:
Const Type:
gc
Zoning:
R
_r
da -s-0..4--- 10//0—
P G , . A., A ,
AP ROYAL DATE
A PROVAL DATE
Building Plan Review
Description of Work: Detached garage
Sin #:
Location Address: 1873 PANORAMA DR
CARBONDALE, CO 81623
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -8-12-7362
Parcel: 239116201025
Application Date: 08/24/2012
Owner: Thomas Flynn
Applicant: Thomas Flynn
Applicant Phone: (970)274-6873
Email:
Building
Engineered Foundation
Driveway Permit
ry Site
Surveyed PIn S a
Septic Permit and Setbacks
/ Grade/Topography 30%
/ Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
4/1
Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
PIan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
✓ Flood Plain
uilding height
Zoning Sign -off
oad Impact Fees
/ HOA/DRC Approval
GradefTopography 40%
Planning Issues
-Subdivision Plat
General Comments:
V:4//u/4d/4 /'; i '8. of
fi4v/avie-e- 9/
grAoi/ re€, /71: AC
dooit / y 6 9i
j // z.
Friday, August 31, 2012
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.)
I hereby acknowledge I have read, understand, and will abide by the requirements of this
checklist.
Signature of O
Dat
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.qarfield-county.com
Applicant:
Job Address:
Subd- Lot/block:
FEE ESTIMATE
FOR S/F STICK BUILT HOMES
(ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED)
711,0 AAA F9���
17 �, P A* D IAM A Q tZ C Ai}.bnc1+�111e, 431 b 9.,'i
14-nme-6- -aci ) PAN oPAiv i 0,0010
FINISHED LIVING SPACE:
UNFINISHED BASEMENT:
CRAWL SPACE:
GARAGE:
sf X 74.68=
sf X 41.00=
sf X 9.00=
5710
sf X 18.00= J 0, 3 ?, °0
UNCOVERED PATIO/DECK:
COVERED PATIO/DECK:
MISC:
MISC:
sf X 12.00=
sf X 24.00=
TOTAL VALUATION:
10,3b6. )c
THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING
PLAN RE VIEW FEE:
PERMIT FEE:
TOTAL:
SEPTIC=
PERMIT:
PERC: