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Home My WebLink AboutProof of Water - City of Glenwood SpringsPERMIT NO. 5-/z).v /3IDATEISSUED—! 9_j DATE RECD PLNRV HO. _ 1BD DAYS r itr Print legibly in ink or type CITY OF GLENWOOD SPRINGS BUILDING DEPARTMENT 101 W. 8TH Street, Glenwood Springs, Co 81601 (970) 384-6411 * (970) 945-8582 fax * (970) 384-6432 Inspections BUILDING PERMIT APPLICATION & BUILDING PERMIT Job Address DL/5 Ca to Conti' Subdivision Parcel Number Nature of Work: Residential Commercial New Const Addition Remodel Tenant Finish Lot Block Describe Work To Be Done: -"et?_l Roofing Plumbing/Mech��Other Lc .ice -- `Jl �� l`' Jae=‹'. ' tt- I d�. Mailing ,n Owner S1 CCC_ `A C �Gl.\.0 Address 12-E�` r1 A•Ukir1--11--6-1• r1 Cerclinc\-6S Phone Cr'.10 C(q Zr--Ct S-23 Contractor tt` R-iCC. f .41.t.i—' City License No. Contact Phone Architect Address Phone Engineer Address Phone Total Lot Area(sq.ft) IBC/IRC Type of Construction IBC/IRC Occupancy Class. Functional Use Setbacks: Front Rear Right Side Left Side Building Height No. of Stories Sq. Footage: 1st Floor 2nd Floor 3rd Floor Bsmt Finished Bsmt Unfinished Garage Must include a vMivatiaa: ((11 Valuation (Include Labor 8 Materials): Building $ Electrical $ Total $� r This permit is made with the specific understanding that itis subject to suspension or revocation for failure to comply with the terms of the application, or for violatio. of City Ordinances, or laws of Colorado. Applicant hereby warrants that he/she is authorized to make this application and agrees that the same shall be binding upon the owner, the applicant, their agents, heirs and assigns. All documents attached hereto are incorporated by reference and made a part hereof. APPLICANT AGREES TO NOTIFY THE BUILDING DEPARTMENT AT LEAST 24 HOURS IN ADVANCE FOR INSPECTION OF FOOTING, FOUNDATION, FRAME, WATER SERVICE, BUILDING SEWER, PLUMBING, GAS, MASONRY, INSULATION, DRYWALL, FIRE PROTECTION, MECHANICAL, ETC. AND FINAL INSPECTION TO BE APPROVED IN WRITING BEFORE PROCEEDING FURTHER. ALL CONTRACTORS AND SUBCONTRACTORS ARE REQUIRED TO HAVE A CURRENT LICENSE IN GLENWOOD SPRINGS, PRIOR TO BEGINNING THEIR PHASE OF CONSTRUCTION. NO INSPECTIONS WILL BE PERFORMED FOR WORK DONE BY A CONTRACTOR THAT DOES NOT HOLD A CURRENT CONTRACTOR'S LICENSE WITH THE CITY OF GLENWOOD SPRINGS. CRS 12-4-101 et.seq requires most buildings to be designed by an architect licensed by the State of Colorado. The applicant acknowledges that criminal sanctions may be imposed by the State of Colorado for violation of this statute. The Building Official, or his/her agent or representatives, is authorized to inspect the premises. EVERY PERMIT ISSUED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE GLENWOOD SPRINGS MUNICIPAL CODE SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF AN INSPECTION HAS NOT BEEN PERFORMED VERIFYING SUBSTANTIAL PROGRESS FOR THE BUILDING OR WORK AUTHORIZED BY SUCH PERMIT, WITHIN 180 DAYS FROM THE DATE OF SUC ERMIT, OR FOR A P' —41113.0F 180 DAYS BETWEEN INSPECTIONS. /t shall be the Applicant's responsibility la call for a final Inspection prior lo permit expiration to avoid penalties O JC _.••( r2' I ' Signa.%r er (ir owner • t177— Date Signature of Contractor or Authorized Agent Date I certify that in the performance of the work for which this permit is issued, ' will not be employing any person(s) so as to become subject to the Workmen's Compensation laws of the State of Colorado. If, after making such certificate, the applicant for the permit becomes subject to the Workmen's Compensation provisions of the Glenwood Springs Municipal Code, he/she shall for hwith comply with the provisions of subsection 050.040.010.D or his/her permit shall be deemed revoked. Signature of Owner (if own erlbWider) Date