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HomeMy WebLinkAboutApplication4 GAOi4 7Z0, 108 8th Street, Suite 401, Glenwood Springs, CO 81601 Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 www.garfield-county.com BUILDING PERMIT APPLICATION 1 Parcel No: (this information is available at the assessors office 970-945-9134) a�a,-/--ici-co-aos Lot No: Block No: Subd./ Exemption: 2 Job Address: (if an address has not been assigned, please provide CR, HWY or Street Name & Cor and legal description - 3 r9 ii-LA,y 3 zs ,i'P/A- ci b.L, 3 Owner: (property owner Mailing Address: / Ph: Alt Ph: f� tn.,0hp,5e/ vk 2-1'/ / 3 2-5�/7a- C 2-5-- .s- - 3 4 Con�/trJac)tor: D Mailing Address: Ph: Alt Ph: i APP OVAL DATE 11/t .e_5 t C.. -e. 5 / /\ - Manufactured home installer: Mailing Address: Ph: Lic #: 6 Archite t: i 4/4���t-e./ Mailing Ad s: 130F.3"4 te:fIerl.Q Ph:Alt 50Sg0 Ph: `s1grchevs.)..nc Ph:6 Alt Ph: 7 Engineer: ,/" 2 s i %f a 1� �4$ WilkAddress:� 1 f7... `C2�-• 2� 7 Z ti 8 S Ft. of Buildin Sq.Ft. or Acreof Lot: { $V S Height: g y t/ No. of Floors: a(49Z3(J^/d,✓ //Z 35 zZC/-- 9 Use of Building:�� Mr,,, ❑Commercial ❑Other Class of Work: ew ❑Alteration (J (ddition ❑Repair ❑Demo ❑Move 10 Describe Work:A4'o/ L!r'rop.-.. ketOJ-L 2 AveA✓ltev.". 11 Garage: � Septic: Type of Heat: C�Attached ❑Detached ,PIISDS ❑Community ❑Nat. Gas elli:opane ❑Electric ❑Other 12 Driveway Permit: valuation of Work: 1 22-5 oo0 NOTICE Authority. This application for a Bui 'ng 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. Leaal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department. State 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. 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 Department 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)). 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 Department 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 Department 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 & CERTIFICATION AB h'1 D©( OWNERS sICNATI DATE f un -1-1 I �P 19• . STAFF USE ONLY L I•- Glut) F / Leo al.a , v I .---• - — -- r — Special Conditions: Adjusted Valuation: `/ 3 7 Z . /6 Plan Check Fee: . // 7 8/ Permit Fee: /B/. Z,s Manu home Fee: ---, Misc Fees: ._— Total Fees: 299.06 Fees Paid: ?k,51-1 :31 Balance Due: 1411,75- BP No & Issue Date: ISDS No & Issued Date: NM -200 - Setbacks: , 1='Zs Pz,cr ` s'i OCC Group .i'�eG Const Type: r12G Zoning: 1)e,=6.441,471 6/, / , i APP OVAL DATE APPROVAL DATE Applicant: Job Address: Subd- Lot/block: FEE ESTIMATE FOR S/F STICK BUILT HOMES (ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED) g. J O� n sol 238Y ek Y 2-5- ,P; ) t C-0 FINISHED LIVING SPACE: //a sf X 74.68= UNFINISHED BASEMENT: sf X 41.00= CRAWL SPACE: sf X 9.00= GARAGE: sf X 18.00= UNCOVERED PATIO/DECK: COVERED PATIO/DECK: MISC: MISC: sf X 12.00= sf X 24.00= TOTAL VALUATION: THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING PLAN REVIEW FEE: PERMIT FEE: TOTAL: sy. 41C Sio SEPTIC= PERMIT: PERC: 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 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. /7/ Signature of wner Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.qarfield-countv.com Building Plan Review Description of Work: Remove half bathroom, and add bathroom Bin #: Location Address: 2384 HWY 325 RIFLE, CO General Information Contacts 1 Case Manager: David Bartholomew Plan Case Number: BLDG -6-11-6881 Parcel: 212719200215 Application Date: 06/07/2011 Owner: RM Johnson Applicant: RM Johnson Applicant Phone: 970-625-5353 Email: Building Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List / Minimum Application Questionnare / Subdivision Plat Notes Fire Department Review Nle Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report /f Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height Toning Sign -off Road Impact Fees HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat General Comments: 1/4 ' 372./6 fir fee H7g/ /�� 70.