HomeMy WebLinkAboutApplicationECGarfield County
, EI16m`6unity Development Department
108 8th Street, Suite 401
A111; $ 0 2f. Glenwood Springs, CO 81601
GAKI-IELD GOUN*" (970) 945-8212
,OMMUNITY DEVEI-O,; garfieldcountygco.gov
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family ❑ Demolition
Manufactured Home & Tiny Home (Single or Multi -Level) ❑ Fence
Residential (SF, Duplex or Townhome) ❑ Reroof
❑ Accessory Dwelling Unit (ADU) -MAXIMUM SIZE OF 1,200 SQUARE FEET ❑ Siding
INVOLVED PARTIES
Property Owner: t ealon Montgomery & jordyn ('hrictiancon Phone: ( 970 ) 319-4117
Mailing Address: aanl County Road 233 Rifle GO 81650
Email Address: achr*stia.,sonOhntm„I rom
Contractor: Mika Christianson INC Phone: ( )
Mailing Address: P6ns�nty Rand 932 Rifle 00 R1 650
Email Address: jarrichrstiansonOmsn.corn
Architect:
Mailing Address:
Email Address:
Phone:) )
Engineer: Karhavla Schroeder _ Phone: (-97&) _
Mailing Address: an anti 1 drl Mark C:O 81525
Email Address: k9chayIa onk(@oLt1oek coo
Manufactured/ Tiny Home Installer: Clayton Homes - Trent Buhar Phone: ( )
245-9039
Mailing Address: 671 as Rnad Grpnd JunctionQQ 81505
Email Address: T e + ht.harOIaZnnhom c rnm
PROJECT DETAILS
Describe Work: Setting a man0factured home on P. crEmispace foundation
Job Address: -T(� b C V_ U 33
Assessor's Parcel Number: 9i979Rinnit;R
Sub.
Lot Block
Owner's Valuation of Work: $ S39o.000 Property Size (Sq. Ft. or Acres): ao Acres
Sq. Ft. of Building: 2.280 Height: # of Floors: 1
Class of Work: New 1 ❑ Remodel/Alteration ❑ Addition I ❑ Repair ❑ Move/Relocation
Garage: ❑ Attached 0 Detached
PROJECT DETAILS CONTINUED
Septic:
q OWTS
❑ Community
Type of Heat:
❑ Natural Gas
Propane
❑ Electric
❑ Other
Driveway Exempt ❑ Permit #:
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 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)).
All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and
Development Code. 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.
I herebv 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.
Prooert Ov�er Print and Sign Date
OFFICIAL USE ONLY
L4 O O Q
�
liV
Special Conditions:
Adjusted Valuation:
72
Plan Check fee:
IL,, !- (
Permit Fee:
' 76.75
Balance Due:
lj. q4-
Manu hWe Fee:
�U ��
Misc Fees: 17�
i:�.
To al Fees:
' b0
Fees Paid:
4�OD, oo
BP No:
-
OWTS S No:
00t5"
Setbacks
OCC Gr
Const Ty :n
Zoning:
BUILDING / PLANNING DIVISION
7777
Signed' ppro
Date
ECGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.aarfieldcountyco.gov
Applicant: Jordyn Christianson 970-319-4117
Project Address: TBD Cr 233, Rifle
Subdivsion: Lot Block.
Type of Space
Square Feet
Valuation
Finished Living Space (N/A for Manufactured Homes)
$175.92
Unfinished Basement
$32.00
Crawl Space
2280
$24.00
Garage (Attached)
$32.00
Garage (Detached)
$40.00
Covered Patio/Deck
$24.00
Uncovered Patio/Deck
$18.00
Misc:
$0.00
Misc:
$0.00
do
Manufactured Home Set -Up
Fee
Single Level ($400)
Multi -Level ($600)
:$400.00
0.00
Septic OWTS)
Fee
New Installation ($600)
Septic- Major Repair (New System & STA) ($600)
Septic- Minor Repair (Tank Only) ($200)
Alteration ($200)
Vault & Haul ($75)
$0.00
This Section Determined by Garfield County
Plan Review Fee $441.19
Building Permit Fee
$678.75
Manufactured Home Set -Up Fee
Septic Fee (OWTS)
Other (Ex: Road Impact Fee)
Total Fees Due
***All fags are estimates until
Road - North $1,598.00
final plan review is comoleted***
Garfield C'�UH�
BuILDING DEPARTMENT
108 Eighth Street Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PEA6V REVIEW CHECKLIST
Permit No: gUMP—oB—?6 —I0014
Building Issues
Ergineered Foundation
/
Driveway Permit B��/►��
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attain Resid-en`iiai Pla—n Review List
"—'_-E—
Subdivision Plat Dotes
Fire Department Review
Valuation Determination/ Fees
/
Red Line Plans/ Stamps/ Sticker
Attach Conditions
/
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
/ Parcel/ Schedule No.
40# Snowload Letter — Manuf. Homes
�. Soils Report
Planning/Zoning Issues
/_ Property Line Setbacks
1�1� 35 ft. Stream Setbacks
Flood Plain
Ruiiding 'Height
/ Zoning Sign -Off
ISa� Road impact FPes /WF*
Grade/ Topography 40%
Planning Issues
�_ Subdivision Plat
Descrirotion & Summarvo
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the
application and/or plans for compliance, the application may be placed on hold until the required
information is provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit
fee, as well as any Road Impact fees, will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the
owner to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building
without a CO will be considered an illegal occupancy and may be grounds for vacating the
premises. (Final/CO inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand, and will abide by the requirements of this
checklist.
C)-7 / 2,1
Propert wner Print and Sign Date