HomeMy WebLinkAboutApplicationGay'eld C`ED
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1088th Street, Suite 401, Glenwood Springs, CO 81601 A u (j 2 4 2012
Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306
www.garfield-county.com Thr(rlcLOCOUNTY 8-3
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BUILDING PERMIT APPLICATION
1
Parcel No: (this information is available at the assessors office 970-945-9134)
2/2 D 6 S 000
Lot No: Block No: Subd./ Exemption:
ri/I'•
�x8 ARvivo-5 g AiPn0m
2
Job Address: Ulan address has not been assigned please provide CR, HWY or Street Name & City) or and legal description A'L-h' G's 7
Goff 9-14- or -Gk V4-4‘19 14 ,v1 - Tv#1v ,4-t 3/2-5- 61.4X/ 1 -6, -'SAY/ Ce
3
Owner: (property owner) ,
619�/�M9�✓/ L6i Svj/f-N
1MailingAddress:pclo BR�oGx coy(
'�1'`1/r'% nil sTN , �//1
Ph:
90/ - f 2-/ - DG7 3
Alt Ph:
4
Contractor: t
/a3ON44 Mvvii Gael CO.
Mailing Address: / e.;.yp Sv,», Co
/ es3 coo/Ey rytsg ,), 8.i 3701x"
Ph: co: ,1�/' e-
2-V --o 993
Alt Ph:
970 - say -782 y
5
Manufactured home installer:
p/0NX
Mailing Address:
Ph:
Lic #:
6
Architect:
Xt / p) 1' 1-/2
Mailing Address: P0. pax 15-61
ckkizicaIiv1 ao 8oy31
Ph:
3a3-670- 06/9
Alt Ph:
303- 31.v- ly3/
7
Engineer:
goiv 1 - TA -06t4,1
Mailing Address: 30 752 ice/741'0w 41
Go/ 0 9ayn
Ph:
303 - CV/- 302 5•
Alt Ph:
8
Sq. Ft. of Building: 2 / 1 8 ?1'V/,'7
IR 5'3 u,v1IPish,to 7 4
Sq. Ft. or Acres of Lot:
' )1. 5" /de -Rtes
Height:/
15-
No. of Floors:
9
Use of Building:Class
Residential Commercial Other
of Work:
New Alteration Addition Repair Demo Move
10
Describe Work:
NttW Apo5E – rm-at/ I `EL / 4 04-.E/1 L:kg 1, ,fin7j-47-c_i€D AMA—X.4
11
Garage:
Attached Detached
Septic:
ISDS Community
Type of Heat:
Nat. Gas •. Propar • Electric Other
12
Driveway ermit: xeo/i/De/. orA
E
/I '
Owners valuation of Work:
' o
NOTICE/lye`
Authority,. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lfthe below is Owner,
signature not that of the a separate
letter of authority, signed by the Owner, must be provided with this Application.
Leeal Access, A Building Permit cannot be issued without proof of legal and adequate access to the for inspections by Building Department.
property purposes of the
Other Permits. Multiple separate permits may be required: (I) State Electrical Permit, (2) County ISDS Pemrit, (3) another for the identified
permit required use on property 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 if is for
and work suspended or abandoned 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 Departnent 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 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)). 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(ies), 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 adcnowledge 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 Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
or discrepancies. As the Owner, l 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 ACKNOWLE�► E THAT I HA READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
v /4 o,
t . w,v ' S 101 A►,J s"sM-,✓ ,64c/f t e - Z 2 — 2-o / 2._
OWNERS SIGNATURE DATE
t\ if.rn.1- .a NI. n ter, en, to
• $ ws I�r— •T•I535 STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
Z70, t.70. ot/
Plan Check Fee:
)2,6E3,3 8
Permit Fee:
1951.35 -
Manu home Fee:
Mise Fees:
Total Fees:
Fees Paid:
Balance Due:
HP No & Issue Date:
ISDS No & Issued Date:
5Z/9.73
16) 753''6
I9sl• a.
au--,D(po--.
aP-4-(iDCI
Setbacks:1
F z,5i . z5; 5 to
OCC Group
�'
.2G
Const Type:
ZI? G
ming:
/2--
AP'ROVAL DATE
APPROVAL DAT'
Zeb Brung's Exemption
Lot # 9A
Personal Home Care Co. Dave Faulkenberg
VALUATION FEE DETERMINATION
Applicant Bachman Residence Subdivision
Address TBD @ CR 241, New Castle Lot/Block
Date 8/31/2012 Contractor
Finished (Livable Area):
Main 2066 sq.ft
Upper sq.ft
Lower 112 sq.ft
Other sq.ft X $74.68
Total Square Feet 2178 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
1853
756
384
785
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq.ft X $18.00
sq.ft X $56.68
sq.ft X $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
162,653.04
75,973.00
13,608.00
0.00
18,636.00
0.00
Total Valuation 270,870.04
P -
Building Plan Review
Description of Work: Single family dwelling on unfinished basement and attached garage.
Bin #:
Location Address: CR 241
NEW CASTLE, CO 81647
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -8-12-7359
Parcel: 212306300136
Application Date: 0W24/2012
Contacts
Owner: Lee & Susan Bachman
Applicant: Lee & Susan Bachman
Applicant Phone: (901)821-0673 Email:
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Septic Permit and Setbacks Building height
/
Grade/Topography 30% 7oning Sign -off
Attach Residential Plan Review List A/ Road Impact Fees
Minimum Application Questionnare AP/ HOA/DRC Approval
Subdivision Plat Notes / Grade/Topography 40%
Fire Department Review / Planning Issues
/ Valuation Determination/Fees
f
Red Line Plans/Stamps/Sticker
Attach Conditions
Application Signed
�j Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
N14 Soils Report
Subdivision Plat
General Comments:
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 Roan Irrlpad. i-ee will 'lie cuiiC�ieU vviieli ti e NeiiiIii i iaaumu.
The permit application must be signed by t`1/4; ,,..,.,,. ,,, N, NVIJV., .,w�,.,y VIII ,tt..., uut,,.,..,, ,.,,,1..,,� .,11V1 IGI
IA) Gild as ii lair r 6Ni CsCI native.
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 p►eniises. (Fir lei/CC,
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.
,p4 6 G4c-/J-Am-iv g z-e/S-
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
3
FEE ESTIMATE
FOR S/F STICK BUILT HOMES
(ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED)
Applicant: .D*v,r) f4vWax/ 6el6 (e% LEE Am) SoSgti 66-e/¢MRN
Job Address: Lot 9A- /;Lk intGEv LR -HE — fv,eAi Dice- 4-#' 3/yr caw,fr AS, 25i
Subd- Lol/block:E
� 6teRvktS is. �Prib Aj - Go 7`- 9A-
1066
FINISHED LIVING SPACE:/ I Z Z, / 7 `F sf X 74.68= / 6 2 G 5 3, b y
UNFINISHED BASEMENT: / g S 1) se X 41.00= 7 5 9 73
CRAWL SPACE: 0 sf X 9.00= 0
GARAGE: % ti 6 se X 18.00= / 3 G o ?
/-
UNCOVERED
UNCOVERED PATIO/DECK: 7 8 5 sf X 12.00= y/ y7 a
COVERED PATIO/DECK `l 6) 8 y se X 24.00= 9 2 /
MISC:
MISC:
TOTAL VALUATION: z 70 P 70 , o y
THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING
PLAN REVIEW FEE:
PERMIT FEE:
TOTAL:
SEPTIC=
PERMIT:
PERC: