HomeMy WebLinkAboutApplicationCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.ga rfield-cou nty. com
TWE Of ON
Commercial/Multi-Family
BUILDING PERMIT
APPLICATION
Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
[] Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Demolition
Reroof
Property Owner: TAANI MARTINEZ
Mailing Address: 409 CR 265 RIFLE, CO 81650
Email Address: TAANIM@OUTLOOK.COM
Phone: (970 ) 379-5530
Contractor: MARTINEZ WESTERN CONSTRUCTORS phone: ( 970 ) 379-5530
Mailing Address: 409 CR 265 RIFLE, CO 81650
Email Address: TAANIM@OUTLOOK.COM
Architect: JH DESIGN Phone: (970 948-4537
Mailing Address: PO BOX 3725 ASPEN, CO 81612
Email Address: JHDESIGN@SOPRIS.NET
Engineer: GLENWOOD STRUCTURAL Phone: (970 ) 928-0135
Mailing Address:
Email Address:
Manufactured Home Installer: Phone: (___)
Mailing Address:
Email Address:
Describe Work: REMODEL AND ADDITION TO EXISTING RESIDENCE
Job Address: 409 CR 235 RIFLE, CO 81650
Assessor's Parcel Number:
Sub. Lot Block
Owner's Valuation of Work: $ 115,980.00 Property Size (Sq. Ft. or Acres):
Height: 22' 5" # of Floors: 2
217708400015
Sq. Ft. of Building: 2700
Class of Work:
Garage:
Remodel/Alteration
Li Addition
Detached
O.1g1 DETAILS CONTINUED
Septic:
Type of Heat:
Driveway
Permit:
WTS
nNatural Gas
*Exempt
Community
❑ Propane
ElElectric
Permit #:
❑ Other
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 feller 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) other permit required f„ the - identified above, - High------r ., d
�.,� another per.. ��� �.,� use �; the property iuciiuncu auwc, c.�. State or County riigi away/ nuau
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.
CERTIF(CATION
I hereby certify that I have read this Application and that the information contained above is true and correct. 1
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 structures) 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.
Tom) ij'1
Property Owner Print an
12-9-2020
Date
OFFICIAL USE ONLY
Special Conditions: 11,NW Sion-OVAnayb44 Ce M'tic 9 {7
c- L �+9iy �si'c N +i l4. piot foe saJsprefiale..a
RQ�i I* yrtct F.Ze_- -
0404 I: i YGf)
dusted Valuation:
Plan Check Fee:
P rmit Fee:
Manu. Ho a Fee:
Misc. Fees: J
T tal Fccs:
`• (14i2A .'��f
fees Paid:
. is
Balance Due:
4 61 12O. I
BP No:
OWTS Nu: L /`(ST(��7
FI4Z -1010) 3
i hQ52 3
fizz.-71 4-10
OCC Group: (RG
Const Type: rkG
Zoning:
I.
BUILDING / PLANNING DIVISION :
1N107I
Signed Approval . Date
pb. lg) C� , (7- 01 I2
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: MARTINEZ
Project Address: 409 CR 265, RIFLE
Subdivsion: N/A
Phone:
Lot: N/A
Block: N/A
Type of Spar
Square Feet -417311111811
Finished Living Space (N/A for Manufactured Homes)
1000
$74.68
Unfinished Basement
$41.00
Crawl Space
$18.00
Garage (Conditioned) (i.e. insulation, sheetrock)
$32.00
Garage (Unconditioned)
$24.00
Covered Patio/Deck
$18.00
Uncovered Patio/Deck
$12.00
Misc: Remodel
1180
$35.00
Misc:
$0.00
Total Val - on -
- - $115 980.00
Manufactured Home Set -Up W
Single Level ($400)
Multi -Level ($600)
otal Set- U p ee
Fee
$0.00
$0.00
$O.
COWIllii 'r
Fee
New Installation ($123)
$0.00
Alteration and/or Repair ($75)
$0.00
al Septic Fee
This Section Determined by Garfield C _
Plan Review Fee
$704.18
Building Permit Fee
$1,083.35
Manufactured Home Set -Up Fee
N/A
Septic Fee (OWTS)
N/A
Other (Ex: Road Impact Fee)
Total Fees Due
N/A
$1,787.53
***AII 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: et -RE- I2- 20 - (ori23
Building Issues
�II Engineered Foundation
N/A Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
14/Q
N/A
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
14A
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
Planning/Zoning Issues
xigfiM 109 Ccldv4 (ri4d)
u RL' 4%Mu
NA, C,w9- Rye,
L
H/a
N/a
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
f Grade/ Topography 40%
Planning Issues
N/A
Subdivision Plat
General Comments:
1) 0 l 0 9. F Na.0 l lov W► Oi sfrid
Qrett o/AIitAfigi
46T0 x 4 00 ¢ 341("70.
IIp 10 x 00 $ `t� 750.
410 x 4 16.00 2 j 41O.
$llq)12a