HomeMy WebLinkAboutApplicationCommunity Development Department
GARFIELD COLIN i 108 8th Street, Suite 401
' P, MIJNrr OP:!' Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
Garfield County
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
INVOLVED PARTIES t'
Property Owner: Aid 401JA V lT 44-1
Mailing Address: l$ llr4Mi) • u J1 1 3 CAncyaw_
BUILDING PERMIT
APPLICATION
0 Demolition
0 Reroof
Phone:(( ) O3 0311
Contractor:j.Ab!&i) D15(6T1Zikp 1 tic Phone: (70 ) $53 3'333
Mailing Address: PD x IZ% IGkeptVALL
Architect: C h 4&C.1iC1Z)LL Phone: ( 170 ) D4-316
r --
Mailing Address: 164 0 iM1j K040
Engineer: E JJ€ T 1(blatit �- 11%sE. Phone: ( (TO )%3"32-2S
Mailing Address: Veo i#I10 Saar , Cige9f1/4czz-
Manufactured Home Installer: IV (A
Phone:(
Mailing Address:
PROJECT NAME ANDwLOCATIO
N
/^�A,43&yQHS
Describe Work: 4iI4 ^'5IDC E,
Job Address: 165 G-Aoct t.; Atac ecoo<
Assessor's Parcel Number: Z act S 13!j-660ic Sub. S( (L .J Lot 11. K—Block
Owner's Valuation of Work: $ '750(000 Property Size (sq. Ft. or Acres : e. Mi ti ,
Sq. Ft. of Building: 2-725' 0 Height: # of Floors: /..,
Class of Work: 0 New 0 Alteration 0 Addition 0 Repair ❑ Move/Relocation
Garage: 0 Attached 0 Detached
Septic: 1 0 OWTS 0 Community
3
Type of Heat: 1 0 Natural Gas 0 Propane 0 Electric 0 Other
Driveway Permit: 0 Exempt 0 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 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 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 1 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)). 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.
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 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 provi ed e required information which is correct and accurate to the best of my knowledge.
1 tkrAk;
Property Ow nt and Si . n
5/zAr
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
247,q¢z•
Plan Check Fee:
j/94.
Permit Fee:
)8Zz•SS
Manu home Fee:
�-
Misc Fees:
-
Total Fees: �f /J
Fees Paid:
Balance Due: y/
OWTS No:
BPP�No::[)��.
QQSetbacks:
%'yba�i. -e6...70 •
OCC Group:
,.rpt_
Const Type:
-.roc
tonin :
VIA'l
BUILDING / PLANNING
DIVISION : •/ D %Z ',.
Signed Approval Date
Pd.iS;S9N1 ✓� � °�it'fI1S
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 Division 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.
3/z/ir
Propert Owner Print and Sign Date
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
Vitali Residence
TBD Saddleback Rd, Carbondale
Aspen Glen Lot H-15
Type of Space
Fill ONLY in the yellow areas
Square Feet
Finished Living Space: ML=1845, UL=880
(N/A fur Manufactured Howes)
Unfinished Basement
Crawl Space
Garage & Mech. Rm
Covered Patio/Deck
Uncovered Patio/Deck
Misc:
Misc:
Misc:
Total Valuation
2725 sq ft X
sq ft X
1845 sq ft X
985 sq ft X
sq ft X
sq It X
sq ft X
sq ft X
sq ft X
340
162
Value
per sq. ft.
$74.68
$41.00
$9.00
$18.00
$24.00
$12.00
$0.00
$0.00
$0.00
Valuation
$203,503.00
$0.00
$16,605.00
$17,730.00
$8,160.00
$1,944.00
$0.00
$0.00
$0.00
$247,942.00
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Valuation
$0.00
Septic
Permit ($123.00)
Percolation ($150.00)
Total Septic Fee
Valuation
$0.00
Total fees
This section will be determined by Garfield County.
Plan Review Fee
Building Permit Fee
( Road impact fees )- Other
Pczv separately with Cash or Check, only
Due at time of Application Submittal
Due at time of Permit Pick -Up.
$1,184.66
$1,822.55
$1,184.66
$1,822.55
$3,007.21
g. Garfield Court},
Blanding/ Zoning Plan Review ec st
Permit Number: /5z.,ee 9 /,s- 39/¢
Building
Engineered Foundation
N,14 Driveway Permit
NYS
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
O Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter— Manu. Homes
Soils Report
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
/ Flood Plain
Building Height
Zoning Sign -Off
NA Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments: