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Home My WebLink AboutApplicationGarfield County 1 Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.earfield-countv.com TYPE OF CONSTRUCTION BUILDING PERMIT APPLICATION ❑ Commercial/Multi-Family ❑ Demolition ❑ Manufactured Home (SF or Duplex) Residential (SF, Duplex, or Townhome) ❑ Reroof INVOLVED PARTIES Property Owner: E V I n £1JP (�.5 Cx►\ Phone: (D_6__-' ) 61 ,5 - c3 F (6, Mailing Address: ) y ,5 ` W 244-, ! J . I rnI-)C1-Soc-4'1 c'n . Cc 1 5o ,) Contractor:.SLr&.. 1i'k Ccnr‘;o .Lk"Phone: (y 7i) ) 3c .2o2 S Mailing Address: ISI i) ) sL. /l r_ rU(kf los t Lo eizsi Cpk7 Architect: /%4I S4uckc . Phone: (9`7) )?2,H -g22b Mailing Address: A/&) £1 ,Le r LZ) Engineer: L.-nda4cr Phone: (5'70 ).Ls 1- 0900 Mailing Address: Rb2 £o:.,cJ CO R 15)1 Manufactured Home Installer: Phone: ( } Mailing Address: PROJECT NAME AND LOCATION Describe Work: /14.14.) - Job Address: e. Assessor's Parcel Number: 2 `� �-�3oo 33 Sub. `ra�,re dj� d Lot .33 EPthtt Owner's Valuation of Work: $ )755S?. 71P Property Size (5q.Ft or Acres): / Sq.Ft of Building: 472140.Z Height: / 7 ' # of Floors: 1 Class of Work: New 0 Alteration Garage: fEI Attached Septic: ❑ OWTS 0 Addition O Repair 0 Move/Relocation A Detached O Community Type of Heat: ig1 Natural Gas 0 Propane 0 Electric Driveway Permit: 0 Exempt 13 Permit #: 0 Other NOTICE Authority. This application for a Building Permit must be signed by the Owner of the described above, property, 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 for property 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) Of 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. / ::,IAA ->J, I ) Property Owner Print and Sign U✓'r d Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: /763/576 Plan Check Fee: 9Z6.zz- Fees Paid: '1.17 �8 Permit Fee: /4Z4 -.9S Balance Due: / 4 z S . 59 Const Manu home Fee: -)i Pt BP No: Misc Fees: 0750. co ,ef7A SEE OWTS No: Total Fees: 23,5 LEL - LICA 9 Type: . G C amort ,silt' Zoning: '- Setbacks: { lZ ZO 5/1J OCC Group: i BUILDING/PLANNING DIVISION: /3 / i/ i6 r ,'' Si :r ed Approval pate $9,22- S-8 / (01 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 thls checklist. qua Property Owner Print and Sign Date Septic Valuation Valuation re Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com Applicant: Job location: Sub-Lot/Block: Srvl;unv 1 Iw.ut./. _ / 1uct3t _ 4 dof 331614, F to I Fill ONLY in the yellow areas Type of Space Square Feet evr BUILDING PERMIT FEE ESTIMATE WORKSHEET Finished Living Space (1 I for t/a iurociured Unfinished Basement Crawl Space Garage Covered Patio/Deck Uncovered Patio/Deck Misc: Misc: Total Valuation Value per sq. ft. Valuation ,.S7 sq.ft X sq.ft X $74.68 13d 1.&3.71v $0.00 $0.00 $41.00 177 1.( sq.ft X $9.00 IS -96 Li $0.00 5115 sq.ft X $18,00 D $0.00 sq.ft X sq,ft X $24.00 $12.00 it )3t° $0.00 $0.00 sq.ft X $0.00 $0.00 sq.ft X $0.00 $0.00 (1..,70.00 Manufactured Home Set -Up Single level ($400.00) Multi -Level ($600.00) Total Set -Un Fee $0.00 Permit ($123.00) Percolation ($150.00) Total Se . tic Fee $0.00 This section will be determined by Garfield County. Plan Review Fee Building Permit Fee (Road impact fees)- Other Poy separately with Cash or Check only Due at time of Application Submittal Due at time of Permit Pick -Un Total fees $0.00 $0.00 $0.00 ***AII fees are estimates until plan review is completed *** But ilicilin ga9.,11.11 Garfield County 1 Permit Number: , ziee-/._/b — ycpl9' Building Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List l Subdivision Plat Notes kv IVf � Fire Department Review / Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application N%ttt Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report l Planning/ Zoning Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off p �1 Road Impact Fees I�Tn Grade/ Topography 40% Planning Issues / Subdivision Plat General Comments: Fill ONLY in the yellow areas Type of Space Square Feet Value per sq. ft. Valuation Finished Living Space (N/A for Manufiirtured Home) 1857 sq ft X $74.68 $138,680.76 Unfinished Basement sq ft X 541.00 $0.00 Crawl Space 1857 sq ft X 59.00 $16,713.00 Garage 545 sq ft X 518.00 59,810.00 Covered Patio/Deck 463 sq ft X $24.00 $11,112.00 Uncovered Patio/Deck sq ft X $12.00 $0.00 Misc: sq ft X 50.00 $0.00 Misc: sq.ft X $0.00 $0.00 Misc: sq ft X 50.00 $0.00 Total Valuation $176,315.76 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.aarfield-countv.com Applicant: Job location: Sub-Lot/Block: BUILDING PERMIT FEE ESTIMATE WORKSHEET Kevin Everson TBD River Bend Way, GWS Ironbridge Lot # 33 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 Par separately with determined by Garfield County. Plan Review Fee Building Permit Fee Cash or (bell only ( Road impact fees )- Other Due at time of Application Submittal Due at time of Permit Pick -Up $926.22 $1,424.95 $750.00 $926.22 $1,424.95 $3,101.17