HomeMy WebLinkAboutApplicationGarfield County
BUILDING PERMIT
APPLICATION
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Development Department
AU{, 7 7 ltj2t108 8th street, Suite 401
G Springs, CO 81601
G/\tdF,!$';l-u {:t"\
945-8212c0r,i.,lt.!r'll iY tILVII )
oFcoNsrRucnoN -1
Demolition
Manufactured or Multi-Level)
Res
Asqe*qry_Dw9!!i!'g u ! it (4DUI - MAXTMUM S|ZE OF 1,200
ITTIVOLVED PARNES
Reroof
FEET
Property Owner:
Mailing Address:
Phone:Aln rtal S3b(D
EmailAddress:wr.rrLYo h /(A Y( ( V? \PlP I c, (J\rn
Contractor:?-rn< s
Malling Address , Ptr tlor 1 t<91 rr ro Tlta-s.
EmailAddress:
Phone:(110 t1X1. OtSo
Archltect: Phone:
Mailing Address:
EmailAddress:
Englneer:Phone: l?flD l1+5. VSg
Malling
EmailAddress:
Manufactured Home lnstaller:Phone:
Mailing Address:
EmallAddress:
PROJECTDETAITS
Yltoo
Describe Work:eh/€
1a,*nzllrt- \EF {"L
Job Address:\ \\ W. Ynuavr efl-ftr Ql rf co
Assessor's Parcel Number:2,l11rflrotn
Sub.
Owne/s Valuation of ltllork:
Sq. Ft. of Buildlng:
Class of Work:
R ro,'
L
Lot _ Block
22a Property Slze (Sq. Ft. orAcres): 0.64r?a Height:Itr' #or ,oors: I t lyrez.
Garage:Attached
RemodeUAlteration
Detached
PROJECT DETAILS CONTINUED
'1
Septic:
Type of Heat:Natural Gas Propane
Community
Electric
Permit #: "
Other
Drlveway
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.
leqalAccess. 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.
CERTIFICANON
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, 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
Appllcation, 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 requ ired information which ls correct and accurate to the best of my knowledge.
lfexemnt
re_f
Property Owner Print and Sign
r-7-
Date
OFFICIAL USE ONTY
Speclal Conditlons:
?T.
Adiusted Valuation:Aorl.aq+9 Plan Check Fee:
I 74t.59
Permit Fee:
2c11.35
Manu. Home Fee:Mlsc. Fees:
T3zz.1l
442'33Total Fee!;Fees Pald:
\ga\.bb
Balance Due:
2511.2:7
BP No:mo.8a+t OWTS No:ffi8rm.
Setbacks:OCC Grouo:?*51 Const. Type:ry Zonlng:
1-tc-ztBUILDING / PTANNING DIVISION :
DateSigned
Gurfteld County COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
ueveropment ueparument
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(970l.94s-82t2
www.ga rf ield-cou ntv. com
cant:W Main LLC Phone:
Project Address: 111 W. Main Street, Silt
Subdivsion:Lot:Block
Breakdown of Fee Calculations:
Permit and PIan Review is straight from the chart
Road lmpact Fee:
!716 sq. ft. of office at $1092.00 per 1000 sq. ft. = s1873.87
3822 sq. ft. of warehouse at $379.00 per 1000 sq. ft. = 51448,54
***All fees are estimates until final plan review is completed***
Type of Occupancy Type of Construction Square Feet Price per Sq. Ft.
B IV 171.6 s102.31
s-1 IV 3822 s58.97
TotalValuation s400,947.30
5r,741..58Plan Review Fee
$2,679.3sBuilding Permit Fee
Septic Fee (OWTS)
53,322.41Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
Total Fees Due