HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
l970l94s-82t2
www.ga rfi eld-countv.com
BUILDING PERMIT
APPLICATION
DemolitionCom merciaUM ulti-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)E Accessory Dwelling Unit (ADU)- MAXTMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address;
Email Address:
G..N.( Au./f5 a Or S
Phone:
rl t
Engineer: Phone:
Mailing Addressr
Email Address:
Email Address:
)Phone:IManufactured Home lnstaller
Mailing Address
PROJECT DETAII.S
Describe Work:
loJob Address:
tL(*€)d (-)6c
C+
m
+
o
roF
Height:
er's . Ft. or Acres):
Sq. Ft. of Building:
lot I alocrSub.
Own
AdditionVNewRemodel/AlterationClass of Work:
DetachedAttachedGarage:
Contractors
Mailing Address ()
Email Address:
T,te Phone:
R,
f,
rc6 6<t+FD
' co'l{-
&-4 H,z!?,+
t-,Xuf@loi
327
P 1 .2tC-77o
Architect:
Mailing Address: -
Email Address:
Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Officialthat additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance of a permit.
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 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.
1
Owner Print and Sign Date
a
a
PROJECT DETAITS CONTINUED
CommunitySeptic:
OtherElectricPropaneNatural GasType of Heat:
Permit #:Driveway
Permit:
NOTICE
AuthoriU. This application for a Building Permit must be signed
or an authorized agent. lf the signature below is not that of the
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,
(g) anotner permit req-riired 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.
by the owner ofthe property, described above,
Owner, a separate letter of authority, signed by
CERTIFICATION
I hereby certify that I have read this Application and that the i
understand that the Building Division accepts the Application,
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)). 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 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
nformation contained above is true and correct, I
along with the plans and specifications and other
er, engineer or builder
I hereby acknowledge that I have read and understand the Notice and ce rtification above, as well as, have
provided which is correct and accurate to the best of my knowledge.
arC * elo'5
Owner Print and Sign Date
OFFICIAT USE ONtY
Special Conditions:*<d (dr.-rpiT\o\.5s a{ Pa^r.rt q-,T,
Misc. Fees:Manu. Home Fee:Permit Fee:
zrJ8c..15Check Fee:52"(oPlanaValuation:(_&
OWIS No:Fees Paid:ot Due:
60,(682.t5
Const. TVRe:UU+LGrouoccSetbacks
16-co-BUITDING / PTANNING DIVISION :
Date
Garfteld CounQ COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
LO rry ueveropment uepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970l.94s-8212
www.garf ield-cou nW.com
: 21-0 Gemat Court
R Block:
ne
Lot
licant
Project Address
u bd ivsion:
o Precision
Type of Occupancy Tvpe of Construction Square Feet Price per Sq. Ft.
F-2 VB 4350 s44.06
B VB L250 s81.6C
Total Valuation s293,661.00
Breakdown of Fee Calculations:
Permit Fee = 52080.15
plan Review Fee = $1352. j.0
Road lmpact fee:
B - 51092.00 per 1000 sq. ft.
F-2 - 5379.00 per 1000 sq. ft.
7250 / 1000 x 1092 = s 1365.00
4350/1000 x379 = $1648.6s
S1,3s2.10Plan Review Fee
S2,080.15Building Permit Fee
Septic Fee (OWTS)
s3,013.6sOther (Ex: Road lmpact Fee)
This Section Determined by Garfield County
Total Fees Due
***All fees are estimates until final plan review is completed+**