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HomeMy WebLinkAboutApplicationGarfield County BUILDING PERMIT APPLICATION $dF;{; Development Department AU{, 7 7 ltj2t108 8th street, Suite 401 G Springs, CO 81601 G/\tdF,!$';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