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Home My WebLink AboutApplicationre. Garfield County Ceiv munity Development Department R� 108 8th Street, Suite 401 `��.1, Glenwood Springs, CO 81601 3 COVN�1.1 (970) 945-8212 f"�P� FykEN 0 _\1 �► r.garfield-county.com 100 BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION =Commercial/Multi-Family U Manufactured Home (Single or Multi -Level) =Demolition n Residential (SF, Duplex or Townhome) n Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: (2Q-4 6 1 C IC Mailing Address: GO Her Email Address: CJl`i C C k fAc c e Gynaa .0) vet Contractor: 1-1,;51., C iA4 c ggt� (le) ) t�i �� Phone: ) 1 ci 555 76 Mailing Address: Q") 6 21 1 c.11 ', C . Email Address: H J5 LIN C f)�, �n i * Mlle 41C r yv " �J Architect: F'(' — (', ,_ S 640 Phone: (7c) 3 5 5 t Mailing Address: e0. C).)( 33 G een Le. Pr c s Q r1' rn .J c� s ; / (% s �- Email Address: a Y , h e Gt 4 +i i z s C? #o Alai' r l e O yi1 Engineer: / VO `L U Y k r u G -k u rc, I Pest:5A Phone: (4746 ) 61 6- O1? Mailing Address: tC `10 S-kcee4 Ca( Lie/ C.. 016 3 Email Address: ..:EAJc-O e.VOk Ve_ S-tCc1 C4. (L3w' Manufactured Home Installer: Phone: ( Mailing Address: Email Address: PROJECT DETAILS —1>}"4) Describe Work: 1 k ( Gvpp-G, .e_ v s Lt (y e (;Cg j • Job Address: 41.3 5 9 rod Afy 27 Assessor's Parcel Number: 2111 3q2 -'OL " 02- ,-1,1 ."5 Sub. 2- Sub. r p� Lot Block Z Owner's Valuation of Work: $ (p i iQ . O0 Property Size (Sq. Ft. or Acres): �� . �t[' Sq. Ft. of Building. 52-g Height: 25 # of Floors: Class of Work: INew Remodel/Alteration Garage: Addition Detached PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: OWTS Natural Gas riPropane >Exempt Community Electric ❑ Other ❑ 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 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 1 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. 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. 0"ntv er Print and Sign /(3 h//7 Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: �� B�tG. D� an Check Fee: j I t i P rmit Fee: ` 274 25 Manu. HoTe Fee: 1UiA Misc. Fees: �I/A total Fees: 6FAL0.740 Fees Paid:alance 1 ?1•5I I Due: '9 2 71.'2 BP No: OWTS No: l A,. — to014 VI 5 tbacks: OCC Group: i 16 Const Type: IR4 Zoning: g BUILDING / PLANNING DIVISION : /to of / l if l (eh° kr ! Signed Approval Date 1g-1.51/CC)12-13161 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMI FEE ESTIMATE WORKSHEET awl Applicant: Patrick Poulter Project Address: 4359 CR 331, Silt Subdivsion: Phone: Lot: N/A Block: N/A Type of Space Square Feet Valuation Finished Living Space (N/A for Manufactured Homes) $74.68 Unfinished Basement $41.00 Crawl Space $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) 528 $32.00 Garage (Unconditioned) $24,00 Covered Patio/Deck $18.00 Uncovered Patio/Deck $12.00 Misc: $0.00 Misc: $0.00 Manufactured Home Set -Up Fee Single Level ($400) $0.00 Multi -Level ($600) $0.00 Septic (OWTS) Fee New Installation ($123) Alteration and/or Repair ($75) $0.00 Perculation ($150) 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) Due at time of application submittal: $181.51 Estimated Balance Due at Time of Permit issuance: $279.25 $0.00 Total Fees Due $0.00 ***All fees are estimates until final plan review is completed*** Garfield County BUILDING DEPARTMENT 108 Eighth Street Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: I - 12- (1.9741 Building Issues Planning/Zoning Issues Engineered Foundation Property Line Setbacks NA Driveway Permit N/A 30 ft. Stream Setbacks X Surveyed Site Plan INA Flood Plain jNA Septic Permit and Setbacks Building Height Grade/ Topography 30% Zoning Sign -Off Attach Residential Plan Review List► Road Impact Fees NSA Subdivision Plat Notes Grade/ Topography 40% Fire Department Review Planning Issues Valuation Determination/ Fees Subdivision Plat Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application jJ&{.{f &/tj/ ,[, Description & Summary: Parcel/ Schedule No. yZ X 2.4 '- 2 N/A 40#Snowload Letter—Manu. Homes giiti fi0N, Soils Report Gj X +32. OO f &I C 00 ieaGti d vVA-cif-�a N/A lilibitik191.0 AYE)