HomeMy WebLinkAboutApplicationGctrfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-8212
www.garfi eld-cou nW.com
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BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelli Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
Property Owner:
Mailing Address:
Email Address:
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INVOTVEP PARTIES
Phone: (_)
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Contractor:
Mailing Address:lDsba
Phone: 6sat -l4l^etflfi
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Architect:
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Mailing Address
Email Address:
Phone: (_)U9(q'*eb.tr4t-Cd6ff 6CLEngineer;
Mailing Address
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAIIS
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Job Address:
1
Describe Work:
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Owne s
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on
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60uahfii'
Size (Sq. Ft. or Acres):
t1 ff of Floors
rct 49 Block
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e)2-rcel Number
Sub.
66
Height:Sq. Ft. of Building:
O rvt
9trsN
of Work: S
Class of Work:New Remod el/Alteratio n Addition
KGaraee: 5/p.Attached Detached
(o
Soza
54rcs
flcSeptic
Type of Heat:Natural Gas Propane
@ttectric Other
Driveway
Permit:
Permit #:mpt
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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.
VoidPermit. ABuildingPermitbecomesnull 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 constructthe 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 Garfieid 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 Regulations rest with
me and my authorized agents, including without limitation my architect designer, engineer and/ or builder.
PROJECT DETAILS CONTINUED
ity
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.
J€^J ").j'J E*-:r-0444F 2
rint and Sign 4F Date
OFTICIAT USE ONLY r-f q-
speciar conditions: 5€ d6rD (T(615 # Apytgrrtt_
G.T.
Adiusted Valuation:
n
^qq,.415.(3
Plan Check Fee:
rtat.q4
Permit Fee:6?3.15 Manu, Home Fee:Misc, Fees: - A2,535.6.L
Total Fees:
),o?-5.67 'rtqi'iqq Balance Due:
t633,76
BP No:tTn d 9Al
OWTS No:
Setbacks:OCC Group:
A-S
Const, Type: VF 'ilTr)
,J-ryBUILDING / PLANNING DIVISION
DateSigned
NOTE: If any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
.l6wtPeK GIRV t 22 t?E
Print and Sign rIE't{ Date
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Property
Garfteld CounQt COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
Iry ueveropment uepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 e4s-8212
www.ga rfield-cou nW.com
Breakdown of Fee Calculations:
Total Square foot under roof is2322.
Using Aug. 2024 Valuations, as the submittal was dated in Feb. 2025
5179.01x.6=5Lo1.44
Road lmpact: $t,092 Per 1000 sq. ft. : 2322 x 1.092 = 52535.62
***All fees are estimates until final plan review is completed***
A icant: Aster ace - Encompass e:
Project Address: 5 Stone Quarry Road
Subdivsion : Battlement Mesa Lot:Block:
Type of Occupancy Type of Construction Square Feet Price per Sq. Ft.
A-3 VB 2322 st07.44
Total Valuation s249,475.68
s1,833.7sPlan Review Fee
s1,191.94Buildine Permit Fee
Septic Fee (OWTS)
52,s3s.62Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
Total Fees Due