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Garfield County Community Development Department Q 108 8th Street, Suite 401 G �- Glenwood Springs, CO 81601 iA, /4. (970) 945-8212 r• ..t.. vv.1,al field-county.corn �N�F CONSTRUCTION cp`4, Commercial/Multi-Family F,, ❑ Manufactured Home (Single or Multi -Level) []. Residential (SI-, Duplex or Iownhome) iNVOLVED.PARTI ES BUILDING PERMIT APPLICATION ❑ Demolition ❑ Reroof CMH Homes, Shawn Ruse 303 250-3872 Property Owner: Phone: ( Mailing Address: Clayton Homes #1037, 671 23 Road, Grand Jct., CO 81505 kateschwerin@gmail.com (Applicant), David Mahovsky Email Address: CMH Homes Contractor: 970-260-8809 Phone: ( ) Mailing Address: Email Address: David Rasmussen 802 236-2677 Architect: Phone: ( Mailing Address: 345 Colorado Ave #207, Carbondale CO 81623 yurtstead@gmail.com Email Address: Vance King, CIVCO Engineering, Inc. 435- 789-5448 Engineer: Phone: ( ) PO Box 1758 Vernal, UT 84078 Mailing Address: vanceking@civcoengineering.com Email Address: Custom Sets - Pat Murphy 970 250-2385 Manufactured Home Installer: _ Phone: ( Mailing Address: Email Address: PROJECT DETAILS The Main house will be transported to site in two sections each app Describe Work: imately 14' x 76'. CMH Homes will oversee their placement and finishing. 5356 County Rd 100 ext (Rimledge Rd), Carbondale CO 81623 Job Address: 2393-244-05-003 Assessor's Parcel Number: West Rimledge Subdivision 3 Sub. Lot Block 127,000 10.06 Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres): 2100 sgft —14ft 1 Sq. Ft. of Building: Height: # of Floors: Class of Work: ❑■ New ❑ Alteration ❑ Addition Repair ❑ Move/Relocation Garage: 1 pAttached NO Garage ❑ Detached PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: ■ OWTS L1Natural Gas Exempt Community Electric IIOther ❑ 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 l I 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. 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 I have read and understand the Notice and Certification above, as well as, have prov ded the required information which is correct and accurate to the best of my knowledge. 7 ( _ 10/23/18 Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions. ,� rte. '� _©4-1 �'- b� ,� -' po i aj" T be kir Adjust d Valuation: 3e (e7Z Plan Check Fee: 3Sz.17 PermitFee: .6'12,75 Manu.home Fee: '+oc,. oo issc4Fee s� b 23SSfi Total Fees: Fees Paid: Balance Due: BP No: OWTS No: 895,E 440D 1+b1)- or' S46", 54 gLMr- 5533_1Epr- 5,155 Setbacks: OCC Gro .. onst Ty7.4 Zoning: K BUILDING / PLANNING DIVISION : r r f F ` 1 D v Sig . Approval Date �D. � Lf bO. LD) Com, IDJ4 1g NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the ariplication and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand, and will abide by the requirements of this checklist. 1 10/23/18 Property Owner Print and Sign Date Garfield County 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: Kate Scnweri 7CMt-1 i-iorne Phone: 303-250-3872 Project Address: 5350 RimlJed Rd (Coynty Rd 100) Carbondale, CO 81623 Subdivsion: West Rimledge-Subdivision Lot: Block: Type •. f:Spaie Square Feet Valuation Finished Living Space (N/A for Manufactured Homes) 1 $74.68 Unfinished Basement ilia $41.00 Crawl Space 1 $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) ilia $32.00 Garage (Unconditioned) rva $24.00 Covered Patio/Deck nia $18.00 Uncovered Patio/Deck Iva $12.00 Misc: $0.00 Misc: $0.00 Manufactured Home Set -Up $0.00 Fee ;.i-4. ,, Single Level ($400) 1 $0.00 Multi -Level ($600) $0.00 $0.00 Perculation ($150) 1 s..(° Septic (OWTS) $0.00 Fee • :`3`'' - _ �..' . New Installation ($123) Manufactured Home Set -Up Fee $0.00 Alteration and/or Repair ($75) $0.00 $0.00 Perculation ($150) 1 $o.00 ter Plan Review Fee $0.00 Building Permit Fee $0.00 Manufactured Home Set -Up Fee $0.00 Septic Fee (OWTS) $0.00 Other (Ex: Road Impact Fee) $0.00 Total Fees Due I fees are estimates until final plan review is completed*** GarwId Cau;t67 1 IL ild net Zoning Plan Review Checifliq Permit Number: 6c -M F -/0-• Sb,b Building Engineered Foundation Driveway Permit Surveyed Site Plan 514R (144 ■ r Septic Permit and Setbacks :'. Grade/ Topography 30% Attach Residential Pian Review List ..-"---Subdivision Plat Notes A1 4 Fire Department Review v Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker ttach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. `�40# Snowload Letter — Manu. Homes Soils Report 17-K 85L gyPlanning/ Zoning D. 15 - Property Line Setbacks /011. 30 ft. Stream Setbacks r_IT Flood Plain ilding Height Zoning Sign -Off �ad impact Fees Grade/ Topography 40% Planning Issues ^� Subdivision Plat bit General Comments: 2, ,1.74 - 22 04 . s', i . 22_0k 39, 47Z