- ,799'0 "04/ //;7' qy .75 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION O Commercial/Multi-Family O Demolition O Manufactured Home (SF or Duplex) Residential (SF, Duplex, or Townhome) O Reroof INVOLVED PARTIES Property Owner: C%-X1I5,n frki574 Phone: (as)/1D) OS -5355• Mailing Address: 38-4L/d)y 32 , ` ifle, sP/6 o Contractor: R, / 22 i e (J/ 45" Phone: ( 97v) 1, 5 353 Mailing Address: ,34 �Wi/ 5a� KI (�'C, & '1A't0 Architect: 3 t Aiov Phone: ( X70) 91340'9 Mailing Address: 66 N ` 411A 5/.. Sai 7L 5 eGHtG'Yrlic �Y Bib 3 r Engineer: 6%'i' 714.90 Mailing Address: /1 :f' 611414 4Ve `s Manufactured Home Installer: Mailing Address: Phone: (%70 9L /3 Phone: PROJECT NAME AND LOCATION Describe Work: bWi//7J/')iyj ac -a; //Un Job Address: 038 Mei/ Sas g1;91, C' Assessor's Parcel Number: /27] 92 4a%Z/g-Sub. Lot Block Owner's Valuation of Work: $ >O, 4/29 Property Size (Sq.Ft or Acres): 2& de/es Sq.Ft of Building: /b6 Height: # of Floors: Class of Work: 0 New 0 Alteration Garage: 0 Attached Septic: 0 OWTS Di,Addition O Repair 1 0 Move/Relocation O Detached O Community Type of Heat: 0 Natural Gas Driveway Permit: 0 Exempt Cgs Propane 0 Electric 0 Other O Permit #: New 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 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)). 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 provided the required information which is correct and accurate to the best of my knowledge. I . /12 -J e /1/)..5 s� Property Owner Print and Sign Date Special Conditions: Adjusted Valuation: 3.;958./6 Plan Check Fee: o6. P3 Permit Fee: 472. 05 Manu home Fee: Misc Fees: Total Fees: 778.2g Fees PaidC1p//} 299. o6 Balance Due: 47q .8.i BP No: OWTS No: Setbacks: r �zS Sia OCC Group: —T�- Const Type: r 12c Zoning: g BUILDING / PLANNING DIVISION : �/'-K.t.W 00' ¢ Signed Approval Date f1 Applicant Address Date VALUATION FEE DETERMINATION Johnson Residence, Remodel 2384 Hwy 325, Rifle 9/19/2014 Subdivision Lot/Block Contractor Finished (Livable Area): Main 206 sq.ft Upper 206 sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 412 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 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 206 sq.ft X $9.00 28 sq.ft X $24.00 sq.ftX $12.00 sq.ft X Commercial sf X sf X sf X sf X sf X sf X N/A N/A Owner 30,768.16 0.00 0.00 1,854.00 336.00 0.00 Total Valuation 32,958.16 Building Plan Review Description of Work: Amendment to approved plans for BLRE-6-11-2067, addition of bath Bin #: Location Address: 2384 HWY 325 RIFLE, CO 81652 General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -9-14-8064 Parcel: 212719200215 Application Date: 09/05/2014 Owner: R.M. Revocable Trust Johnson Applicant: R.M. Revocable Trust Johnson Applicant Phone: (970)625-5353 Email: Building Planning/Zoning / Engineered Foundation / Property Line Setbacks N/A Driveway Permit / 30ft Stream Setbacks / Surveyed Site Plan / Flood Plain N/A Septic Permit and Setbacks / Building height / Grade/Topography 30% / toning Sign -off Attach Residential Plan Review List / v/4 Road Impact Fees / Minimum Application Questionnare /v/ HOA/DRC Approval � ) Nl Subdivision Plat Notes Grade/Topography 40% /114 Fire Department Review / Planning Issues / / Valuation Determination/Fees Subdivision Plat / / Red Line Plans/Stamps/Sticker General Comments: / Attach Conditions Via/f(174 Application Signed N&L /` 52, 958. f6 cees = 778.85 Plan Reviewer To Sign Application pp,A).4 1,;7Z./6 �,S�G� -z99.06 Parcel/Schedule No. AV/ 40# Snowload Letter - Manu. Homes /*es „171,{e ,S 479, p z- / Soils Report Friday, September 19, 2014