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HomeMy WebLinkAboutApplicationifield County OC 1 Community Development Department GARH!!•; CftillYStreet, Suite 401 )MiM'UN!T'( jdlitlaileiprings, CO 81601 (970) 945-8212 www.earfield-countv.com TYPE OF CONSTRUCTION ❑ Commercial/Multi-Family _ I Manufactured Home (SF or Duplex) ❑ Residential (SF, Duplex, or Townhome) INVOLVED PARTIESKA4 BUILDING PERMIT APPLICATION 0 Demolition ❑ Reroof /` h Property Owner: 1�O•4 ( C E cL 1 E 1/ Phone:ow 4 ) Vito to - SS5f_, � p�'' Mailing Address: 6014 i�a J J RoL SS l I C1 1 Ls Contractor: , \ (J; y1-6 r' W1Q `- F U RA r ,�G'G. Phone: (970 ) di -/S -icy/ 3/ Mailing Address: toy (o 5 O Gila ACQ, &I• Co Architect: Phone: ( ) Mailing Address: Engineer: l r 17 -Ai r.c� Mailing Address: Phone: ( ) Manufactured Home Installer: ff lfv{ y Q, j{C4 Phone: (`7 70 ) �2 0 —11/37 Mailing Address: l \) UCZ 1 ��� !C 14,4, I �il. (, ti CSs Q PROJECT NAME AND LOCATION Lf kiv. F Plam iRQ k,, c F. gb W.50 Describe Work: Job Address: Assessor's Parcel Number: 2179,557D/DO Z Sub. iuht, M r ph Lot 2 Block Owner's Valuation of Work: $ • . S K Property Size (Sq.Ft or Acres): Sq.Ft of Building: l5s toi Height: \ 1P # of Floors: 1 Class of Work: Garage: Septic: New 0 Alteration 0 Attached ISDS 0 Addition Type of Heat: Driveway Permit: al Natural Gas 0 Exempt 0 Propane 10 O Repair 0 Move/Relocation O Detached O Community 0 Electric 0 Other O 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 ISDS 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. I 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! 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. 1 hereby grant permission to the Building Division to enter the property, described above, to inspect the work. 1 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 faciiity(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. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have proykl = the required infarma n which isyltorrect and accurate to the best of my knowledge. Property Owner • int and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: f61 812. Plan Check Fee: `if181.51 Permit Fee: .2-7°,2-f Manu homsFFee: 1L'G`ta-r' Misc Fees: TIte'i ire r t„I,lf 11,2111. 2.o Total Fees: BeI.01, Fees Paid: 1181.g- Balance Due: 67'5'. 5SC'.)-X5 @P Nv: OS No; -:rI,Q Setbacks: r r 7525/ ie2.5 5 )D OCC Group: R.C. Const Type: � ?z C-- Zoning: '‘"K BUILDING/ PLANNING DIVISION : ry/OA/ Signed Approval Date tO•10•t l8l• Building Plan Review Description of Work: pour foundation and place new IRC modular home Bin #: Location Address:" jD CR 233 SILT, CO General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -1013.7736 Parcel: ,217q05/ 01002_ Application Date: 10/10/2013 Owner: George Bagley Applicant: George Bagley Applicant Phone: (970)876-5556 Email: 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 / -P HOA/DRC Approval Subdivision Plat Notes / Grade/Topography 40% / Fire Department Review ✓ Planning Issues r Valuation Determination/Fees Subdivision Plat / Red Line Plans/Stamps/Sticker General Comments: Attach Conditions \i/// 1w11 /!Application Signed B� °HD Plan Reviewer To Sign Application f ParcellSchedule No. / 40# Snowload Letter - Manu. Homes Soils Report Wednesday, November 6, 2013 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com Applicant: Job location: Sub-Lot/Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET 63 Z-� y Fill ONLY in the yellow areas Type of Space Square Feet Value per sq. ft. Valuation Finished Living Space (r\:';i fur tt1arrrrkactused Humes) sq h X $74.68 $0.00 Unfinished Basement ss ft X $41.00 _ $0.00 Crawl Space 1868 s:: ft X $9.00 $16,812.00 Garage ' st ft X $18.00 $0.00 Covered Patio/Deck sq ft X $24.00 $0.00 Uncovered Patio/Deck sq- ft X $12.00 $0.00 Misc: sq ft X $0.00 $0.00 Misc: sq ft X $0.00 $0.00 Total Valuation $16,812.00 Manufactured Home Set -Up Single level ($400,00) Multi -Level ($600.00) Total Set -Up Fee Valuation 400.00 $400.00 Septic Permit ($73.00) Percolation ($100.00) Total Septic Fee Valuation $73.00 $100.00 $173.00 Total fees This section trill he determined by Garfield County, Plan Review Fee _ $1$1.51 Building Permit Fee $279.25 Pert .VeIrcrr trrt l; with Cash ur- ['beak only (Road impact fees)- Other Due at time of Application Submittal $354.51 Due at time of Permit Pick -Up $679.25' $1,033.76