HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8`s Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
TYPE OF CONSTRUCTION
O Commercial/Multi-Family
❑ Manufactured Home (Single or Multi -Level)
O Residential (SF, Duplex or Townhome)
INVOLVED PARTIES
Property Owner: U. -ES-. Phone: (
3L),,:j_f2at
Mailing Address: _ 4 ` tt` " 1 L.LOU] `-.�J
Contractor: S T '1 r 1 Phone: ( )
Mailing Address:
JUL 2 9 2016
1
❑ Demolition
❑ Reroof
Architect:
Mailing Address:(709 1 t`I S
Phone: (' f o } '9119 ~`S66
B oit)
Engineer: Phone: ("0) 6:74-S — I OC CD
Mailing Address: 71; _V� C.JAZNV r J_ ' 5 e'
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Z) 865 Sf, 0)00 M . t
Describe Work:
Job Address: 1 \
Assessor's Parcel Number: 239 330-11-
6
3-11-
6 '\jh\-L &i l
Owner's Valuation of Work: $
Sq. Ft. of Building: gi56
Class of Work:
Garage:
Septic:
Type of Heat:
Driveway Permit:
Height:
elg New 0 Alteration
❑ Attached 1�
❑ OWTSS
Natural Gas
FaRK.
5 yr Lot 7
Property Size (Sq. Ft. or Acres):
Block
2'-6 # of Floors:
0 Addition 0 Repair 0 Move/Relocation
0 Propane
O Detached
O Community
Electric
0 Other
0 Exempt 0 SI -11 0 Permit #:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, 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 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.
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
1 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 I 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) or 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 l have read and understand the Notice and Certification above, as well as,
have providehe- -quired information which is correct and accurate to the best of my knowledge.
f _
Property Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
441.
Total Fees:
/750S7
Setbacks:
Plan Check Fee:
Fees Paid:
OCC Group:
Permit Fee:
60 9:5-
Balance Due:
Ids• (PS'
BUILDING / PLANNING DIVISION :
8.1• i
a ,
7 z
I; Rizt, Date
Manu home Fee:
BP No:
Const Type:
LAG
Misc Fees:
OWTS No:
•Ex i1 -i
Signed Approval
Zoning:
R
Date
Grrrficid Caity J
hrltaildi,_01.Zog Hon ll'eldew Checklist
Permit Number: MGyer e ../7 f 3y5----
Buiidinr
Engineered Foundation
Driveway Permit
"Zr Surveyed Site Plan
N/A Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
/17 ' Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
NA1
_ 401#Snowload Letter—Manu. Homes
Soils Report
Planning/ Zonin&
Property Line Setbecks
30 ft. Stream Setbacks
Flood Plain
Building Height
7
Zoning Sign -Off
A-)/4 Road impact Fees
7
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
PRESERVE
ROARING FORK
COLORADO
COUNTY,
GARF I ELD
$689.62
$1,060.95
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:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Karla Miller Barn
110 Weeping Willow Carbondale
Roaring Fork Preserve Lot # 7
Fill ONLY in the yellow areas
Type of Space
Finished Living Space
(N/A for Manufactured Homes)
Unfinished Basement
Crawl Space/Foundation
Garage: ML 1600, UL 1265, Paddock575, Porch] 81
Covered PatiolDeck
Uncovered Patio/Deck
Misc:
Misc:
Misc:
Total Valuation
Square Feet
1375
3621
sq ft X
sq.ft X
sq ft X
sq ft X,
sq ft X'
sq ft X_
sq ft X
sq.ft X,
sq ft X
Value
per sq. ft.
$74.68
$41.00
$18.00
$24.00
$24.00
$12.00
$0.00
$0.00
$0.00
Valuation
$0.00
$0.00
$24,750.00
$86,904.00
$0.00
$0.00
$0.00
$0.00
$0.00
$111,654.00
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 determined by Garfield County.
Plan Review Fee
Building Permit Fee
Pay separately with Cash or Check only (Road impact fees )- Other
Due at time of Application Submittal
Due at time of Permit Pick -Up
$689.62
$1,060.95
$1,750.57