HomeMy WebLinkAboutApplicationGttac7- ell C'oun �� in It Ell
108 8th Street. Smite 401. Gleint ood Springs, CO 81601
Ph:970-945-8212 Fv:970-384-3440 hrapection Line:888-8M-5306
BUILDING PERMIT APPLICATION
GARFIELD COUNTY C�htlhftl&in a r -xi .
1
Parcel No: (tins ,,'torn aIaon r: available of rhe assessors office 9V-945-9134) ,
Lot No: Block No: Subd.I Exertlption: u
2
Yob Addrecm (rfan address has not been aligned pkiprovide CR. HWY or&Vort Name & Ciy) cc and legal dmaiptim
390.7 &oak • . ac,,c- 2'-11 1\-)e‘C Cc. k , CO
I; 3
Owner •yowner
.itel nck-I. O--
Mailing Address Sc j6.i, VT
1o45 -5 11 e Tr91(9H
P12:E7c,*1'x
St - ' iI -1-I(o Zn
Alt Ph: Cock ik
qov -2l3 `i ZOI
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Contractor:
Mailing Address: A. c-
Ph:
Alt Ph:
.
Manufactured home installer.
Mailing Address:
Ph:
Lic =:
b
Architect:
Mailing Address:
Ph:
All Ph:
Engineer_
Mailing Adtnss
Ph:
Alt Pb:
8
Sq. Ft. of Building
Sq. Ft. or Acres of Lot:
Freight
No. of Floors
-
9
Use of Building:
)ffiRtcsidemtial °Commercial °Other
Class
of Work: -
LiNew °Alteration DAdditioa °Repair
:.lr mei 1
Ty . = f Heat'
°Nat. Gas Anita Mae
°Demo °More
*
10
Descri
ttP f win 15 iretri .+
f 11
Garage: 1 Septic:
Attached °Detached I FaSDS °Community
°Electric °Other
-
12
Driveway Permit:
Owners valuation of Work: P -s'7'
t
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usherity. This appittatua far a Budding Permit must be signed (R•
NOTICE
the earner of the property. described above. or an authorized agent If the signature below n not that of the t ,inner a separate
with this: i(plimuonh
legal and adequate access to the property for purposes of =patio= by the Budding Department
Permit. u 2, hearty ISDS Permit 13, anodic: paintt raided for use an the property idcnufied atvec. c g State or
Dwimrge Permit
authorized ss not commenced within lat. clays of the dale of Issuance and if wad: is suspended .r abandoned foe it pertaJ of Crit
CERTIFICATION
contained atkryre is true and correct 1 understand that the Budding Department adxepta the Apphcatton. along with the Ilam
submdtala. based upon my certification as t.' accuracy
a Budding Permit will be Issued granting permission to me. as d wirier. to cons:met the structure( so and faciktues detailed on
and my agents will comply with provisions of any federal. state or local Law regulating the trod: and the hiaduW County Building
Re piIalharsit 1 niirmloige that the Budding Permit may be suspended or revotina upon notice from the County if the location
are not in compliance with Count' Regulations, or any other appltabk ons
described abort. to usped the work Maher adziowledge that the issuariceof the Budding Permit does not prevent the
tinny. dm -veered after issuance. or (2i stopping construction or use of the attucuras d or facility( es, if such is m violation
the week In the Sudden Department Jo not wrntAntc an acia.ptaacv of responsibility or liability by the County of arias. omasums
comp4wnce. with federal. state and local Laws and County Regtdalmo test wi h me and my authorized agents. including without
THE NOTIi& CCE ERTIFICATION .'E ' "VE
J 1' - 1/
letter .dauthority signed by the d arlres must be mu' led
Levi Areess. A Budding Perot cannot he issued without proof of
Other Ferntits• Multiple separate permits may be uquucd 1 I i StateElcdric:ll
County Highway Road .Access or a State Wastewater
Girt Pernik -a Building Permit becomes null and Toni if the work
dans after commas -anent
I betel,' comfy that I have real Ihes Apphadion and that dw information
and specifanteans and other data submittal by me or m in behalf i
Assuming completeness of the submittab and amoral of din Application.
the sukuittah reviewed by the Budding Department
In oo silerahan of the mawuax of the budding Pamit.1 agree tail
Code. ole. RSDS regulations and arphcahle lark( use regulations r Comity
construction or use oldie atfucturrl sr and facility( hes 1 lewd ed above.
I hereby giant permssiot to the Bwding Depatmsere to enter the property.
Building i:+aaemt horn t I }requiring the correction of elms m the suhmlttab.
of County Regulations, or any otter appliabk law
Review of tin eller including submittals. sod nspeettou of
or Ju.Yepancies as the Canner. l aclaiowlcdge that responsibility for
1bradawl: my atdutecs designer. engineer and or tadda
I HEREBY Al. +.A 1.EDt3E rlIA EyRE D AND UNDERSTAND
r+4 T 44/....":9/'-'....
dVIVERS SI , ' TITRE DATE
[' X550 -Z:3!
STAFF USE ONLY
specl>.1 Condition*:
Adjusted Valundon:
2501 &f'.s zc/
Plan Check Fee:
i13.5- S
Permit Fee:
1$ 3 9.35
Masa Game Fee.
Woe Fees:
Total Fees:
Fees Paid:
Balance Dae:
m No dr 1.,... bei
ISDS No & Crewed Dater
Setback= z5J� c D � i
t r i
OCC Gsoop: .3.:n IL C
Come
TjType:_.1. 2_ C
� Zmiag- � -
DE
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tAPPR VALDATE
APPROVAL f' DAT'
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 al 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 Occ:pancy (CO) is issued Using the bui:dmg without a
CO will be considered an illegal occupancy and may be grounds (Jr vacating the premises {FinaVCO
inspection requirements will be attached to your approved field set of plans )
hereby acknowledge I have read understand, and will abide by the requirements of this
checklist.
Signa4ure-of Owner
Date
Occupancy:
Applicant
Address
Date
VALUATION FEE DETERMINATION
Daniel & Cindy Adams
3907 CR 241, New Castle
6/27/2012
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main 1843 sq ft
Upper 525 sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 2368 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:
Total Valuation
Total Valuation
1496
453
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
347 sq.ft X $9.00
40
sq.ft X 524.00
sq.ft X $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
N/A
N/A
Dave Doolen
176,842.24
61,336.00
8,154.00
3,123.00
960.00
0.00
250,415.24
Building Plan Review
Description of Work: Amending BLRE-12-11-2311.
Bin #:
Location Address: 3907 CR 241
NEW CASTLE, CO 81647
General Information
Contacts
Case Manager. David Bartholomew
Plan Case Number. BLDG -6-12-7301
Parcel: 212306100192
Application Date: 06/25/2012
44.
Owner. Daniel & Cindy Adams
Applicant: Daniel & Cindy Adams
Applicant Phone: (801)201-4628 Email:
Building
Planning/Zoning
Engineered Foundation Property Line Setbacks
Driveway Permit 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
Septic Permit and Setbacks Ruilding height
Grade/Topography 30% Zoning Sign -off
Attach Residential Plan Review List Road Impact Fees
Minimum Application Questionnare HOA/DRC Approval
Subdivision Plat Notes Grade/Topography 40%
Fire Department Review Planning Issues
Valuation Determination/Fees-Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Wednesday, July 18, 2012