HomeMy WebLinkAboutApplicationGarfield County
. , ",,,,rr 108 8th Street, Suite 401
APR i 4 ''UdLn*ood springs, co 81501
Cim munity Development Department
(970) 94s-8212
www.ga rfieldcountyco.gov
BUILDING PERMIT
APPLICATION
DemolitionCommercial/M ulti-Family
Manufactured Home or Tiny Home (Single or MultFLevel)
ReroofResidential {SF, Duplex or Townhome)
l-l Accessory Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
+{.t
t
?d
Phone:{ q'lo ) 9G3 - zSLb
c
Email Address:
Property Owner:
Maillng Address:
Z((
0
N Qo
c
Phone
tg7
('/\ .tO . -nb(e -d 4ts C-rhi\ a
'(4Yo t {50 'Gqtolhe
ho.
Contractor:
Mailing Address:
Email Address:
3-l0oN,n.L: l-."nAr{
Lq
oPhone:
L c L3N. ?(t
4a"
Mailing Address:
EmailAddress:
f,
Architect:
o3
Phone: t17o I 1lt q - o\Lo
CO Bltnoa(
Engineer:
Mailing Address:
Email Address:
Owner,sValuationofWork:S 9"OO,ClOO Propertysize(Sq.Ft.orAcres|:2OZ *t.a
ed q-
Block
Phone:
z3l33itooo 3A
l1r1
a
Job
Manufactured Home lnstaller:
J,(,
?2 .P+Height:5q. Ft. of Building:V-fu"
Describe Work:
Assessoy's Parcel Number:
Mailing Address:
Email Address:
# of Floors:-L-
Sub. lot
Xdass of Work:New Remodel/Alteration
DetachedGarage:Attached
n
PRO'ECT DETAILS COil'INU ED
Septicr
Type of lleat:
Drlveway
Perrnlti flExemot
I 6as Propane
Community
Electric Other
Permit #:
tNg'nC! .- - * -.-----.---.- .: -,' -..-.. ----
nutfroiftu fnfs appffution-ioii buifOing Permit must be signed by the Owner of the property, described above, '
oi an auttrorized agent. lf the signature below is not that of the owner, a separate letter of authority, si6ned by ,
the Owner, must be provided with this Application'
leral Access. A Buildlng permit cannot be issued without proof of legal and adequate access to the properry for
'
purposes of lnspectlons by the Bullding Divlsion.
bthcr pe-rmits. Multlple separate permits may be required: {1) State Electrical Permlt, (2] County OWTS Permit, l
{3) another permit reguired for use on the property identifled above, e.g. State or Counh/ Highway/ Road Access
or a State Wastewater Discharge Perrnlt.
Void perm& A Building permit becomes null and void if the work authorized is not commenced within X80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement'
CERrlFEATIOI{
t hereby certtfyit iii f,rue read thls Appllcation and iirJiitte jnformaiion contained ibove ls true and correct. I
undersiand that the Bulldlng Dlvislon accepts the Appllcatlon, atong with the plans and specifications and other data
: submitted by me or on my iehalf (submittals), based upon my certlflcatlon a3 to accuracy. Assumlng completeness
of the submittals and approval of thiF Appllcatlon, a Euildlng Permlt will be issued granting permission to me, as
O*n"r, to construct the structure{s) and facllltles detalled on the submittals reviewed by the Building Division. ln
conslderatlon of the issuance of the Eulldlng Permit, I agree that i and my aSents will comply with provisions of any
federal, state or local law regulating the work and the Garfield County Buildlng Code, OWTS regulations and
appltcable land use regulatiJns (county Regulatlon(sl). All County developrnent requirlng a permlt 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(sj and facillty{ies), described above, are not in compllance wlth County Regulatlon(s) or any other
rapplicable law.
t irlreUy grant permission to the Building Divislon to enter the property, described above, to lnspect the wotk. I
further acknowledge that the issuance of the Building Permft does not prevent the Euildlng official from: (1) reguirhg
the correction of errors ln the submittals, lf any, discovered after issuance; or (2) stoppinS constructlon or use of the
, structure(s) or facillty(ies) if such is in violation of County Regulation(s) or any other applicable law, Review af this
iAppllcation, lncludlng submlttals, and lnspections 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
acknowledBe that responsibllity for compllance with federal, state and local laws and County Regulatlons rest wlth
me and my authorped agents, includlng wlthout limitation my archltect designer, engineer and/ or builder'
I hercby acknowlcdge that I have read and understand the Notlce and Certlficatlon alrove, as wcll as, havc
ls accurrt€ to thc bcst of my knowlcdge';t fultt-4 /t 2$5
Property Owner Print and Sign Date
Speclal Conditlons:
Mlsc.c6)Manu, Homc Fee:P€rrnlt F€e3
+o
Plan Check Fee:
7o1
qBalance Due:
t 3C6.ttFees Paid:Total Fees:L3L36
Const.TV0e: U,6OCCGroup: g -ZSetbacks:
4 -zo-g
BU|IDTNG / PLAI{NING DIVISION:
Datc
Garfield CounQt
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(97Ols4s-82L2
www.ga rf ield cou ntvco.gov
BUILDING PERMIT
rEf ESTIMATI
woRKSiltrr
Applicant: CRMS - Dorm Addition
Project Address: 1493 CR 106
Subdivsion:
Phone
Lot;Block
Type of Space Square Feet Valuation,
Finished Livine Space for R-2 Multifamily 1818 Sgz. rs
Unfinished Basement S32.oo
Crawl Space s24.00
Garage (Attached)s32.oo
Garage (Detached)S4o.oo
Covered Patio/Deck 269 524.O0
Uncovered Patio/Deck S18.oo
Misc: Remodeled area 520.2s
Misc s0.00
Manufactured Home Set-Up Fee
Sinsle Level (5400)$o.oo
Multi-Level (S0OO)so.oo
Septic OWTSI Fee
New lnstallation (5600)
Septic - Maior Repair (New System & STA) (5600)
Septic - Minor Repair (Tank Only) (5200)
teration
Vault & Haul (S75)5o.oo
5e1s.30Plan Review Fee
s1,408.15Building Permit Fee
Manufactured Home Set-Up Fee
Septic Fee (OWTS)
S1,988.00Other (Ex: Road lmpact Fee)
{1."' "!i
\ li ..':-- i ltnq*.,- .
t.'
*x*Allfees are estimates untilfinal plan review is completed***