HomeMy WebLinkAboutApplicationGarfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
tr Commercial/Multi-Family tr Demolition
p Manufactured Home or Tiny Home (Single or Multi-Level)
tr Residential (SF, Duplex or Townhome)tr Reroof
tl Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SqUARE FEET
INVOTVED PARTIES
?Phone:
s
e
a
Contractor:Phone: (_)
Mailing Address
Email Address:
Architect:Phone:
Mailing Address
Email Address:
Engineer:Phone
Mailing Address
Email Address:iV
Manufactured/ome lnstaller Phone:
Mailing Address
Email Address:
PROJECT DETAITS
Describe
Job Address
Pa I Number:
Su Block _
Owner's Valuation of Work: S Property Size (Sq. Ft. or Acres)
sq. Ft. of Building: I el b Height:f of Floo
Class of Work:Gf New i E Remodel/Alterationt-olll a ttl I
E Addition E Repair tr Move/Relocation
Garage:fl Attached E Detached
PROJECT DETAI[S CONTINUED
I hereby acknowledge that I have read
which
and understand the Notice and Certification above, as well as, have
is correct and accurate to the best of my knowledge'
Date
provided the
L)arrz.-"
Property Owner Print nd Sign
E CommunitypowrsSeptic:
fl tropane El Electric E otherE Natural GasType of Heat:
E Permit #:E ExemptDriveway
Permit:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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
NOTICE
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 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 ofthe 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
bytheCountyof errors,omissions,ordiscrepancies. AstheOwner, lacknowledgethatresponsibilityforcompliancewith
federal, state, and local laws and County Regulations rest with me and my authorized agents, including without limitation my
I hereby certify that I have read this Application and that the in formation contained above is true and correct. I understand
architect des or builderer, e neer a
OFFICIAI USE ONTY
Special Conditions:
Misc Fees:Permit Fee:
il12r.55 T:lH6':trr0Adjusted Valuation:
121.360.60
Plan Check Fee:
\ 27+.61
ffffrngQt-rs
OWTS No:Balance Due:
xcq'.5 (Total fees:
16q 5.f c
,iIdU.P
Const Type zonft:Setbacks:OCC Group:
5-q-25
DateApp
BUILDING / PLANNING DIVISION :
Ger$eld Coww$t
BUILDNG DEPARTMENT
1OB Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PLAN REVI EW CHECKL rsT
Permit No:g/{vF-aZA,A-?/U€
Building lssues
/
6*"g('G Driveway permit
''/ Surveyed Site Plan
Planning/Zoning lssues
l)A
Property l-ine Setbacks
35 ft. Stream Setbacks
Flood Plain
'Building Heighi
Zoning Sign-Off
r>A
Septic Permit and Set'oacks
Gradel Topography 30%
h)A Attach Residential P{an Review List
\'/ subdivision Plat Notes
h)Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Complia nce Path/Pla n ReceivedIJA
(./Plan Reviewer to Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Road rmpact Fees m:rt*t kblf
/
\t/
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Description & Summarv:
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Garfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 94s-82L2
www.garfieldcou ntvco.gov
licant:0045 County Road 105 LLC one:
Project Address: 45 CR 105, Carbondale
u bdivsion Lot Block
rvoe of Space Square Feet Valuation
Finished Livine Space (N/A for Manufactured Homes)Sr.o1.4s
Unfinished Basement s32.oo
Crawl Space L1-40 s24.oo
Garase (Attached)532.00
Garase (Detached)s40.00
Covered Patio/Deck s24.00
Uncovered Pati Deck s18.00
Misc: Remodeled area 520.29
Misc:So.oo
,..r,".ri'.1 tttt |:a: ,i
Manufactured Home Set-UP Fee
Sinele Level (5400)s400.00
Multi-Level (5600)so.o0
septic (owrs)Fee
New lnstallation 600
Septic - Maior Repair (New System & STA) (5600)
Septic - Minor Repair (Tank Only) (5200)
Alteration (S200)
ult & Haul ($7s)so.oo
5274.0rPlan Review Fee
s421.ssBuilding Permit Fee
Manufactured Home Set-UP Fee
Septic Fee OWTS)
Rep lacing existing MFG HomeOther (Ex: Road lmpact Fee)
***Allfees are estimates until final plan review is completed***
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