HomeMy WebLinkAboutApplication-AmendedGorfuld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(970194s-82t2
www.ga rfi eld-countv.com
BUILDING PERMIT
APPLICATION -'t
1
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TYPE OF CONSTRUCTION
Commercial/Multi-Family I Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Phone:bs_t6/"t -17"r
Email Address:
Contractor:Phone
Mailing Address:
Email Address:
Architect:Phone:
Mailing Address:
Email Address:
Engineer:Phone: { )
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone: ( I
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:
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Rk>€p6p fkJD c6
Job Address:
Assessor's Parcel Number:
Sub.Lot _ Block _
Owner's Valuation of Work:Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:I Height:f of Floors:
Class of Work:New Remodel/Alteration Addition
Garage Attached Detached
PROJECI DETAI[S CONTINUED
Septic:CWTS Community
Type of Heat:Natural Gas Propane
pt
Electric Other
Driveway
Permit:
Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf 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. ln
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, ifthe location, construction or use ofthe
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 bf 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
provr uired n which is correct and accurate to the best of my knowledge.
Owner Print and Sign Date
2
OFFICIAL USE ONtY
Speciai eonditionsl (2f
F.J
Adiusted Valuation:abn nE- c;tr&()*.v,; 1.1
Plan Check Fee:raon a(l)t4.9tt
Permit Fee:zrare, EELvro. J )
Manu. Home Fee Misc. Fees:2a* r 1Q?L91, I T
Total Fees:
S.sd.e t
Fees Paid:6 Balance Due:
3'-7c"61
BP No:
B-un -5nlno
OWTS No:
+'--rffi'qlglLl
Setbacks:occGroup: 6 * R-S Corrst. Type:Vts ,orrtrf
"l -
1-u.L4BUILDING / PTANNING DIVISION
Date
Garfield County COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
rry uevelopment ueparument
108 8th Street, Suite 401
Glenwood Springs, CO 81601
1970194s-8272
www.earfie -countv.com
Breakdown of Fee Calculations:
The Warehouse was already permitted with fees paid, the upper office was existing. They are completely removing
the old office and building the office and apartment as new construction.
Road lmpact for the apartment and additional office in the lower level.
t474 f or 999 sq. ft. apartmenl and 52127 .79 for the 565 sq. ft' of office
***All fees are estimates until final plan review is comp leted * * *
App cant: Buc r one
Project Address: 252 CR 167
Permit Number: BLCO-05-19-5760bdivsionLot:
Type of Occupancy Type of Construction Square Feet Price per Sq. Ft.
B VB 2542 s81.61
R-3 VB 999 s74.68
TotalValuation s282,057.94
S1,312.06Plan Review Fee
s2,018.ssBuildine Permit Fee
Septic Fee (OWTS)
$3,601.79Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
Total Fees Due