HomeMy WebLinkAboutApplication.. cG Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970} 945-8212
www.garfield-countv.com
1 TYPE OF CONSTRUCTION
0 Commercial/Multi-Family !t. Manufactured Home (Single or Multi-Level )_
~ Residential (SF, Duplex or Townhome}
0 Demolition
0 Reroof
1
~
INVOLVED PARTIES i
Property owner:~ 5~ Phone:~ :J?YI.· ZtZiZ..-
Mailing Address :~ blil/.~£H Ohe/!LJUl>At.£; CQ_ ~~
'
Contractor: £>/VIDG" C/t~ &1We2,$ /A't.Phone :(.~J 7J$';3~
MailingAddress:/S?/ ~ 3tz.__ 1*4r Ck). 81~
Architect: K. VLG" tl/tF/38 MailingAd~re: 7/0 ·/.f/. UO~ Ca, '
Phone: ( 726 ) L/77 ZfJ9(}
f//)tL CO. $/62]
Engineer: HJ _,l,f//.B/& Ct>, /AIC Phone: 1't;l1} 4'7~ ZbZ-7
Mailing Address: lib I i30 ;( 2 7'17 1/#L , ca:_o , ,$76 ~-s'
'
Manufactured Home Installer: __________ Phone:(, _______ _
Mailing Address: ________________________ _
PROJECT NAME AND LOCATION _J
Describe Work: r<e;'4J'.J/,)p/_ ;;&'/!W'&f 3 ~ 5Q PT. li21fp AtP'cf
ve:t1 c~~ __g,a~ I 1 JobAddr:;~J8ii,jA ~ aJ,. S/R6
Assessor's Parcel Numbef:il:.c,-;r.z~ ~ Sub~~ Lot 13 Block C>
Owner's Valuation of Work:$~ Property Size {Sq. Ft. or Acres): Z 87A.._
Sq. Ft. of Building: ~<3~5\ pr ~ight: ;20 ~ #of Floors: / E:gl$l'U{'f
Class of Work: llkNew ~Iteration ~ddition D Repair D Move/Relocation
Garage: ~ttached
Septic: fi.OWTS etlSfftJd 4t 2--1\{p
Type of Heat: 0 Natural Gas 'iiPropane
Driveway Permit:
t 0 Detac hed
0 Community
0 Electric 0 Other
f 0 Permit#:-------
l
E a~ed
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~--:;;~~~~-~::~:~-:.=:·~-.. ~=:.: .. ~~ ~~~~~~~-~-=~=~~---····-. :-.. -:·~~~~ ~~--_·:~.~-~
1 AIJ!hgdty. Tiils appllc:atlon for 1 eu•dlna Permit muse b1 11ped by the owner of th• property, described above, or I •n authortz.d .,.nt. If thl! ~r.inet\.lre Nlow Is not Ul•t of1he Owner, a Mparate letter of authority, slaned by the i <>wnet, must~ prcwlded Whh this Appleallon.
I tgpl 'SR"· A 84:1lldlll8 Pef'mlt unnot be Issued Without prool of lqal and adequate access to the pruperty for
purposes of Inspections by ~he Building Division. · • l OtMr Ptrmllh Muldpla separate permits ll)my be required: (1) StatA ElllCt:J'bl Penni~ (21 CountyOWTS Permit,
: .(3) Mother pemtlt rtqu/red for use on the property Identified above, q. Stai. or Cowty Hlshway/ Road Acxes.s or
! 1Sbte.Wast~Dlsch1,.Pannlt.
. yqW Pwmlt· /Ii lulldlna P•nmlt becomes null and void If the wortt •urhorlzed Is not commenced within 180 d1ys or
the·dlte.af lssulnce and If~ Is susp•nded or abandoned for ·a period of 180 days after commencement.
·:-;:~~tf~:!·i : ·.:·~.~: .·~-:~ ~~-·-_-·-.-.~~~~=-:--·---~~-. .· --~~~-~~-... ~~: ... ·~---~----
; I hereby certlfytht t~w rad lhls,Applkatlon and thlt the Information contained above Lt true ind correct. I j undtnbnd tfmthe Bui~ Division aa:apts the AppWcatlon, lllont with the plans •nd speclflcattOns and other
, data submitted by tne or OA: mt behalf (submlttala), baud upon mt cutlllcatlon as t.o accuracy. Assuming
l completeness of the s11bmhbls and 1ppnM1I ofthls Appllcetlon, • 8u8dlna PermJt wffl be Jssu@d irantlQ
1 pennlsslon 10 me. as Owne~ .. t.o cons1nlet the SU"UCturt(i) •nd racllltles det•Hed on the submttuls reviewed by the
; 8ulldln1 Division. In conskfer-tlon. of the Issuance of ttie Bulldlns Permit. I a.-e that I and mv •sen~ wlll comply
: with provisions of any r.cten-1, sc1te or local law "IUf.ilnt the wcri end th• Garllel4 COUnty &uHclng Code, OWTS
; resutatlon• and appllcabl• ~d use reautetJoi.s {County Re1u11tlonls)). I ad<nOWS.dce th•t the Bullcllna Permit
: may be swpended or nrvokttd, upon notice from th& county. If the loc:ltlon, construction or use of the suucturt(s)
; ~nd facllty(les),desulbed a~ove, IA! not In compllance with County Reautatlon(1) or •nv other applicable law.
