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Home My WebLink AboutApplication-- £ \\fte""" l . ~C ·· s Garfield County W~R '2. () l\\ ..,. \..)~f ommunlty Development Department p..Rr\tl\) co. I". 'C 108 8111 Street, Suite 401 ~\Jl~UN\1'{ \)t E.1.0r•hi Glenwood Springs, CO 81601 (970} 945-8212 www.nrfield-county.com TYPE OF CONSTRUCTION D Commercia-l/_M_u_lt-i·F.;..;a;..;.m_il_y _____ -'--..,.1-D-Demolition IJ Manufactured Home (SF or Duplex) '---"'---- Res Iden ti a I (SF, Ou lex, or Townhome) CJ Reroof I INVOLVED PARTIES -·---------~--- ! PropertyOWner: enllnnoo 01 tOO Phone: ( 9?D ) . -ti MalllngAddress: ~<&':W .AJW f$"8+-h g= £dnwc( 1 0~ lf30IS Contractor: ________________ Phone: (._ _ _. ______ _ Mailing Address: ________________________ _ Architect: Se:F Mhn$CY) FtSC<Cio.te.. Arrn\t€clPhone: ~110 ) l.d)5-o;KD MalllngAddress: f'3[p e,, Th!ccA. St Surt.e £ ~~e, CD 151Ui:S1\ -------l , Engfneer: ________________ Phone: '~--'------- ~ MalllngAddress: ________________________ _ Manufactured Home Installer: __________ Phone:('----'------ Malling Address: ________________________ _ PROJECT NAME AND LOCATION ----- Describe Work: f\'O \ Sh.g:i BA<.f.I) \e o± Job Address : /) 1e '* · \ D Assessor's Parcel Number: cQ 1aq~a44-=03~ ~,,!:)? Cife'( C$~ Lot _..s2._ Block~ Owner's Valuation of Work: $ Property Size (Sq.Ft or Acres): 5 . ~ ()<!{ 6 Sq.Ft of Building: 3~ '6 Height: #of Floors :.__..3......_ __ _ Class of Work: New D Alteration I 0 Addition D Repair D Move/Relocation Garage: D Detached Septic: ISDS D Commu ~ity I Type of Heat: ii Natural Gas 0 Propane 0 Electrlc: 0 Other Driveway Permit: D Exempt 0 Permit#: -· Author!tv. This applicatron 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 Applicatfon. I 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. I Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2} County 1505 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. Vold Permit. A Bulldlng Permit becomes null and void if the work authorized is not commenced within 180 days of the date of Issuance and If work ls suspended or abandoned for a period of 180 days after commencement. CER~F.lcATi<:>N f I hereby certify that I have read this Application and that the information contained above ls 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 (submlttals), based upon my certification as to accuracy. Assuming completeness of the submlttals 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 submlttals reviewed by the Building Division. In consideration of the Issuance of the Building Permit, I agree that I and my agents wlll comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS regulations and appllcable land use regulations (County Regulatfon(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 facllity(ies), described above, are not in compliance with County Regulatlon(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 e"ors In the submittals, if any, discovered after Issuance; or (2) stopping construction or use of the structure(s} or facility(lesl 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 llablllty by the County of errors, omissions or discrepancies. As the Owner, J acknowledge that responslbllity 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. Total Fees: ~.s Setbadis: Garfield Co11nty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfleld-county.com Blfll!mlNG RERMl m FEE ESiTIMAiE W.0RKSHEEm FlllONLY In the yel/oworeas TYRe .ofSpace1 ·Square ·Feet Value .. oer sq. ft. Finished Living Space j{)qO; x (NI~ far Manufactured Hnme.t) $14.68 Unfinished Basement sq.It X $41 .00 ,_ Crawl Space sq.ft X $900 Garage sq.ft X $18.00 -sqft xr Covered Pati o/Deck $24 00 Uncovered PatiofDeck sq.It X $12.00 Misc : sq.ft X $0 00 · --Misc : TotaliV aluatioo Manufactured Home Set.:.~j,. Single leve l ($400.00) Multi-Leve l ($600.00) if'otaI1Set-JJp ~ ~Rtic Pennit ($73.00) Pe rculation ($I 00.00) 1T otal SeR~ic Fee ' --sq.It X $0.00 ·- .. ,. I -, r - ---",.r_ 'Th iss~Cf!on miiU be~ined ·bY.. Garfiei'd*Ci un,.y__. --- Plan Review Fee Building Pennit Fe e Pay separately with Cash or !:J!££fL only (Road impact fees)· Other Due at time of Agnlication Submittal Due at ti me of Permit Pick-Un Total~es ----- ... All fees are estimates until plan review 1s completed "'*" 7Z1s,f 1-;,3 .t,g :z ;,~,s?3 , Valuation 81,_<g4q_, 0$_ --- - Valuation ~----- _, .<!' -_....,_ ---- ,_ " -,_ --.. --, .-·--·-. ·-. --, ~ ·~ -- q~, 7 H t fR 45.1.1~~----- The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or Road Impact fees will be collected when the pennit is issued . The permit application must be signed by the owner or by person havi ng 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 wlll abide by the requirements of this checklist. ~:ho M< "'• l'urio &u.o [) 1 g Property Owner Pflnt and Sign 3/ ll 115' DatEt I