The URL can be used to link to this page

Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfiield-CountY.c0m BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION r`. n Commercial/Multi-Family _ n Manufactured Home (Single or Multi -Level) Reroof n Residential (SF, Duplex or Townhome) ':Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET INVOLVED PARTIES Property Owner: r )` [' i t.."� '-)(...h / '� i. Phone: (. -) r —:1c 1 (.? _ Mailing Address: -. ' 1 - lr:7r'1 1 X Email Address: ► A 1 1 Contractor: ��.�rjr.�f 1�L•tF Phone:(r(A' ) C / ;) .2.4. /.; 1 ;_..- Mailing Address: ilb 5 5 T. — - / t'/ !uisi , v P jr s. 11- Architect: / "�i4 t •F`¢5- e. r .. r;•' el.\ Demolition Mailing Address: Email Address: 6- •±.T �`•_ Phone: f••L -'r ff.: I' I`r-. fit. ) t 1~fC:31ArleCi,tIt[(c Phone:(ei I C) C)L1 ] 57L`I Engineer: // �� A Mailing Address: L6rr t. t-t ( '4 .- ? ----- ,.f4 h-L.CC'•.1� ' E t'rL.yl!ej•I[�a1f''i�C I. 1 r\Its- .(7f,1'.� . Email Address: •_ � 1 Manufactured Home Installer: Phone: ( ) Mailing Address: Email Address: PROJECT DETAILS Describe Wor,.: ��-• , , �- Ir [l l Job Address: Assessor's Parcel Number: fr I r' I < Sub. ( i;;f, ` ' 00: Lot Block -.. Owner's Valuation of Work: $ •• } Property Size (Sq. Ft, or Acres): Sq. Ft, of Building: Height: ti of Floors: Class of Work: , New ;❑Remodel/Alteration Addition Garage' I Attached Detached PROJECT DETAILS CONTINUED Septic: WTS L_.J Community L Type of Heat: Natural Gas J Propane L❑JElectric ❑Other Driveway exempt ri Permit #: Permit: NOTICE Authority. This application fora 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 Budding 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. 1 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 struclure(s) or facilily(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. f04. r .•' / i Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: °ztAffiv.iva Li 91 of a 6ii ii di53,11O. 0 Total Fees: Part Check Fee: '43G. 604 Fees Paid: 46164/41 +4I1.01 P rmit Fee: • 17I.'75 Vance Due: h Q. Manu. Home Fee: N/A BP No: BLRE-04-20-6232 Misc, Fees: OWTS No: Se backs: P s 25) Sol'b OCC Group: BUiLDING / PLANNING DIVISION PD. 36}9t, CC, 4/20/2020 �4II •Dl Const Type: ,t\� Signed Approval Zoning: RURAL Date Garfield County 1 Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 %` " �,yrrie[d comity. O BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: Project Address: Subdivsion: Phone Lot: Block 1 Type of Space Finished Living Space (N/A for Manufactured Homes) Unfinished Basement Crawl Space Garage (Conditioned) (i.e. insulation. sheetrock) Garage (Unconditioned) Covered Patio/Deck Uncovered Patio/Deck Misc: 1Vlisc: Manufactured Home Set -Up Single Level (5400) Multi -Level (5600) Septic (OWTS) New Installation ($123) Alteration and/or Repair (575) Plan Review Fee 111. square Feel' Valuation Fee 574,68 $41.00 $18,00 $32.00 $24.00 $18.00 $12.00 $0.00 $0.00 50.00 Fee This 5eGt1uh'Deteernlned by Garfield County Building Permit Fee Manufactured Home Set-Uo Fee Septic Fee (OWTS) Other (Ex: Road Impact Fee) Total Fees Due ***All fees are estimates until final plan review is completed`*' 50.00 $0.00 eu S0.00 $0.00_ 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 ❑ivision will collect a Plan Review fee at time of application submittal. The permit fee, as well as ally 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. Property Owner Print and Sign Date Garfield County_ BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601 Tel: (970) 945-8212 PLAN REVIEW CHECKLIST Permit No: 0I.Iza-' OA - 20- (0232 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 Application Signed Planning/Zoning Issues 7 Plan Reviewer to Sign Application Parcel/ Schedule No. 40# Snowload Letter — Manu. Homes Soils Report tfr61(►49 eretAtm6 cArdtw1 9 wa, Uerty. a tqgiAima, N/A Property Line Setbacks 30 ft. Stream Setbacks WA Flood Plain Building Height N/A Zoning Sign -Off Road Impact Fees I Grade/ Topography 40% Planning Issues Subdivision Plat Description & Summary: C braoW.. ROAA (PH O/f Fit - N/A (No I-N rbibtbk, AV-) 6975 k t1145 x 465 1 °10 x V AllAtt.tiovi 4• oU = 1, &0o. (0•(cs 3 21)33O. 4 I .03 = SI ?30. = 2go.