HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8rh Street, Suite 401
Glenwood Springs, CO 81601
(9701945-8212
www.garfi eld-countv.com
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
mercial/Multi-Fami Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOI.VED PARTIES
Property Owner:
Mailing Address:
Sqrnt.gx* ane Phone: (q1lo I g41, Stbo &
l64al 4a rd tll d]laar.raad SPnlis Co 8ll4l
Email Address:
5.rr.a
Contractor:Phone: ( )
Mailing Address:
Email Address:
Architect:Phone:(
Mailing Address:
Email Address:
Engineer:Phone: ( )
Mailing Address:
Email Address:
Co}$'rvqt oq nr*t lor 4o'ntPaa,7
Manufactured Home lnstaller: DnJ uor fna Phone: (tog ) 565 ' bSoo
MailingAddress: {rlgg Ltpnn Str.r* SfA ,ol barrrr.r C6 SAZ2l
Email Address:
PROJECT DETAILS
Describe worx: ?. Cans+roalan *vqlcrg *o 4 3a[ near Pcnptz,,>s. QC,r
Soo\ght, Sne,.rrruLrtla r.,rn{€.,2 aPc.m*rr <. A/ar/rr{leer-l APnl '
Job Address:
Assessor's Parcel Number:
Sub.Lot _ Block
Owner's Valuation of Work:Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:Height:f of Floors
Class of Work:New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAI[S CONTINUED
cERTtFtCATtOtU.. " ., , ;
lherebycertifythatlhaver_gqdthisApplicationandtlpt.theinformatiof gontpinedabove.is.trueandcorrect. I
understand that the Building Division accepts the Application, along with the plans and specifications and other data
submittcd by mc or on my behalf (submittals), based,upon'my Certification ds 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Officialfrom: (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 bythe 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 dnd Certification above, as well as, have
p required information which is correct and accurate to the best of my knowledge.
to' tl: bZ(
Owner Print and Date
Septic:
xNatural Gas Propane
Community
OtherElectricType of Heat:
Driveway
Permitl
Exempt 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 fbr:-
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 Disclrarge Perrnit.
Vold Permlt. 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.
OFFICIAI USE ONtY I
(t-I
s€a n*h ached CAN b t TlOlVSSpecial Conditions:
Adiusted Valuation:
[4, 315- Lo
Plan Check Fee:
tc3 .3t
Permit Feeztl,z5 Manu. Home Fee€'Misc. Fees
Total Fees:
4n,5L
FS"t fgil' ^?$P1"t'>
Balance Due:
3 5.51
BP No:t-- A.A..^Bl f o -l5'1cf1
OWTS No
.iP"r'# gi-OCC Group:Const. TvDe:UB ^W
#.4fBUTLDTNG / PLANNTNG DTVtStON
Signed Approval
I
Garfteld CounQt COMTMERCIAL BUlLDlltlG
PERM]T
FEE ESTIMATE
WORKSHTEET
LOm ueveropment uepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(9701 94s-8212
www.ga rfield-counW.com
icant:u e
Project Address: 10901 CR 117
Subdivsion:Lot Block:
Type of Occupancy Type of Construction Square Feet Price per Sq. Ft.
Temp Offices for snowmobile operations VB 480 c10 00
IotalValuation s1439s.20
Breakdown of Fee Calculations:
***All fees are estimates until final plan review is completed***
s163.31Plan Review Fee
s2s1.2sBuildine Permit Fee
N/ASeptic Fee (OWTS)
N/AOther (Ex: Road lmpact Fee)
This Section Detenmined by Garfieid County
lTebl Fees Due