Loading...
HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 (970) e4s-8212 www.gadield-countv.com INVOLVED PARTIES Property Owner: Mailing Address: Email Address: Gar'"gl' &rro^&Phone, €l7el q// SlaS* t4- Phone Q>o 32x 72a ,4a,) Sd *.",/,20.7 Engineer:et/ Email Addressr Manufactured/ Tlny Home lnstaller: Mailing Address: Mailing Address: EmailAddress: Phone: BUILDING PERMIT APPLICATION WPE OF CONSTRUCNON t] Commercial/Multi-Family tr Demolition tr Manufactured Home or Tiny Home (Single or Multi-Level) tr Residential (SF, Duplex or Townhome)tr Reroof PhoneContractor: Mailing Address: Email Address: Phone: (g7Ct'7/a 2q39Architect: Mailing Address: Email Address: PRO'ECTDETAIIS Describe Work: f"I /<, JobAddress: /Jl ,/4.t.r,,da*_ Cr' Assessor's ParcelNumber: 24'( V lt q oe00.f Sub.u/ Owne/s Valuation of Work: $C&L\ Sq. Ft. of Building: Class of Work: -i D crlt(ot 5- Btock Property Size (Sq. Ft. or Acres): 2'2 ac, CS 24, 6 7',*otrloorst 2 n E Repair Garage:Efittached Height: E Rddition El Detached tr Move/Relocation r pnorrcr oerairs conrinuio Septic: Type of {o*rt Heat:Gas E Propane E Community ] tr eltctrictlE Permit #: E other l I I Il IIDriveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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. 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. 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 bythe 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 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 Regulatlons rest wlth me and my authorized agents, including without limitation my architect 9 eryl builder I hereby acknowledge that I have read and understand the Notice a nd Certification above, as well as, have best of my knowledge.information wh correct and accurate to theprovided the required G*re* (n "o,.nProperty Owner Print and Date OFFICIAL USE ONIY Special Conditionsl Adiusted Valuation:V5,66-trL Plan Check Fee: 174.53 Permit5oZ Fee:.35 Manu home Fee:Misc Fees: 8?g.gg Total Fees:Fees Paidr 'QoE.6l Balance Due: C?A.ql7 -clra* BP No:R!r-t6ma;OWTS No: 6Ciainrt Setbacks:OCC Group:t2<Const Type:'?y t -tL.L>BUILDING / PLANNING DIVISION : DateApproval GarJteld Coanty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 (9701945-82t2 www,ga rfield-cou ntv.com Soot*r fneD 9n-rorr- a6' t - I - 2 u)tv('d-D BUILDING PERMIT FEE ESTIMATE WORKSHEET Phone: BlockLot: licant: Cerrone Project Address: 131 Meadow Ct bdivsion: 574.68Finished Livins Space (N/A for Manufactured Homes) S41.ooUnfinished Basement Srs.ooCrawl Space s32.ooGarage (Conditioned) (i.e. insulation, sheetrock) s24.00Garage (Unconditioned) s18.00Covered Patio/Deck s12.00Uncovered Patio/Deck Sas.oe1059Misc: Convert Finished Space to an AEU s0.00Misc: Sinsle Level (5400) So.ooMulti-Level (S0Oo1 New lnstallation (5600) Septic - Maior Repair (New System & STA) (5600) Septic - Minor Repair (Tank Only) (5200) Alteration (5200) so.ooVault & Haul (S7s) Sszo.ssPlan Review Fee Ssoz.ssBuilding Permit Fee Manufactured Home Set-Up Fee Septic Fee (OWTS) Other (Ex: Road lmpact Fee) This Section Determined by Garfield County Total Fees Due $szg.ee ***All fees are estimates until final plan review is completed***