HomeMy WebLinkAboutApplicationRECEIVED
U 6 702.0
E COUNTY
*HAINL
41E. Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com.
I; BUILDING PERMIT
APPLICATION
TOT Of CDPISTRUCOM
[] Commercial/Multi-Family Demolition
Q Manufactured Home (Single or Multi -Level).
Residentlalg Duplex or Townhome)
n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Reroof
INVOLVED PARTIES
Property Owner: (rA-sci 1(_,L _ r Phone: (�
Mailing Address: p 0. j- j L4 2 V c 1 C j K, (.(3 E/ b ,SGj
Email Address: U i C o WIC
Contractor: }Z ►LZ Phone: (6?-70 ) 91 - 5 1`7
Mailing Address:/�P b �,D,C (4�7 } OOA--t �.,r e v -, ev f-3iUgg,
Email Address: AK% t (Lj -t97 CO WIG
Architect: t-fzi 1-4-r?U W ( -C drl i't Phone: (9 0) It - Z� �
Mailing Address: Sc 5 , ceri SiV-e. -( - p' , (c) S j!Q ! I
Email Address: AA V"-) CC? ! '4 rboi'►it7 � TS Co i
Engineer C2.1c ►e1• -e \ 'r c1(f-e..e CS Phone: ( )
Mailing Address: re-x . 4L1 ` C v 63t6, L r'
Email Address: 5 pe. 5Pic7USAL .4-0W
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: hie VU St 1.1
Job Address: Lc S.i.bk4i \/)S l or) , 6 Low frt1 Qdip
Assessor's Parcel Number: Z.?i `'� �j-
C�ZCT `lam C- fir r.,o CO
Sub. 5r Sre(' &5 Lot qti Block
Owners Valuation of Work: $ Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: 5? Height: ,,.--j # of Floors:
Class of Work: 1, New ❑ Remodel/Alteration
Garage: nAttached
Addition
Detached
:2, 419 4
Driveway ❑
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.
Community
Permit #:
CERTIFICATION
Exempt
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.
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.
KLe,a
Property Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
3MI S 1.Ob
Pan Check Fee:
� I) 377 .'
Permit Fee:
+21 l 11. 3S
Manu. Ho e Fee:
(�1
Misc. Fees:]
Total Fees:
1'3)'4 13
Fees Paid:
17- t•lo
Balance Due:
'212 .2,3
BP No:
OWTS No:
IE - (,I h4
0motto ril
;licks:
VhV4p�C
OCC Group:
I KG
Const Type: l �G
Zonin g.Fur)
BUILDING / PLANNING
__ L.
DIVISION : 3sI/7610
i E igned Approval Date
.2,,t• V. 3+e°I27 'low
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garlield-county.com
Applicant: Gary Krill
Project Address: TBD Elk Springs Dr.
Subdivsion: Elk Springs, Los Amigos Lot 94
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Phone:
Lot: N/A
Block: N/A
7v
Finished Living Space (N/A for Manufactured Homes) 2450$74,68
$41.00
Unfinished Basement
Crawl Space
Garage (Conditioned) (i.e. insulation, sheet;ock)
Garage (Unconditioned)
Covered Patio/Deck
Uncovered Patio/Deck
Misc:
Misc:
Total Valuation
.yam►
0
400
200
771
yea"
2.0D
$18.00
$32.00
$24.00
$18.00
$12.00
s0.00
$0.00
$267,066.00
Single Level ($400)
Multi -Level ($600)
Total Set -Up Fee
$o.00
$0.00
$0.00
New Installation ($123)
Alteration and/or Repair ($75)
Perculation ($150)
Total Septic Fee
$0.00
$0.00
$0.00
$0.00
This Section Determined by Garfield County
Plan Review Fee
Building Permit Fee
k
Manufactured Home Set -Up Fee
Septic Fee (OWTS)
Other (Ex: Road Impact Fee)
Total Fees Due
$1,257.46
**ESTIMATE** Subject to Change During Plan Review ($1934.55)
N/A
N/A - Community System
***All fees are estirnates un it final plan re is completed***
N/A
$0.00
c0 01'60
,5 73p
EC Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:1,1t- 03- 2b-
Building Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
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
N/A
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
t\j/A
Planning/Zoning Issues
40# Snowload Letter — Manu. Homes
Soils Report
"" Property Line Setbacks
30 ft. Stream Setbacks
�i Flood Plain
Building Height
Zoning Sign -Off
N/A Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
Description & Summary:
4pii In '4 2(210
4,19/(Ar L1v4-1 b
Ro9iu.M 2) &q 0 F
Cps 91A)
VAtit44
610 loa 21?) al 1.
I1 D j $ 4 32. 60 = 42 3.4).96,
2) 7 l0 x 4 14.00 ; 5 3.1)740.
�7G x 9 Pe. 00 `= $ I b/ 260.
4 T?00) 3I . 00