HomeMy WebLinkAboutApplicationGarfield Counly
. Community Development Department
"li;i 1; 4 ?i,,!:, 108 8th street, suite 401
I-,' . ;'. i . i ::. ;-.. i -r r-,:i :-qilFFWood Springs, CO 81601
{ (' iit i;i !. i i,l i l'/ lr i:: Vi: l t,iiJilIji\1 (970} g4S-BZ],z
www.ga rfieldcountvco.gov
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Com mercial/Mu lti-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
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone:( q'lD I b25- t}ll
Phone:Contractor:
Mailing Address
Email Address:
t 4rl0 I bl8-hhlrt
gtb0z
Phone
J
Architect: JOfd nfr A+htt-thwy, Inf,,
P.o. Box tlat Elmurnud Ssrznas, C>Mailing Address
Email Address:
Address:211 Sonft tl+h 9*nth ldh.rn", kr b\b?-lt
Ptrone; (- 80 r) ) ?L'-l -01qD
Mailing
kgr Qrrthno; - Nfiur- Vlothbo' roEngineer
Email Address
Manufactured Home tnstatter: N/ A Phone:
Mailing Address:
Email Address:
PROJECT DETAITS
Owner's Valuation of Work: $ I , aq 5, OO O 'rO Property Size (Sq. Ft. or Acres):
Describe Work:,1 X
PovcU
Sq. Ft. of Building:lD,5lt)
IJob
Sub.rot A? Block
-Height 25 .5'# of Floors: I
dress:
Assessor's Parcel Number:21,1q t34 00 g,n\
)New Remodel/Alteration AdditionClass of Work;
Garage:Attached Detached
PROJECT DETAITS CONTINUED
Septic:OWTS Community
Type of Heat Natural Gas Propane Electric Other
Driveway
Permit:XExemnt
Permit #:
NOTICE
Authority. 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.
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. 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. lacknowledge 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 req ation which is correct and accurate to the best of my knowledge.
hn*ruc*ut*
4 21 25
Dateand Sign
OFFICIAL USE ONtY
Special Conditions
7"f .
Adiusted Valuation:v67t,21q.10 Plan Check Fee:
5,1o7.27^
Permit Fee:
1.11\15
Manu. Home Fee:Misc. Fees:
x t?14. 6c
Total Fees:$':alr-of 'ff'(4'z8l Balance
rtegl
Due:,L3 BTo.Qgto
BP No OWTS No:
Setbacks:OCC Group:s-(Const. Type:rfts ffit'
8-zt-"5BUITDING / PLANNING DIVISION :
Approval Date
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 representali,ve.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
2q1
n Date
Garfteld County COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
rty ueveropment uepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.garf ield-cou ntv.com
p icant:a re er angers ne
Project Address
Subdivsion:
Garfield County Airport
Lot: A3 Block:
Type of Occupancy Tvpe of Construction Square Feet Price per Sq. Ft.
s-1 ilB 10540 578.11
TotalValuation s823,279.40
Breakdown of Fee Calculations:
130.18x.6=978.11
53233.75 for the first 5500,000 and $4.75 for each Stooo or fraction thereof
324x4J5 = s1539.00 + 53233.75 =s4772.75 x .65 = s3t}2.29
Road lmpact: lndustrial = 5379 per 1000 sq. ft.
sgzgx10.540=s399+.0e
s3,102.29Plan Review Fee
54,772.75Building Permit Fee
Septic Fee (OWTS)
S3,994.66Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
Total Fees Due
***All fees are estimates until final plan review is completed***