HomeMy WebLinkAboutApplicationGurfteld Counly
R E@fij llltlriity Development Depa rtment
108 8th Street, Suite 401
jUl'i U 3ei6il{,ooa springs, co 81601
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BUILDING PERMIT
APPLICATION
TYP'F OF CO.NSTRUGT]ON
Commercial/Multi-Family Demolition
Manufactured Home or TinV Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOWED PARTIES
Phone:Property Owner:
Mailing Address
Email Address:
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Address:
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Email Address
Engineer:
Email Address:
IMailingAddress: tU) I GIWWTJ Oit€.zit (llotnr:-r*[ b.
Phone: t 8Ol t
Phone: ()Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAILS
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Owner's Valuation of Work: S_ Property Size (Sq. Ft. or Acres)
Describe Work:t'
try
I
Lot
t
,ZI '1q -c4'3* &)--4tz-
Block
#ofFl
Job Address
Sq. Ft. of Building: ?f Yl fi Height:
Assessor's Parcel Number
Sub.
Class of Work:]ffi^tew Remodel/Alteration Addition
Garage:ched Detached
PROJECT DETAILS NUED
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.
Property Owner Print and Sign
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oat{i
VSeptic ]WTS Community
Type of Heat:atural Gas M erooane Electric Other
Driveway
Permit:
pt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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.
Itiple 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.
Other Permits. Mu
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
Pernrit 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 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.
OFFICIAL USE ONtY
Special Conditions
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I
Adjusted Valuation:
4o6'995.74
Plan Check Fee:
t770.10 2721.t5
Permit Fee Manu. Home Fee:Misc. Fees
4111.C4
Total Fees
47q1 .6 Fees Paid:ltqaA,.s Balance Due:
ZFCo.35
BP No:H7o-8fio OWTS No:ffiK'-+t\
Setbacks OCC Group;-6+5L Const. Type:v6 ^?".L
BUILDING / PLANNING DIVISION :
proval DateSigne
8'G'
Garfield CounSt COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
rty ueveropment uepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 94s-8212
www.garf ield-cou nW.com
p icant: Pizarro Phone
Project Address: TBD CR 236
u bdivsion Lot Block:
Type of Occupancy Type of Construction Square Feet Price per Sq. Ft.
s-1 VB 8973 s3s.88
B VB 6?q s81.66
Totalvaluation $408,880.74
Breakdown of Fee Calculations:
Road lmpact Fee:
lndustrial is 5379 per 1000 Sq. Ft.
Office is S2S23 per 1000 Sq. Ft.
8.973x379=53400.767
.625x2523 = S1576.875
54,977.64
sL,770.7OPlan Review Fee
Building Permit Fee 52,724.r5
Septic Fee (OWTS)
Other (Ex: Road lmpact Fee)54,977.64
This Section Determined by Garfield County
Total Fees Due
***All fees are estimates until final plan review is completed***
The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
sucv6- 5 LD4
Property Owner Print and Si Date