1 I hereby ~nt permmlon tO the llullclfrw Division to enter the property, ct.scribed abott. to ln:spec:t the work. I ! fwtharadmDWledae that ttl• lswance of the Bulldlng Permit does not prevent the Bulldlftg Offldal from: (1)
. • rwqulrln1 ~ eotrectlo~ of ernxs In the submlttats_ If any, dlsawered after lssu•nce; or (2) stopplnf construction
; or use of' the stna..ture{s) or '.fldlity(les) If such IS in vkllltlon of county R•1Ul1t1onC1t or any other applicable L1w.
~ Rntew of thlis ~lcatlon, lnCludllll submlttals. and IMpecdons of the work by the eulldlna Division do not
I constitute art 11CC1ptlnce ohesponslbfllty or li.blllty b\>' the County of errors, omluk>ns or cftlc,..panc:lu. As the
; Owner, I actnowtedp that iesponslblflty for compliance wlrh federe~ state ind foal laws •nd County Resulatlons
· rest with me.and mv authorlad aaems. lncludlnti wldlout limitation my architect designer. enatnter ind/ or
J~!lllder:..,_ ... ·-··· ··-·---· ··--· -··----.....
I hertilllv IClnowledp • I have tud and understand lhe Notice Ind Clrtlncatlan above ••• wtl •t
...,,. pftlVldtd the nqu~. II cornet and HCU .... to the baa of my knowledae.
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L .@ GarJ;id(f co11111)· 1
Buillding/ Zoning Plan Review ~hec.klist
Permit Number:
Building Planning/ Zonin~
7 Engineered Foundation I Property line Setbacks
IV/A Driveway Permit / 30 ft . Stream Setbacks
/ /
Surveyed Site Plan Flood Plain
t-Jl_A /
Septic Permit and Setbacks Building Height
/ Grade/Topography 30%
/
Zoning Sign-Off
/ Attach Residential Plan Review List ;Vj/f-Road Impact Fees
/ Subdivision Plat Notes / Grade/ Topography 40%
~ Fire Department Review / Planning Issues
/ / Valuation Determination/ Fees Subdivision Plat
/ Red Line Plans/ Stamps/ Sticker
/ Attach Conditions
/ Application Signed General Comments:
/ Plan Reviewer to Sign Application
/ Parcel/ Schedule No.
/V/'1-. 40# Snowload Letter-Manu. Homes
/ Soils Report
cG Garfield Co1111ty I
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www. arfi_eld·tj)Unty.com
Applicant: Sally Sakin
Job location: 499 Wooden Deer Rd Carbondale
Sub-Lot/Block: Wooden Deer Lot# 13
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Fill ONLY in the yellow areas
Type of Space Square Feet Valuation
Finished Living Space
(NIA for /llm111fac111red Homes)
Unfinished Basement
1806 sq ft x
1 sq ft X
$74.68 1 $134,872.08
$41 .00 $0.00
Crawl Space
Gara~e
Covered Patio/Deck
Uncovered Patio/Deck
Misc:
Misc:
Misc:
Total Valuation
Manufactured Home Set-Up
Single level ($400.00)
Multi-Level ($600.00)
Total Set-Up Fee
Septic
Permit ($123.00)
Percolation ($150.00)
Total Septic Fee
406
198
448
1097
2185
sq It X I
$9.00
sqft X I
$18.00
sqlt X $24.00
sq ft X $12.00
sq ft X $35.00
sqft X $0.00
sqft X $0.00 -r
This section will be determined by Garfield County.
Total fees
Plan Review Fee
Building Permit Fee
Pay separately ll'ith Ca s h or Ch eck 011/y (Road impact fees)-Other
Due at time of Application Submittal
Due at time of Permit Pick-Up
$3,654.00
$3,564.00
$10,752.00
$13,164.00
a ua ion
. ----
$0.00.
Valuation
$0.00
$1, 166.46
$1,794.55
$1,166.46 - -
$1,794.55
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$2,961.01
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and/or plans for~. the appllcation may be placed on hold Unttl the re:qulred Information la
provided. Work may~ proceed without the iuuanca or a permit ..
' The Bulldlng Division WI collect a Plen Review fee at tJme at appliutlon submittal. The permit fee, as
well aa, any Septic or f10lld Impact fees will be collected when the permit la lsiued.
The pennlt applcation must be signed by the owner or by parson having' written authority from ihe owner
to act ·aa their represe~ve.
BuftdlrlG cannot be ~ until a Certtftcate cf Ocnlpancy (CO) la Issued. Ue•ng the buUdlng without a
CO wll be considered ~ legal o=Jl?8flCY af1d may be gmu!1da for vacating the premises. (Flnal/CO
lnspadlon. 19qUlramenfi9 wflJ be attached to your approved flald Mt of pJans.}
I hereby .alcnawled99 I heve react. understm\d and wlll abld• by the requirements of thl•
oheakht. .
Date
Bl£0l.G60l.6 Xl:I~ IJ I >fl:IS WdBS:E 910~ l l uer