Signature of Contractor or Authorized Agent Date NOTICE; ALL OF THE ABOVE IS TO BE COMPLETED, AS APPLICABLE, BEFORE APPLICATION IS ACCEPTED BY THE C,Tv FOR PROCESSING. THISPERMIT DOES NOT INCLUDE ELECTRIC WORK. ELECTRICAL PERMITS MUST BE OBTAINED SEPARATELY FROM THE STATE ELECTRICAL INSPECTOR. *****THE SPACES BELOW ARE TO BE FILLED OUT BY THE CITY OF GLENWOOD SPRINGS***** Bldg Sq. Ft: Finished_ Unfinished Garage Total Const. Type Zone District No: of floors/stories Calculated Height ft. No. of Dwelling Units Occupancy Off Street Parking Spaces: Covered Uncovered Calculated Valuation SPECIAL CONDITIONS & NOTES i PERMIT FEES P738'6701/150 VALUATION EEE pl-cd 3 (are p -)� Building **Water Improvement Fees x 005 EQR/s= $ / 2 / (- Est Plan Review $ **Sewer Improvement Fees x $ 47 COY, �ur "�`5/) Catc Plan Review $ Single EQR rate - Water -45;1 COY• sewer --s Lte/) Credit/Balance Plan Review $ I Plumbing $ 1/2 Water Imp ment Fee $ Mechanical $ 1/2 Water Improveme e $ Roofing $ 1/2 Sewer Improvement Fee Water Tap 5 ' 1/2 Sewer Improvement Fee $ Sewer Tap g Water Meter - $ Estimated Use Tax $ W /fc` Parkland Dedication $ It shall be the owner's responsibility to pay the Estimated Use Tax at the time of permit issuance. School Land Dedication $ The owner may request a Use Tax audit as per GWS Municipal Code, Title 040. Other $ k � '"'*Enver enc (Fire Impact Fees g y p (If checks¢ sae to are due and payable prior to permit issuance.) Total Fees and Use Tax $ ;-51 . 1 9i (Does not include Emergency Impact fees or any planning fees ifapplicable) / � When signed below and fee Is paid, this application is your building permit subject to attached conditions. �- Approval far issuance 6y: � Building Department: Date: 1 ///ii 1 • ow Copy: City Address File ink Copy: Fire Department Date: Name: Address Amount CITY OF GLENWOOD SPRINGS 101 W. 8th Street Glenwood Springs, CO 81601 (970) 384-6411 RECORD OF PAYMENT 2/19/19 Red Mountain Remodels LLC 0415 130 County Road (Donegan) Glenwood Springs, CO 81601 Engineering 01.1410 Maps 01.1410 Plans/Specs 01.1240 Exc- R.O.W. Building 01.1240 Building Permit 01.1240 Plan Review 01.1240 Roofing Permit 01.1240 Plumbing/Gas Permit 01.1240 Mechanical Permit 01.1240 Excavation/Grading 01.1240 Demolition/Moved Bldg $1,251.12 21.4758 Water Imp. Fee 21.4759 Sewer Imp. Fee 21.2140 Water Tap 21.2150 Sewer Tap 21.2160 Water Meter/Size 01.1140 Use Tax 01.0479 TCO Deposit (Refundable) 01.1240 TCO Fee (Non-refundable) 31.2250 Parkland Fee 01.0404 School Land 01.1200 Contractor's License Fee 01.1200 Contractor's Testing Fee 70.1400 FIRE IMPACT FEE 01.1240 Mobile Home Installation 01.1240 Change of Use Miscellaneous 01.3130 Code Book 01.3130 01.3130 01.0407 1 1240 Development Code Copies Sales Tax Other: Explain Work without permit Received By: Kathleen Michel 6(1 Company: Red Mountain Remodel LLC Permit #: 19-1033 Plan Review #: Out of City Water Service Contractor #: 00-0000 Planning Item: Amount Planning 01.1240 Standard Sign Permit 01.1415 Sign Variance, off -premise sign; sign projecting over ROW 01.1415 Minor Development 01.1415 Major Subdivision 01.1415 Minor Development 01.1415 Major Subdivision 01.1415 Variance - Zoning 01.1415 Variance - Administrative 01.1415 Design Variance 01.1415 Annexation 01.1415 Special Review 01.1415 Rezone 01.1415 Condominiumization 01.1415 License to Encroach 01.1415 P.U.D. 01.1415 Lot Boundary Adjustment 01.1415 Zoning Verif.Letter/Research 01.3340 Community Housing Fee In -Lieu 01.1415 Home Occupation Permit 01.1260 Temporary Sales 01.1240 Street Vacation Permit 01.1415 Recording Fees 01.1415 Chicken Permit 01.1415 Outdoor Dining Permit 01.1240 Short Term Rental Permit Other: Explain $1,251.12 Total Amount Received Check - Check #: (444, Cash/Credit Card Updated 9/2014