HomeMy WebLinkAboutApplicationGarfieln County
R f; (j E lV[ffimmunity Development Department
108 8th Street, Suite 401
Jtlill {j 5 7i}25 Glenwood springs, co 81601
Gr.., ::i-tr {lcUNTY (970194.s-82l,2
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BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
.Com mercial/M u lti-Family Demolition
Manufactured Home or Home (Single or Multi-Level
Residential (SF,ex or Townhome Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
Property Owner:
Mailing Address:
Email Address:
INVOLVED PARTIES
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Ay?--f-*J ?tArchitectr
Mailing Address
Email Address:
Contractorl
Mailing Address
Email Address:
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Phone:91"
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Engineer:sz? g
Mailing Address
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAILS
Describe Work:
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Po
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Block
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3
Lot
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ffi
HeiehtzAf@ b #of Floors: I---_----
propertysize (5q. Ft.or ncreslzW /&
Assessor's Parcel Number:
Job Address:
Owner's Valuation:of Work:
Sq. Ft. of Building:
Sub.
Additionel/AlterationClass of Work:
DetachedGarage:
Septic:
PROJECT DETAILS CONTINU ED
Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Pcrmit:
Exempt
NOTICE
Authoritv, ThisapplicationforaBuildingPermitmustbesignedbytheOwnei"oftheproperty,describedabove,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Legal Access. A Buildin g 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. ABuildirrgPerrrritbecorrresnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
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 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 of the
structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other
appiicabie iaw.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 with
me and my authorized agents, including without limitation my architect designer, engineer and/ or builder.
Date
Permit #:
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Property owner erintinafin "
oFFtctAt usE oNtY (\
Special Conditions:,
.Adjusted Valuation
I t52.635.70
Plan eheck Fee:
6 ?aa.ee
Permit Fee:
f rL1o,55
Manu. Home Fee:Misc. Fees:
Total Fees:
tr2z1.11
Fees Paid:+u).qa Balance Duel
t 3(6.?q
BP No:
Flcn.flAR',
OWTS No:
Setbacks:OCC Group:
,_ 1
Const. Type vts Zonlnq:
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C-2o.ZrBUILDING / PLANNING DIVISION :
Approval Date
Garfteld County COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
rty ueveropment uepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(970194s-82t2
www.ga rfield-cou nW.com
p icant: Powers nter e:
Project Address: 131L2 Highway 82
Subdivsion:Lot:Block:
Type of Occupancy Type of Construction Square Feet Price per Sq. Ft.
s-L VB 2987 ss1.10
TotalValuation s152,535.70
Breakdown of Fee Calculations:
Sss.rzx.6=$51.10
s838.86Plan Review Fee
$r.,290.ssBuilding Permit Fee
Septic Fee (OWTS)
Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
52,t29.4LTotal Fees Due
***All fees are estimates until final plan review is completed***
6tr
Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PLAN REVIEW CHECKLIST
Tso -4 '5-32'sAPermit No:
Building lssues Planning/Zoning lssues
Engineered Foundation
G.tft"'F*way Permit
rJA
-'
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach List of Required lnspections
Subdivision Plat Notes
Fire Department Review
Va luation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
u4
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fu+
Aa:M
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Property Line Setbacks
35 ft. Stream Setbacks
Flood PlainF-A
uilding Height
Zoning Sign-Off
l-5 A Road lmpact Fees
-/\/ Grade/ Topography 40%r'Planning lssues
Subdivision Plat
Description & Summa rv:
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