HomeMy WebLinkAboutApplicationl` fY
'111VI 415,
GSI iF.; r
Garfield
County
t . Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
/75 (970) 945-8212
www.,garfield-county.com
TYPE OF CONSTRUCTION
C.- 5 -
BUILDING
PERMIT
APPLICATION
❑ Commercial/Multi-Family ( Demolitione
o Manufactured Home (Single or Multi -Level)
XResidential (SF, Duplex orTownhome) 0 Reroof
INVOLVED PARTIES f i i chavrrt cu.cai J` -f of ,0-0 1 1 f;2 4Y,i 1 Li LL LP
Property Owner: 13 rel+ &e c1 kitr-►`r- Zol lcy Phone: ( 970 ) 37 9 - to Coto 9
Mailing Address: gam, .ce.L r. P.3,1u]Qcac i Sp5S, CO H lGQ1
Contractor: Phone: (
Mailing Address:
Architect: Pet t o rY i vi Qlam. esr u i I d Phone: (C)70 ) 379 - `a3 ?
Mailing Address: y/ q "Pa /mom f1 ✓.0 G I.CYI if) 6 r.)c 4Sn .� C 0
Engineer: Kaup r�e�' �q,Zr Phone: (97o ) 9X15- 9 (P1.3 Vale_
Mailing Address: 11.2 9 G r~ou+rl A✓e, GIeelc.vc)oci Sp9 s CO 1(on 1
Manufactured Home Installer: -n 1 Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: IV ei la7.5—)i &?h� d ede t q eze, bvi %r✓ "Jr-)
same 5t:h. Q /lea-) cJwe//lv j .j
Job Address: /0 O 3 3 f (as t/ -
Assessor's Parcel Number: •2.1$I' 172. (,13OV to Sub. -TIPS IZq 1 W (0'k Lot Block
Owner's Valuation of Work: $ Property Size (Sq. Ft. o 1, ¥00
Sq. Ft. of Building: 371,4 Height: 5
# of Floors: IP -
Class of Work: pit New 0 Alteration 0 Addition 0 Repair 0 Move/Relocation
40nCe_Gei5blili '5 claim, Lrslied
Garage:,❑ Attached ❑ Detached
-lila.
Septic: OWTS 0 Community
Type of Heat: 0 Natural Gas Propane 0 Electric 0 Other
Driveway Permit: 0 Exempt 0 Permit #:
NOTICE
Authority. This application for a Building Permit mist 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 OWTS 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 1 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 I and my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
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.
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 Regulations) 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 provitfed th9"required information which is correct and accurate to the best of my knowledge.
Property Owner Ppint and
0-1.- o at_
/5— /)—
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
3.5-1,617S4
Plan Check Fee:
!.5&3.xz
Permit Fee:
2.4n4 -.g5
Manu home Fee:
--
Misc Fees:
..--
Total Fees:
3968.17
Fees Paid: q ^
$1,5i5•of
Balance Due:
24.5.2..
BP No:
OWTS No:
IZE -3_0(16
Setbacks:
OCC Group:
• e:
Zoning:
BUILDING / PLANNING
DIVISION : S 27 a --
Signed Approval to
-`471'5.19.1S g�
t ASIS
Garfield County j
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: Richard & Mary Jolley Family LLLP
Project Address: 1080 CR 335, New Castle
Parcel # : 2181-172-00086
Phone: Jack Palomino 379-9239 or Kent Jolley 379-6669
R023356
T 6S, R91W, 6th P.M.
Type of Space
Square Feet
Valuation
Finished Living Space (N/A for Manufactured Homes)
3764
$74.68
Unfinished Basement
0
$41.00
Crawl Space
2690
$9.00
Garage
0
$18.00
Covered Patio/Deck
1122
$24.00
Uncovered Patio/Deck
552
$12.00
Misc:
0
$0.00
Misc:
0
$0.00
Manufactured Home Set -Up
Single Level ($400)
Fee
$0.00
Multi -Level ($600)
$0.00
Septic (DINTS)
Fee
New Installation ($123)
$0.00
Alteration and/or Repair ($75)
$0.00
Perculation ($150)
$0.00
This Section Determined by Garfield County
Plan Review Fee
$0.00
Building Permit Fee
Manufactured Home Set -Up Fee
Septic Fee (OWTS)
Other (Ex: Road Impact Fee)
$0.a0
$0.00
$0.00
***All fees are estimates until final plan review is completed***
$0.00
Contacts
Building Plan Review
Description of Work: demolish existing/ build new dwelling
Bin #:
Location Address: 1080 CR 335
SILT, CO
General Information
Cue Manager: David Bartholomctti
Plan Case Number: BLDG -5-15-8315
Parcel: 218117200086
Application Date: 05/19/2015
Owner: Jolley, Richard & Mary Family LLLP
Applicant: Jolley, Richard & Mary Family LLLP
Applicant Phone: 970-379-6669 Email:
•
Building
Engineered Foundation
N' iq Driveway Permit a ?-,tf't►11
Surveyed Site Plan
/0/R
Septic Permit and Setbacks P,#''1 S/tny°
Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
Fire Department Review
f Valuation Determination/Fees
O
Red Line Plans/Stamps/Sticker
Attach Conditions
/ _Application Signed
Plan Reviewer To Sign Application
ParcellSchedule No.
40# Snowload Letter - Manu. Homes
/ Soils Report
Wednesday, May 27, 2015
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
7 Road Impact Fees
NIS
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.garfield-county.com
Applicant:
Job location:
Sub-Lot/Block;
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Richard & Mary Jolley Family LLP
TBD CR 335 New Castle
N/A
Type of Space
Finished Living Space
(N/A for Manufactured Nom's)
Unfinished Basement
Crawl Space
Garage
Covered Patio/Deck
Uncovered Patio/Deck
Misc:
Misc:
Misc:
Total Valuation
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Fill ONLY in the yellow areas
Square Feet Value
per sq. ft.
3764 sq ft X
sq ft X,
2690 sq ft X
sq ft X
1676 sq ft X
524 sq ft X
sq ft X
sq ft X
sq ft X
$74.68
$41.001
$9.00
$18.00
$24.00
$12.00
$0.00
$0.00
$0.0
Valuation
$281,095.52
$0.00
$24,210.00
$0.00
$40,224.00
$6,288.00
$0.00
.oa
$0.00
$351,817.52
a nation
$0.00
LSeptic
Permit ($123.00)
Percolation ($150.00)
Total Septic Fee
Valuation
$0.00
Total fees
This section will be determined by Garleld County.
Plan Review Fee
Building Permit Fee
Par .separately with Cmh of Chtck otth ( Road rnapact fees)- Other
Due at time of Application Submittal $0.00'
Due at time of Permit Pick -Up $0.00
$0.00