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01‘ k\f-Ytt of,k,r6A' Garfield County Community Development Department /\ 108 8"' Street, Suite 401 �} � Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com BUILDING PERMIT APPLICATION TYPE OF CQNSTRUCTION 4i,. 7n- IJ Commercial/Multi-Family Demolition Manufactured Home (Single or Multi -Level) Residential (SF, Du. ex or Townhome) Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET [INVOLVED PARTIES Property Owner: CAM M\ ►CcsC-1-L Mailing Address: 1' O ' d 07'1 ( W Email Address: CY VA t 1 Lt44.u.al 1 03, IAA Phone: ( 2-0o) - 3(1 0 3 btb©"t- Contractor: l- ti Phone: ( Vie) i "s q11 Mailing Address: 1'D `Z. 1Z4 l (� GWS C 43 \ 601 Email Address: t 'IA 02: 41.41.1, cot'', Architect: MA," W 434.N4+q h cot Phone: ( Ste) 3 t ei - 4a0.5 Mailing Address. F 0 63y4 5 41 c l I) '3.346i - Email Address: �"1WIf.�rc-�-Oyl Q crovMeAr. Engineer: Y`i 04" Phone: ( q 14S-63 d5 Mailing Address: S t 2- Cc t s Email Address: I -.3.1r a Pa/► 1 ` .+' 34 (►t,QQ • (.Z 1-41 Manufactured Home Installer: Ph Mailing Address: Email AddreSsr---- PROJECT DETAILS Describe Work: New > lt-teLE Fr\ "t l bktomE Job Address: 36 K 444,pidua r -t4\\ Rd G Gzk,t tocc, c) 7 e; j Co CFA 60 Assessor's Parcel Number: �Z,.3� 3 o5 10T -01S �/ Sub. � 1 S e5 Ai ii osot 5 I Block Owner's Valuation of Work: $ 13 1 SI -1-.21E Property Size (Sq. Ft. or Acres): P� f Sq. Ft. of Building: lSCt3 Height: 1:?: - e Li # of Floors: Class of Work: I X New Garage: JJAttached Il Remodel/Alteration Addition Detached i PROJECT DETAILS CONTINUED i Septic:l�WTS Qcnrnmunhy Type of Heat: 1 Natural Gas •❑ Propane D Eiectric ❑ rkl:r•• a Driveway In Exem1� pt 1IPermit s*: Permit:•III _ _ NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property desc lbeci above, or an authorized agent. If the signature below is not that or the Owner, a separate letter or autl-or ity, sig -ed nv j the Owner, must be provided with this Application. I Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the pry +or I purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (i) Stare Electrical Pei mit, (2) County OWNS Pe rye.:.. 1 (3) another permit required for use On the property identified above, e.g. State or County Highway/ Road Access i or a State Wastewater Discharge Permit. Void Permit, A Building Permit becomes null and void if the work authorized is not commenced within 150 days of the date of issuance and if work is suspended or abandoned for a period of 1S0 days atter commeoce:ne ;t I CERTIFICATION • I hereby certify that I have read this Application and that the information contained above is true ,inti col , e c I understand that the Building Division accepts the Application, along with the plans and specificat,ens a',i 0:4e i data submitted by me or on my behalf (submittals), based upon my certification as to accuracy, Assunnaf completeness of the submittals and approval of this Application, a Building Permit will be iss 10d eaae,tia-g permission to me, as Owner, to construct the structure's) and facilities detailed en the submittal; reviewed er r the Building Division. In consideration of the issuance of the Building, Permit, I agree that i and my Agents v. ii comply with provisions of any federal, state or local law regulating the work and the Garfield County Ru in,'ng ' Code, OWTS regulations and applicable land use regulations (County Regulation's)). I acknowledge th; ta:e Building Permit may be suspended or revoked, upon notice from the County, if the location, romp uct,en or ,.se of the structure(s) and facility(ies), described above, are not in compliance with County Regt:?c=tion(s) 0: any ! other applicable law. I hereby grant permission to the Building Division to enter the properly, described above, to insttar:•l iiiy y:o=-t; i ' further acknowledge that the issuance of the Building Permit does not prevent the Building Otficiai tr.om' i 11 a r requiring the correction of errors in the submittals, if any, discovered after" issuance r of i?.) stooping construction or use of the structure(s) or facility(ies) if such is ,n violation of County Regulat;on(sl o! any et+ue: applicable law. Review or this Application, including subintttals, and inspections 01 the work by the Building Division do not constitute an acceptance of respoii bili:y or liability by the County of errors. orilissoos or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal. state atm leer'. !ate s and County Regulations rest with ore and my authorized agents, including without limitation my .,rcititiso, designer, engineer and/ or builder. I hereby acknowledge that I haverread and undersand the Matte and Certification above, as well as, have provided the re uired infor t10 is is c ct acqtt'ate to the best of my nowled, I L---(01/4":71( _ _ , Property Outer Print and Sign' Date OFFICIAL USE ONLY Special Conditions: 4justed '1?.0.ab +741.70 Total Fees: I) 6153 S5 Setbacks; P rmit Fee: Manuo e Fee: Mi c. Fees:, ■A I"� Fees Paid: Balance Due: BP No: O Iia: ftr2.�2 $1)111.43 3 O ' 41( �1rr1u OCC Group: I I Const. Type: 026 Zoning: pm D itt7/24.30 BUILDING PLANNING DIVISION : SFgned Approval Date ruf102.17-1 ccs #I�'11�v Garfield County) Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.aarfield-county.com BUILDING PERMIT FEE ESTIMATE WORKSHEET 1 Applicant: MITCHELL Project Address: TBD Monarch Rd. Subdivision: LosAmigos, FLG 5 Phone: Lot: 51 Block: Type of Space Square Feet Valuation ,ir Finished Living Space (N/A for Manufactured Homes) 1493 $74.68 Unfinished Basement $41.00 Foundation/ Crawl Space $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) 500 $32.00 Garage (Unconditioned) $24.00 Covered Patio/Deck 130 $18.00 Uncovered Patio/Deck 140 $12.00 Misc: $33.68 Misc: btal vaivaillit $0.00 $131,511.24 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 $762.42 $1,172.95 $0.00 $0.00 $0.00 $1,935.37 ***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 Building Issues Permit No: $I.ie' O7-712- 494I4, Engineered Foundation IA Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List r Subdivision Plat Notes N/%4 Fire Department Review /- Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker Attach Conditions Application Signed Plan Reviewer to Sign Application Parcel/ Schedule No. N A 40# Snowload Letter — Manu. Homes f Soils Report Sl4144 eitwoy- CavitAtz Porch ay. G - Avg 11500 500 2�{ox Planning/Zoning Issues Property Line Setbacks 30 ft. Stream Setbacks F Flood Plain Building Height Zoning Sign -Off Road Impact Fees Grade/ Topography 40% Planning Issues Subdivision Plat Description & Summary: 1260,01 1110Adr N/A A5pc4/-SIA. 4 700 142.00 a IZ. 00 x I I'/ 500. S Ifr,000. 4O