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HomeMy WebLinkAboutApplicationGay e/d c zt irj 108 8th Street, Suite 401, Glenwood Springs, CO 81601! Ph :970-945-8212 F.r:970-384-3440 Inspection Line: 888-868-5306 mitm.garticld-cnuntv.com BUILDING PERMIT APPLICATION rpi *' l caioa VI SAr, STAFF USE ONLY Special Conditions: Parcel Ngris hi/imitation itation is availaabe at the assessors qgk' 970.945.9134) rc 1�7.36g0015 Lot No: Block No: Suhd.l Exemption: Z Job Address:: (Wan address has not h en assigned, please provide CR• f n'}' or Street Name S Citl') or and legal descri tial SS c2 I( GLeNb-)0 502f06-5 Co 1 160 3 O1V�[/ler: ropI i.ri owner) / } rr S /l t4 �tpt`J`Y r �' �GV rt i ' rlr�ir,� ail' g g i I _, C -T �1iG�ay - al" ?,g+/ -e1`.. f I J l.Sl.,— � % P970 6, 8 r( 5CC +I-0 c,+J c 562 IJ I L� 4 Contra or: nal) ` 1 sal- 5rgt-4-1P(47' [ling Address: >it /'Z.,4 o. og. 37Q3 I LT Ph: `1 3-1 6R 25 Alt Ph: v27 51781 5 Manufactured home installer: Mailing Address: Ph: Lic #: 6 Architect: Mailing Address: Ph: Ali Ph: 7 Engineer: -GT As7oC [ ii -TE 3 Mailing Address: ;,0fA�k1 vr�E� F, 6AjRL rev Rh: U 92363 Alt Ph: 8 Sq. Ft. f ui i6: fi ScI, F+Accre�ofLot: Hcigh2 e ) No. of Floors: 9 Use of Building: 0 -Residential ❑Commercial ❑Other Class of Work: �. L9Ncw ❑Alteration ❑Addition ❑Repair ❑Demo ❑Move 10 Describe Work: ,t�! 1+EVG1 (4�NCfr:!=YL' €0t4L,A.tilDtl`l AE� LS7 '1dictw 5W 1r-- ri"t Boi1JL L.)IT+I 0E i�IL.. CL:�jy 11 Garage: ❑Attached 06etached Septic: gSDS ❑Community Type of Heat: Irlat. Gas ❑Propane ❑Electric ❑Other 17 Driveway Permit: Xi ST,K)6- Owners valuation of Work:© WOE + NOTICE AutMAR This arpllcation fora Building Penni'. nlust be signed by the Owner of the property. described above. or an authorized agent. If the signature below is not that of the Ow ocr, a separate letter ,if authority. signed by the Owner Must be provided Uhl) this Application 1.veal 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. 011ier Permits. Multiple separate permits may be required: ( I ) Stale Electrical Permit, s2i County ISDS Penni', CH another permit required fur use on the property identified above c g Stale or County I Iighway/ Road Access ora Vold Permit. A Building fermi[ becomes null and void days after commencement. I hereby certify d;at I have read this Application and that and specification% and other data submitted by rue or on Assuming completeness of the submittals and approval rhe submittals ret iotted by the Building Department 'n consideration oldie issuance of dm Building Pemtit.1 Cudc, ISDS rcgul.ituus and applicable hand use regulations constriction or um of the structures) and facility(ies). : hereby grant pcmlission to the Building Department :Wilding Official Irony 1 I t requiring the correction of of County Regulation(s) or any other applicable law ?.eview of -this Application, including submittals. and inspections or discrepancies. As the Owner. 1 acknowledge that responsibility 'imitation my are riled de ' mer, engineer and or builder I HEREBY . KM) 1 . GE THAT 1 I IAVE REA State Wastewater lithe work the information toy behalf of this Application, agree that (County described above. to enter the property, errors in the oldie AND UN Discharge Permit. authorized is not commenced w Won 180 days elate date of issuance and if work is suspended or abandoned for a period of 180 CERTIFICATION contained above is true and correct. I understand that the Building Department accepts the Application along a itis die plans (submittals), based upon my certiticat.on as to accuracy a Building Permit will be issued granting permission to me. as Owner. to construct the structurc(s) and facilities detailed on I and my agents will comply with ptos•tsious of any federal. state or Insal law regal}Cog the wort: and the GarEeld C,unty Badding Regulation(sll. E acknaw ledge that the Building Permit may be suspended or revoked, upon notice from dm t aunty tildm location arc not in compliance with Courtly Rcgutaiion(s} or any other applicable law described above, to inspect the work. 1 funher acknow ledge that lie issuance of the Budding Permit docs not pre%: ui tic submittals. if any. discos erred after issuance, or (2) stopping construction or 1)50 of the structures) or f n:110%1 res) if such 1% in . 1' Litton work by die Buildinz Department do not constitute an acceptance of responsibility or liability by the Como) of errors 1mussaniv, for compliance with federal, slate and local laws and County Regulations rest with me and sty authorized agents. including %voltamm .' STAND THE NOTICE & CERTIFICATION ABOVE ° 1 rib VNER -+ 'ATURE DATE rpi *' l caioa VI SAr, STAFF USE ONLY Special Conditions: Adjusted Valuation: //<S, 1/6 /. 