HomeMy WebLinkAboutApplicationff*rtteld County
Community Development Department
, 'r .:,,: ; 1, 108 8th Street, Suite 401
Glenwood Springs, CO 81601
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BUILD+NG PTRMIT
APPLICATION
Commercial/Multi-Family Demolition
Manufactured Home or Tinv Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
*Phone
I
- L13
Email Address:
Property Owner:
Mailing Address:
Phone:Contractor:
Mailing Address:
Email Address:
PhoneArchitect:
Mailing Address:
Email Address:
,
Engineer:
Mailing Address
Email Address:
Manufactured Home lnstaller: Phone:
EmailAddress:
Owne/s Valuation of Work: 5 5A, @O Property Size (Sq. Ft. or Acres): < € AC"tlS
Describe Work:
z/
6J
7
Iot Block
Attached Detached
t l{8 f of Floors: /
Remode/Alteration
Height:
Mailing Address:
Job Address:
Sq. Ft. of Building:
Class of Work:
6arage:
Assessoy's Parcel Number:
Sub.
PROJ€CT DETAIU' COf{TIfTUED
Septicr Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
Permit S:
iloncE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
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 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.
crRTtfitAnoN
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
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 including without limitation my architect designer, engineer and/ or builder
have read and understand the Notice and Certification above, as well as, have
rtion which is correct and accurate to the best of mv
f rz
Property Printand Sign Date
o$FtcAt usE oNtY -4E
5E€ &h.JbrTtotrt str Fql(ATTSpecial Conditions:
Adjusted Valuationr
{ re q.olq.ro Plan Cheak Fee:
e;ejz.5+
Permit Fee:
r357.1S
Manu. Home Fee:Misc. Fees: K.T '38e .q
Total Fees:zz\o,27 Fees Paid:g+3,4b Balance Due BP No:
P.l opQcn*
OWTS No:
SNPF-?O?q
Setbacks:occGroup: S€f_Const. TyPe:fg4
fline:
1-l-LSBUtLDTNG / PLANNtNG DIV|SION
DateSigned
Gurfield CounQ
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.garfieldcountvco.gov
licant: James and Kelly Lord
ect Address:3257 CountY Road 237
divsion:
one:
Proj
ub Lot Block
Type of Space SEuare Feet Valuation
Finished Living Space (N/A for Manufactured Homes)1158 s101.4s
Unfinished Basement S32.oo
Crawl Space 524.00
Garase (Attached)1158 s32.oo
Garage (Detached)s40.0o
Covered Patio/Deck s24.00
Uncovered Patio/Deck 528 S18.oo
Misc: Remodeled area 520.2s
Misc so.0o
Manufactured Home Set-UP Fee
Sinsle Level (5400)So.oo
Multi-Level ($600)so.oo
Seotic OWTSI Fee
New lnstallation (5600)s600.oo
Septic - Maior Repair (New System & STA) (5600)
Septic - Minor Repair (Tank Only) (5200)
Alteration (S200)
Vault & Haul (S7s)50.00
5aaz.s+Plan Review Fee
1357..75Building Permit Fee
Manufactured Home Set-UP Fee
s600.00Septic Fee (OWTS)
$e86.00Other (Ex: Road lmpact Fee)
This Scction Determined by€arfield County
Fees Due
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***All fees are estimates until final plan review is completed***
Garfield CownSt
BUILDING DEPARTMENT
108 Eighth Street, suite 401, Glenwood Springs, CO 87601
Tel: (970) 94s'8212t
PLAN REVI EWCHECK L rsT
permit No: BR€-AZ-ZG- q,Ot 8
Building lssues
CuD-
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il*
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Planning/Zoning lssues
Pro.oerty Li ne Setbacks
35 ft. Stream Setbacks
Pe Flood Plain
Drivewaypermit gMZ
Surveyed Site Plan
oEto/=02_26-12?6
Septic Permlt and Setbacks
P*
Grade/ Topography 30%
Attach Residentia'l Plan Revie'uv List
Subdivision Plat Notes
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
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Bui'itiing fieight
Zoning Sign-Off
Road lmpact Feesv/
U/ Grad e/ Topography 40%
Planning lssues
t-/ subdivision Plat
Descri otion & Sum marv:
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