HomeMy WebLinkAboutApplicationGARFIELD CO BUILDING PERMIT AP
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
www.garfleld-coup y.com
tit.1:
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Parcel No: (this information is available at the assessors off}c�7v945-9 34) 3 �� { '
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Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description • 1 1
C • vnVy ki / Weid ( 4f S.
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Lot Nd: Block
_ 2.
O.`'`'Ier: property owner)�
Y�'��`,Grr� \��c2�
No: a Subd.
Mail' Address:
O �r Y I���
xemption: pp
tp2 eN0;An
Ph:
176-37,-9c1(27
SrkEyenl�I'E-lor
Alt Ph;
970-9103-nv a
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5
Con actor:
VavYNC 0
Mailing Address:
Ph:
a0 t<
Alt Ph:
6
Architect/Engineer: I
"1(2),( `Sf)`r &Ari
Mailing Address: nem --er-r"
'Rf?$oxJGSS sr�altp 8'31?'05
Ph:
aeC) g'a17-Paf
Alt Ph:
7
Sq. Ft. of Building:
571:,
Sq. Ft. or Acres of Lot:
i3• a53
Height:
` R-3
No. of Floors:
,2-
8
Use of Building:
r IssiCli.44k
9
Describe Work:
\cS e)
i��
e_
10
Class of Work:
)(New o Alteration o Addition
11
Garage:
.. Attached o Detached
Septic:
31ISDS o Community
12
+arn ilk * F h .� �Q
WI
Owners valuation of Work: $ ..?,40)'`)°'''. e? sa
Authority.
This application for a Building Permit must be signed by
letter of authority, signed by the Owner, must be provided
A Building Permit cannot be issued without proof of legal
NOTICE
the Owner of the property, described above, or an authorized agent. If the signature below is not
with this Application.
and adequate access to the property for purposes of inspections by the Building Department
Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified
Discharge Permit.
authorized is not commenced within 180 days of the date of issuance and if work is suspended or
CERTIFICATION
contained above is true and correct I understand that the Building Department accepts the Application,
based upon my certification as to accuracy.
a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s)
and my agents will comply with provisions of any federal, state or local law regulating the work
Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice
are not in compliance with County Regulation(s) or any other applicable law.
described above, to inspect the work. I further acknowledge that the issuance of the Building
if any, discovered after issuance; or (2) stopping construction or use of the structure(s)
work by the Building Department do not constitute an acceptance of responsibility or liability
compliance with federal, state and local laws and County Regulations rest with me and my authorized
THE NOTICE & CERTIFICATION ABOVE:
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that of the Owner, a separate
above, e.g. State or
abandoned for a period of 180
along with the plans
and facilities detailed on
and the Garfield County Building
from the County, if the location,
Permit does not prevent the
or facility(ies) if such is in violation
by the County of errors, omissions
agents, including without
Leeal Access.
Other Permits. Multiple separate permits may be required: (1) State
County Highway/ Road Access or a State Wastewater
Void Permit. A Building Permit becomes mill and void if the work
days after commencement.
I hereby certify that I have read this Application and that the information
and specifications and other data submitted by me or on my behalf (submittals),
Assuming completeness of the submittals and approval of this Application,
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit, I agree that I
Code, ISDS regulations and applicable land use regulations (County
construction or use of the structure(s) and facility(ies), described above,
I hereby grant permission to the Building Department to enter the property,
Building Official from: (1) requiring the correction of errors in the submittals,
of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the
or discrepancies, As the Owner, I acknowledge that responsibility for
limitation my architect des..., r, engineer and/ or builder.
I HEREBY ACK.' WLE' : EE AT I HAVE READ AND UNDERSTAND
i
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OWNERS SIGNATURE DATE
STAFF USE ONLX
ft6.,v,,va-ov1/4 ,vv4\ A
Special Conditions: 1
Adjusted Valuation:
JS(.14
l tJ9
Plan Check Fee:
12- 0,. e
Permit Fee:A
1925. as
Manu home Fee:
Misc Fees:
ISDS Fee:
e.';•25
Total Fees:
3 3 c/ (., '--2-.
Fees Paid:
\ Vri :736
Balance Due:
is
BP No & Issue Date:
ISD5
N & Issued Date:
71
Setbacks:
05-J2%,5-1 /0
OCC Group:
Const Type:
Zoning: '7
/I/P/j l�
!
BLDG,PT: PT: 7
,:_-75/.5, ,r
PLN EPTff ,Jf�
APPROVAL ATE
APPROVAL DAT
reYvnt, bo Ff e
4S-08 6- v 3
c�Oryt6V2),
VALUATION FEE DETERMINATION
Applicant William Rice Subdivision Upper Divide
Address TBD CR -313. New Castle Lot/Block Lot 2
Date 8/15/2008 Contractor Demco
Finished (Livable Area):
Main 1536 sq.ft
Upper 1296 sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 2832 sq.ft
Valuation
211,493.76
Basement:
Unfinished sq.ft X $41.00
Conversion of Unfinished to Finished sq.ft X $33.68
Total Valuation 0.00
Garage: 1536 sq.ftX $18.00
Carport: sq.ft X $12.00
Total Valuation 27,648.00
Crawl Space sq.ft X $9.00
Total Valuation 0.00
Decks/ Patios
Covered 768 sq.ft X $24.00 =. 1431 •
Open 664 sq.ft X $12.00 = ___
Total Valuation 26,400.00
Type of Construction:
Occupancy:
Valuation
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
0.00
Total Valuation 265,541.76