50 Plan Check Fee: 70E/. 183 Permit Fee: 1085.35 Manu home Fee: Mise Fees: _---_ Total Fees: 17 87 . S-3 Fees Paid: (.1)-5.°L' Balance Due: I,,12.47 BP No & issue Date: ISDS No & Issued Dale: _20 J5 Setbacks: Fz>, gam/. 510 OCC Group: Const Type: Zoning: RIR-C,S'izC_ B , DE vas�t.r+� �/!7 /� P D A><*uc'� `r�0% +++"`A`"PP OVAL. DATE APPROVAL DATE /// 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.) hereby acknowledge I have read, understand, and will abide by the requirements of this checklist Signafurner r1R' Date Garfield County Building & Planning 108 8`h Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.qarfield-countv.com BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIENS The Contractor, whose name and signature appears below, certifies and agre-s follows: 1. The Contractor shall comply with the provisions of C.R.S. B-17.5-101 et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work for the Board of County Commissioners of Garfield County, Colorado ("BOCC") or enter into a contract with a subcontractor that knouing'y employs or contracts with an illegal alien. 2. The Contractor represents, warrants, and agrees that _t has verified that it does not employ any illegal aliens; that it has participated or attempted tr; participate in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland SecuL_ty; and otherwise shall comply with the requirements of C.R.S. 8-17.5-102(2)(b). 3. The Contractor shall comply with all reasonable requests made In the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If the Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et seq., the BOCC may terminate work for breach and the Contractor shall be liable for actual and consequential damages to the State. 4. If the Contractor is a sole proprietor, the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (checlyone) : I am a United States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United States pursuant to Federal law. I understand that this sworn statement is required by lair because I am a sole proprietor entering into a contract to perform work for the BOCC. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to starting work for the 80CC. I further acknowledge that I will comply with the requirements of C.R.S. 24-76.5-101 et seq. and will produce the required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under C.R.S. 18-8-503. CERTIFIED and AGREED to this — day of , 200 . CONTRACTOR: (Contracto Full/L By: Signature ofapprized Rep 3mAgration Rffzdavit 1:+9/06, Final EXHIBIT CALL. 970 37q-69-24- erAi feecaugsr FEIN or Social Security Number f � JiCGtl,GfTE S £ciue6 Title Building Plan Review Description of Work: Steel framed building with metal cladding, concrete foundationffloor Bin #: Location Address: 8877 CR 115 CARBONDALE, CO General Information rCase Manager: David Bartholomew Plan Case Number: BLDG -5-I 1-6851 Parcel: 218736300156 Application Date: 05/1W2011 Owner: Timothy & Lovett Boyle Applicant: Timothy & Lovatt Boyle Applicant Phone: 618-9059 Email. i Building Engineered Foundation AY A Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% r Attach Residential Plan Review List Minimum Application Questionnare }� Subdivision Plat Notes �l Fire Department Review f Valuation Determination/Fees 1 - Red Line Plans/Stamps/Sticker Application Signed -Plan -Plan Reviewer To Sign Application ParceUSchedule No. Attach Conditions /A 40# Snowload Letter - Manu. Homes Soils Report PlanninglZoninq Property Line Setbacks 30ft Stream Setbacks Flood Plain Ruilding height -Zoning Sign -off Road Impact Fees HOA/DRC Approval Grade/Topography 40% Planning Issues -Subdivision Plat General Comments: Tim Boyle 8877 CR -115 GWS 5/17/2011 Applicant Address Date VALUATION FEE DETERMINATION Subdivision Lot/Block Contractor Finished (Livable Area): Main sq.ft Upper sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 0 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 Garage/Storage Steel Frame Total Valuation Crawl Space Total Valuation Decks/ Patios/Porches Covered Open Other Total Valuation Type of Construction: Occupancy: Total Valuation 3850 sq.ft X $41.00 sq.ft X S33.68 sq.ft X sq.ft X $18.00 sq.ft X $56.68 sq.ft X $12.00 sq.ft X $29.99 sq.ft X $9.00 sq.ft X $24.00 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 Accurate Steel Structures 0.00 0.00 115,461.50 0.00 0.00 0.00 Total Valuation 115,461.50