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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 ��'ENEv° Glenwood Springs, CO 81601 Oh %(970) 945-8212 ��lEl-D cot p1 www.garfield-cottntv.com coM'' TYPE OF CONSTRUCTION Q Commercial/Multi-Family BUILDING PERMIT APPLICATION Qi 'Manufactured Home (Single or Multi -Level) Demolition "Residential (SF, Duplex or Townhome) [] Reroof Accessory Dwellin4 Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: N,e/�L /fat ni Mailing Address: / CaRPa_ M4/ Email Address: ape L . 1442.L/// /fam'74// (70/,-; Phone: (q 7d) %O4 -O,JO Contractor: 0II,J R Phone: ( Mailing Address: Email Address: fa Architect: I .�rie/Ck i df7 bIekey Phone: ( 9 70 ) 9. 2® 7r3 7 '" Mailing Address: of 6/14f?OC/J4-- ae/6/G Email Address: JtII CA(// 9 eD mC'9rT N€'T Engineer: Mailing Address: Email Address: Phone: ( Manufactured Home Installer: Phone: ( ) Mailing Address: Email Address: PROJECT DETAILS Describe Work: ji,a( r#711/1-9*MEI— Job Address: to -16 C#ii,Coir Aliew .fto", /6t'J Assessor's Parcel Number: Sub. a9U/C0Tb' A/CH Lot b Block Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres): ' ? Height: # of Floors: 07 Sq. Ft. of Building: Class of Work: New Garage: Attached k Remodel/Alteration Addition Detached PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: NOTICE OWTS Natural Gas [X]Exempt j1 Propane Community Electric Other Permit #: 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 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. 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 I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. r t -e -e17 01 //o Property Owner Print and Sign Date UttIGIAL USE ONLY Special Conditions: : g4: /ff'okG■ I i9�+ 6 Gol4 11 dl4 9 • Re.�i I rh Peccc (pcnr 9,1A) Adjusted Valuation: $ 470)727.00 Plan Check Fee: `P 1)444/.36 Permit Fee: 4 07 (•3 Manu. Home Fee: —' Misc. Fels: 2)013. 07 Total Fees: • (97. '73 Fees Paid: /-09 L. B lance Due Balance 07 BP No: OWTS No: ea_E — %W S Sic l Setbac s:OCC F/R= %9=la Group: (IZG Const Type: I,, Zoning: l BUILDING / PLANNING DIVISION : (/1/%1 et Signed Appro • .1 Date to Fe 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: Uri (1 vie l4 in Project Address: 1.13D G12._ (03 Subdivsion: C4 U. 1 12. sMC l -t Phone: (1-3-0 414 6302_ Lot: 3v2 - Lot: Block: 5in:le Level ($400) Multi -Level ($500) Total Set -Up Fee $0.00 $0.00 New Installation ($123) VM Finished Living Space (N/A for Manufactured Homes) $74.68 Unfinished Basement I 3.) OC' $41.00 Crawl Space $0.00 $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) [ l ' tci $32.00 Garage (Unconditioned) Total Septic Fee $24.00 Covered Patio/Deck 10 T1 $18.00 Uncovered Patio/Deck -� f $12.00 Misc: $0.00 Misc: $0.00 Total Valuation4,$0.01 5in:le Level ($400) Multi -Level ($500) Total Set -Up Fee $0.00 $0.00 New Installation ($123) VM $0.00 Alteration and/or Repair (S75) $0.00 Perculation ($150) $0.00 Total Septic Fee lr "MIN gao. This Section Determined by Garfield County Plan Review Fee Building Permit Fee Manufactured Home Set -Up Fee Septic Fee (OWTS) Other (Ex: Road Impact Fee) Total Fees Due ***AII fees are estimates until final plan review is completed*** $0.00 $0.00 $0.00 $0.00 0.00 $0.00 By ildiftiontri �l Review Checjdist Permit Number: EN -Re -01- I1- 5b0�, EPT- 01 - (O'T Building 7 -r" I°4' Driveway Permit Surveyed Site Plan Engineered Foundation 7 Septic Permit and Setbacks Grade/ Topography 30% / Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter- Manu. Homes Soils Report Planning/ Zoning Property Line Setbacks ISA 30 ft. Stream Setbacks Flood Plain Building Height Zoning Sign -Off Road Impact Fees N/A Grade/ Topography 40% Planning Issues Subdivision Plat Genera! Comments: MA►v& ct4 LC tiovu r-49 4 ft -ta��I 2✓j 135 Iib 5)025 Cts g1A ) Go;41u etwtviL Gum) t Tiket- lit 01460.1. p#40 0-Lr7 x B 74 • 44, 4 375(2(07. 11 110 2. by = B 37144d. () I'10 x 16.06 ; 201 %O. � f 75 x 4 12.00 4 4)122-0. 4 AI701 727. 610