HomeMy WebLinkAboutApplicationGarfuld County
,'}muru nity Development Department
8th Street, Suite 4014ic:i1] 108
;-Glenwood Springs, CO 81601
d-&Jc3
(970194s-8212
www.ga rfi eld-countv.com
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BUILDING PERMIT
APPLICATION
Demolitionulti-FamCom
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Dwel Unit - MAXIMUM SIZE OF E FEET
UC(LL
Email Address:BronCo-?66
e
- C-ot,I^''
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Property Owner:
Mailing Address:
Phone: (fu cLry \A tq
)Phone:Contractor:
Mailing Address:
Email Address:
u)f Phone:
q,6T 4o
Mailing Address:
Email
Phone:e-Lo I q45 Al4gEngineer:
Email Address:
Mailing Address:
Describe Workr
t0ProDertv€ie '
Phone
o
1.1a13t 3oo ?f <
trte CD
Block _
# of Floors:_
Size (Sq. Ft. or Acres):Owner's Valuation of Work:
Sq. Ft. of Building
Manufactured Home lnstaller
Job Address:
Lot
oo
Mailing Address
Email Address:
Assessor's Parcel Number:
Sub.
Yt ditionClass of Work:New Remodel/Alteration
l/DetachedGarage:Attached
PROJECT DETAI tS CONTINU ED
CERTIFICATION
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided ation which is correct and accurate to the best of my
Owner Print and Sign Date
Septic:OWTS
Type of Heat:ural Gas Propane
Commurrity
Electric
Driveway
Permit:
Permit #:
NOTICE
Authoritv. Ihis application for a tsuildrng Pcrmrt must bc crgncd by thc Uwncr ot thc propcrty, dcscnbcd above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. A Build ing 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.
VoidPermit. ABuildingPermitbecomeEnull andvoidiftheworkauthorizcdisnotcommcnccdwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 constructthe structure(s) and iacilities detailed on the submittals reviewed bythe Building Division. ln
consideration of the issuanceof the Building Permit, lagreethat land myagentswillcomplywith 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, exceptfor
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
a^hl;..hld r.r^,
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 subrnittals, 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.
OFFICIAT USE ONIY 1
Special Conditions:
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477.5\
Permit Fee:
731 .V iJianii, Home Fee:
AJ -A
tYt t5L. rees
Total Fees:
tztL.34 fi\'t'3t Balance Due
8@11 ffiirqoel OWTS No:-N;A
Setbacks:occcrouoT.U Const. Type:'"R'
(-z( -L5
Date
BUTLDTNG / PLANNTNG DtVtSION :
Ap
Garfield Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701s45-82L2
www.ga rf ieldcou ntvco.gov
Iicant: OLIGAR3D RESIDENTIAL RENOVATION AND SALE PhONC:
Project Address: 2730 Hwy 13
ubdivsion Lot:Block:
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Sr.o1.4sFinished Living Space (N/A for Manufactured Homes)
s32.ooUnfinished Basement
s24.ooCrawl Space
S32.ootr34Garase (Attached)
$4o.ooGarage (Detached)
s24.00Covered Patio/Deck
L476 s18.00Uncovered Patio/Deck
520.29Misc: Remodeled area
So.ooMisc:
so.ooLevel
50.00Multi-Level (S600)
New lnstallation (5600)
Septic - Maior Repair (New Svstem & STA) (5600)
Septic - Minor Repair (Tank Only) ($200)
ration
So.ooIt & Haul 7s)
5477.s9Plan Review Fee
5734.7sBuilding Permit Fee
Manufactured Home Set-Up Fee
Septic Fee (OWTS)
Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
st,ztz.lqlFees Due
***All fees are estimates until final plan review is completed***
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVI E W CHECKL rsT
Permit No:BL<,E- lz-24-q)2.7
Building lssues Planning/Zoning lssues
Engineered Foundation Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
subdivision Ptat .l 707 L7
6*,67 A<
vx
,.t'
Pa
Permit
Surveyed Site Plan
hJA"Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
r/ subdivision Plat Notes
v\Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
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Parcel/ schedule No.
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Description&Summarvi J
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