The URL can be used to link to this page

Home My WebLink AboutPENDING ApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION ANL [Commercial/Multi-Family Manufactured Home (Single or Multi -Level) _Residential (SF, Duplex or Townhome) If• BUILDING PERMIT APPLICATION ccessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET 1 UDemolition Q Reroof -INVOLVED PARTIES Property Owner: Mailing Address: Email Address: �Ary G'r ✓1 S Phone: (c/ 70) 3[ 2 S. (e.. t(t& C L)5 Co l Contractor: Mailing Address: Email Address: Phone: ( Architect: Mailing Address: Email Address: Engineer: Phone: ( Phone: ( ) Mailing Address: tN a (..,at— G., �,i s Email Address: Manufactured Home Installer: -DV"-' t I Mailing Address: Email Address: Phone: ('I 7O) of 1d,_ f 6 ,3c5- Sc-3 �` �N'� c recf�. C:Lc9 PROJECT DETAILS Describe Work: Job Address: -Crecy 2- `fix (--373,•2,) Assessor's Parcel Number: r..l <87 5 ►`1 L(aio 626 Sub. Mt S e-r%"'SC it tf'''-' Lot L 6 Block Owner's Valuation of Work: $ I ? 0 Property Size (Sq. Ft. or Acres): 3 2 .►r�� Sq. Ft. of Building. I CA1 Height: a' 6 # of Floors: t ngdeittion (›CC bt d g `.�5',� Property Owner Print and Sign PROJECT DETAILS CONTINUED Septic: Type of Heat: Driveway Permit: NOTICE 16WTS nNatural Gas 11Exempt 1I—IPropane ❑ Community ktectric ❑ Other ❑ Permit #: Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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. 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. In 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)). 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. 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. Date) 1 OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu. Home Fee: Misc. Fees: Total Fees: Fees Paid: $376.25 Balance Due: BP No: OWTS No: BLRE-05-20-6263 EXISTING: SEPT-2558 Setbacks: OCC Group: Const Type: Zoning: RURAL BUILDING / PLANNING DIVISION : Signed Approval Date PD. $376.25, CC, 5/7/2020 C'\ _ _ Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, C081601 (970) 945-8212 www.garfieldcountv.com BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: AS Phone: q 7 0 Project Address: d (e- c_vc S Subdivision: Mk • sprt' ' --, 0..C ,_ Lot: co tc(g Block: Type of Space - - Square Feet clelA Vaivatio 1 5 i oc) 0 $74.68 Finished Living Space (N/A for Manufactured Homes) Unfinished Basement $41.00 Foundation/ Crawl Space 01 ci cl l C) 0 J $18.00 Garage (Conditioned) (i.e. insulation, sheetrock) CI ell !' r� p:-> $32.00 Garage (Unconditioned) / $24.00 Covered Patio/Deck $18.00 Uncovered Patio/Deck -c,:z - cJJ $12.00 Misc: $0.00 IMisc: $0.00 Total Valuation; , -- / (�,Qc) Manufactured Home Set -Up Fee Single Level ($400) $0.00 Multi -Level ($600) $0.00 To al Set Up r Septic (OWTS) ir — Fee New Installation ($123) $0.00 Alteration and/or Repair ($75) $0.00 Perculation ($150) $0.00 This Section Determined Plan Review Fee by Garfield Count'_ $0.00 Building Permit Fee $0.00 Manufactured Home Set -Up Fee $0.00 Septic Fee (OWTS) $0.00 Other (Ex: Road Impact Fee) $0.00 Total'Fees ' DJ $0.00 _ ***AII fees are estimates until final plan review is complete 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 Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read, understand and will abide by the requirements of this checklist. Property Owner Print and Sign Date ipoao