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***