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Home My WebLink AboutApplicationCommunity Development Depar&iW'\l 2 ZUI 108 glh Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF CONSTRUCTION D Commerclal/Multi·Family a Manufactured Home (SF o r Duplex) il Residential (SF, Duplex, orTownhome) INVOLVED PARTIES I D Demolition I D Reroof Property Owner: ~pe.N.u ov\ R,bu ra. Booth{. Phon e: (j]Q__).l. I.&~ C(o8,k MallingAddress:P o ~>' II] $.wAALsA >>, CD 8£~ Contractor: $-kv. ~C.· U..C. OBA R rJ\ f-0Ds-k1At.lsn "Phone: (.~J lX>Jw$ Malling Address: So~ C..P-. \.S'i G\t'nuo ud <;p~s, Co &JI.a\ -\ ------ Architect: s,Yifl(\ Es.hN:>.\:..t§~ ()~>·3c 'x1v11&'> Phone:(719 •Lt\1·3179 Malling Address: /\1. ,')D 1.t ,....C.-. \ (. Q Engineer: JAoJc.1 •. u <\,no Malling Address. ').o? ~oJ A.,, Phone: 19.1.Q..J.-1111 • QCjoo G rpc,J )v.N.hvo, Co XI SP\ Manufactured Home Installer: __________ Phone:! __ ) _____ _ I ; Malling Address : _________________________ \ PROJECT NAME AND LOCATION ~~~~~~~~~~-~ ------ Describe Work: S·, oj< · .\w M• \l (\ ! W br"=<.. C o)r\S.tt w,, j ,)) o Job Address: 12 !-to Hs M, c ~cS4'i l\r . GltNHwJ fi>r\~ (Q &U ,o t \ I Assessor's Parcel Number . .:25'15l0Yu9635 Sub. 5.pr··"J'W9<. ~ crui.. lot _:)3_ ~"1 Owner's Valuation of Work:$ 1&9 210 Property Size (Sq .Ft or Acres): I .17'1 owu , I ' 17/ '!>I Sq.Ft of Building: e , 0 Height: _ _._...,,Q"----#of Floors:._..._ __ _ -~~New l 0 Alteration Oass of WOrk: ID Addition I 0 Repair [ 0 M ove/Relocatlon I -I { Garage: l!I Attached 0 Detached ' " ' Septic: OOWTS El Community • Type of Heat: (iii Natural Gas I a Propane I 0 Electric I 0 Other I ' -' Driveway Permit: D Exempt J 0 Permit#: --, ·-------- Authority. This application for a Building Permit must be signed by the Owner of the property, desetlbed above, or an authorized agent ir the signature below Is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with thls 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 Vold 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. <!ERTJFI CATION I hereby certify that I have read thls Application and that the information contained above Is true and correct. I understand that the Building Division accepts the Appllcatlon, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my cerllricatron 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, l o cons truct the structure(s) and facili tie s detail ed on the submlttals reviewed by the Building Division. In consideration of the Issuance or th e Buildin g Per mi t, I agree that I and my agents will comply with provisions of any federal, state or loca l law regulating the wo rk and the Garfield County Building Code, owrs regulations and applicable land use regulations (County Regulation(s)) I acknowledge that the Building Permit I may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facllity(res), described above, are not In compliance with County Regulatlon(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 faclllty(les) If such Is In vlolatlon of County Regulatron(s) or anv other applicable law Review of this Application, Including submlttals, and Inspections of the work by the Bulldlng 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 h Is correct and accurate to the best of my knowledge . stl,3hk Property Owner Print and Sign Date OFFICIAL USE ONLY Spedal Conditions : Adjusted Valuation: Plan Chedr Fee : Permit Fee : reB ioz .Jh '16'1.Cfo 14qz .1s Fees Paid: .:)'( Balance Due: ':13 1488.51 Tclal Fees: '246Z.o~ OCCGroup : BUILDING/ PLANNING DM5'0N: ...:,K;__.........,,.~~._,-...--.. __ ~...,~,..._.~--.:--..-·· ---- Signed Approval Dale ce-Gar.field County I Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: Boothe Residence Job location: 1240 Hidden Valley Dr. GWS Sprinridge Reserve Lot # 33 - Sub-Lot/Block: Fill gNL Y in the yellow areas Type of Space Square Feet Value ~~~~~~~~~~--:~~~~~-+per sq.ft. Finished Living Space (NIA for Ma1111fact11red Homes) Unfinished Basement Crawl Space G arage Covered Patio/Deck Uncovered Patio/Deck Misc: Misc: Mi sc : 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 ... ! 1987 sq.ft x. sq.ft x! sq fl X 1987 773 264 140 - I sq ft X 1 sq ft xi sq.ft XI sq ft X sq ft X sq It X $74.68 $41 .00 $9.00 $18.00 $24.00 $12.00 $0.00 $0.00 $0.00 This section will be determined by Garfield County. Total fees Plan Review Fee Building Permit Fee Pay separately 11·irh Carli or Check only (Road impact fees)-Other Due at time of Application Submittal Due at time of Permit Pick-Up Valuation $148,389.16 $0.00 $17,883.00 $13,914.00 $6,336.00 $1,680.00 $0.00 $0.00 $0.00 $188,2()2.16 Valuation -. ---· t ~ $0.00 Valuation "-- 1 -$0.00 $969.90 $1 ;492 .15 $1,377.06 $969.90 $1,492.15 $3,839.11 Building!Zon.ing Plan Review Checklist Permit Number: /3L~ -6 -/ 6 -4-257 Planning/ Z~ning Engineered Foundation / Property Line Setbacks PLA-Driveway Permit / 30 ft . Stream Setbacks / Surveyed Site Plan / Flood Plain t 1L A Septic Permit and Setbacks / Building Height / Grade/ Topography 30% / Zon ing Sign-Off / Attach Residential Plan Review list / Road Impact Fees / Subdivision Plat Notes / Grade/ Topography 40% / Fire Department Review / Planning Issues / I / Valuation Determinat ion/ Fees Subdivision Plat / Red line Plans/ Stamps/ Sticker / Attach Conditions / Application Signed G~neral Comments: / Plan Reviewer to Sign Application / Parcel/ Schedule No . tv/_ A-. 40# Snowload Letter-Manu. Homes / Solis Report