HomeMy WebLinkAboutApplication-PermitI
Garfield County
Building & Planning Department
108 8th Stree~ SuitƑ Glenwood Springs, Co. 81601
Office:970-945-8212 Fax: 910·384-3470
Inspection Line: 910·384-5003
Building Permit No. /09 °I/
Parcel No: 2181-252-00-280
Locality:
Job Address: 4786 CR 312 New Castle
Use of Building: Argie. Employee Hsg. Above shop area
Owner: Monger, Cheryl
Contractor: Owner
Fees: Plan Check: s 806.10 Septic: s
Bldg Permit: s 1,240.15 Other Fees:
Total Fees: $ 2,219.25
17300
Clerk: ::Ji11 f51n(@l Date: _({l (17/-CfJ-I
~gc:
vcway Permit·
(I Gl.L-
GARFIELD COUNTY BUILDING PERMIT APPLICATION
!08 81h Street, Suite 401. Glenwood Springs, Co 81601
Phone: 970-945-8212 /Fax: 970-384-3470 /Inspection Line: 970-384-5003
www.garficld-county.com
New c Alteration c Addition
Septic:
Attached [] Detached olSDS
Owners valuation of Work : s
" NOTICE
Alt Ph;
Alt Ph:
Alt Ph:
cCommunit
() Cl-0
epplieation for a Build1ns Penni! must be signed by the Owner or lhc property, delcnbcd obovc. or an aulhom:cd agenL If the signntur<: below is nDI lhel or the Owner, a separate
r or authority. signed by the Owner, must be provided wi~• this Application.
, Building Permit cannot be issued without proof or legal and adeqwicc access co the property for pwpose.s of inspections by the Building Dcp;inmcnl
Multiple separate pcnniu may he required: (I )Sure Elcctrial ~mil. (2) County ISDS Permit. (3) another permit n::quiral for use on the prorcny 1dentiroct1 above, c .g Swe or
CouDly Highw•y/ Rood Acce.ss or a Suite Wastcwarcr Discborge l'csmit.
llu11d1ng Permit becomes null ond void ir lhc work authoriz.ed is not convnc:nccd within 180 days of lhc datc of isswncc llJ1d if work is swpended or abandoned for a period of 180
ys after commcna:mcnL
CERTIFICATION
hot I have read this Application and that the information contained above is tr1lC and corr<:ct. I undcniarid Iha! the Building Dcp:tnmcnt occepu the Apphcation, alons wich the plans
~ lllld oilier daia submiuc;J by me or on my lochalr (5ubminals), base<! upon my certification as to accuracy.
lclcncs1 oflhe submitialJ and approVlll oftllis Application. P Building l'l:rmit will be issued granlin& permission lo me, as Owner , to construct the Sttu<:tur<:(s) nnd facilities detailed on
viewed by the Building DepanmcnL
of lbe issuance or 1hc Building l'ennil, I 1gr<:c !hat I and my agenu will comply with provisions of any federal 11a1e or local law regulating the work and the Garfield County Building
1btions .00 applicable land we regul1tions (County Regulation(s)l. I acknowlcdi;e that the Building l'crmil m;iy be suspended or re voiced, upon notice from the County , if tl1e loca1 iun,
11e of the suuctur<:(s) and facility(ics), dc:scribcd above, on: nol in compliance wilh County Regulalion(s) or any oda applicable law
1'mission lo the Building Depanmcnt lo enter lhc proJlCfly, described obove, to inspetl the work. I fordocr acknowledge that the issuance (lf the Building Permit does not prevent tl1e
I from: (I) reqoiring the corr<:etion of crron in the subm11uils. if any, discow:red af1<1 iuuancc; or (2) stopping construclion or use nf lhe suucture{s) or facility(ics) if sucb is in •iol>tion
11ion(s) or any olhcr applicable law
·PS>lication, including submitials. ind inspections nf the work by lbc Building Department do not tonsticute an occcpWlCC of responsibility or li1biU1y by the County of crron, omissions
As the OwllCI, I acknowledge thot n:spon.sibtlity for compliance with federal, •late and local laws and County Regulations rest with me and my 1uthoriicd 1gents, includmg wilhout
:hilCC! designer. enginect and/ or buildcs
KNOWLEDGE THAT I HA VE READ AND UNO ERST AND THE NOTICE & CERTIFICATION ABOVE:
SIGNATURE 7
/ DATE
STAFF USE ONLY
dlt.lons:
Plan Check Fee: COO't>. / D Permit Fee:
~( .. >'f IZ.40./!}
Manu humc Fee: Misc Fees: 1lunllon:
14'3 sz..c::;,.
S'f(rTA_ Total Fees: Fees Paid: Balance Due: RP No & Issue Date: 11-=-----------___._-----~·_s4~.____~~~~'~l -~~n--------~~
Zoning:
~ -(/.;
DATE
The following items are required by Garfield County for a final Inspection:
I) A final Electrical Inspection from the Colorado State Electrical Inspector.
2) Permanent address assigned by Garfield County Building Department and posted at the
structure and where readily visible from access road.
3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows
installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent
kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all
necessary plumbing.
4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running
water, non-absorbent floors, walls finished, and privacy door.
5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks
over 30" high must be constructed to all IBC and IRC requirements including guardrails.
6) Outside grading completed so that water slopes away from the building;
7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of
extenuating circumstances., i.e. weather. Under such circumstances A Certificate of
Occupancy may be issued conditionally.
8) A final inspection sign off by the Garfield County Road & Bridge Department for driveway
installation, where applicable; as well as any final sign off by the Fire District, and/or State
Agencies where applicable.
A CERTIFICATE OF OCCUPANCY (C.0.) WILL NOT BE ISSUED UNTIL ALL THE
ABOVE ITEMS HA VE BEEN COMPLETED.
A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED.
OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED.
OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN
ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES
UNTIL ABOVE CONDITIONS ARE :MET.
I understand and agree to abide by the above conditions for occupancy, use and the issuance of a
C.O. for the building identified in the Building Permit.
DATE
Garfield County
BUILDING & PLANNING DEPARTMENT
AGRICULTURAL EMPLOYEE AFFIDAVIT
FOR EMPLOYEE HOUSING
I, e , state that the
residential structured cribed below will be occupied solely as an agricultural employee
d w elling unit provi ded to an individual and related family member who is/are employed
in an agricultural use, including farms , garden, greenhouse, nursery, orchard, ranch , small
animal farm for production of poultry, fish, furbearing or other small animals, as
prescribed in Garfield County Zoning Resolution Section 3 .02.01 and in Section 2 .02 .02
Agricultural Land, on the property at which the dwelling is located and further, pa y s no
rent.
It is agreed that proof of employment, in the form of Internal Revenue Service Forms
W-2 or I 099 for each person employed as described a bove will be submitted to the
Garfield County Building and Planning Department upon request b y the county .
It is agreed that this property will not be sold to another party without representing that
the agricultural employee dwelling structure is for agricultural employees only and may
not be used for an y other purpose.
Property and Building Description: AMre~~~~7 ~~~3~J ~~~~~J~~~~~~&~s~~~~~~/~~7
Assessor Parcel Number ~/ ~ I ~ '5~~p; I
Building Description Tii-v \P' I±~ / S kkD ~a
Building Square Feet Habitable =---)'---'S-._ .. .:..D...:u:;.__-.=.-· _1 _________ _
Building Permit Number J OC/ °!I
ISDS (Septic) Permit Num_b __ e_r -"='W-=---:-v,---.-z ---------------
Owner f?JLt .. ~/2 01--t~ . (Sign.ature) / , 17 Owner Address~ ~47 ~ '? 1:Z: JeJI tYlkY (>e<:;;l?ee Lo ~L LR. '-t
Date 5 -/ 3 ~D 7
Witness
~------------------------------------~~-~---
Aghsg9/2004
108 8th Street , Suir e901. Gle11 wood Sp rings , Co lorado 81 601
(97 0) 945-82 12 (970) 285-7972 Fax: (9 70) 384-3470
VALUATION FEE DETERMINATION
Applicant
Address
Date
_M_o_n_..g._er ___________ Subdivision
4 786 C.R. Road 312, New Castle Lot/Block
~---------------6. 12. 08 Contractor
~-------------
Finished (Livable Area):
Main
Upper
Lower
Other
Total
Basement:
Unfinished
Square Feet
Valuation
Conversion of Unfinished to Finished
Total Valuation
Garage:
Valuation
Crawl Space
Valuation
Decks/ Patios
Valuation
Covered
Open
Type of Construction:
Occupancy:
Valuation
Total Valuation
1500 sf
sf
sf
sf X $74.68
1500 sf
sf X $41.00
sf X $33.68
1500 sf X $18.00
sf X $9.00
sf X $24.00
400 sf X $12.00
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
0.00
27,000.00
0.00
4,800.00
0.00
143,820.00
34. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and
Plumber to perform installations and hookups, unless you as the homeowner are performing the
work? The license number of the person performing the work will be required at time of
applicable inspection.
,p /! '.,' Yes (. .,.? , \.C. '"""" _ •
35. Are you aware, that on the front of the Building Permit Application you will need to fill in the
Parcel/Schedule Number for the lot you are applying for this permit on prior to submittal of a
building permit application? Your attention in this is appreciated.
Yes .-\:--
36. Do you know that the local fire district may require you to submit plans for their review of fire safety
issues?
/
l,....
Yes ' (please check with the building department about this requirement)
37. Do you understand that if you are planning on doing any excavating or grading to the property prior
to issuance of a building permit that you will be required to obtain a grading permit?
Yes Y
38. Are you aware that if you will be connecting to a public water and/or sewer system, that the tap fees
have to be paid and the connections inspected by the service provider prior to the issuance of a
Certificate of Occupancy?
Yes rJ ~\-
I hereby acknowledge that I have read, understand and answered these questions to the best of
my ability.
~/) 1 '---\/f. "--. ... ,.,
Signature of Own~r Date
Phone:'i'/C -f';ft/J C/7 l 1 °3 (days); --'"~--~-"~------<evenings)
Project Name:. J55h-ty\o It~ C..V-[ W\ f (o'1 e~ l-\-:s7 ·
l.,1 7 (... l . -I~ j • 1 1 Z (i ~ I "/ Project Address: ____ ....__u_v ___ '-__ ~-tt---v __ -/ ___ '------------
6