HomeMy WebLinkAboutApplicationGarrteM Countyf{ {", {.: il: i
Community Development Department
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. 108 8th Street, liuite 401
, .;,.;glenwood sprint$, co 81601
(e701e4s-12t2
TYPE OF CONSTRUCTION
tr Commelcial/Mu lti-Family
Manufactured Home or Tiny Home (Single o
Residential (SF, Duplex
Agcessory Dwelling Unit {ADU} I MAXIMUM
r Multi-Level)
srzE oF r,zoo seuenE FEiT
.[J Reroof
{970 fi79-4182
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II{VOLVED PARTIES
Property Owner:John
Mailing Address: 2S5€+iwn{y.d*he 27
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Ernail Address:john@dkrmoz.net
contractor: Centennial Construction Phone: C?O-f 250-6827
Mailing Address:695 Sperber Ln. Grand Junction, CO B'1506
Ernait Addresr. mbebeet@msn.com
/l/"A,Architect:Phone: (*_)
Mailing Address:
Ernail Address:
A/,fl,,Engineer:Phone: ( )
Mailing Address:
EmailAddress:
--Manufactured Home lnstaller:Phone: (
Mailing Address
Email Address:
PROJECT DETAILS
Describe uuorn. Remove approximatly 40' of interior wall, rebuiild approximatly
60' of new walls as per plans. Add two new sinks as noted on plans.
::, r:
Job Address:218 Center Drive
Assesso/sparcet Number: 218506120001 6U, BAA I ranc
s,,6. Cooper Minor lot 1 glock
Owne/s Valuation of Work: $40000 Property Size (Sq. Ft. or Acres):
Sc1. Ft. of Building:970 Height:# of Floors
Class of Work:
1
" /1,
:
.Addition
Garage:Attached
',n Remodel/Alteration
Detached
3.192 acres
9@sr
-t
PROJECT DETAILS
Septic:Community
Type of Heat:Natural Gas Propane Electric
Perrmit #:
Other
Driveway
Permit:
Exempt
NOTICE
AUlbgILq{. 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 Crwner, 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.
Othgr PerFits. 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.
Vo_!{Permlt. 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 contairred 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 construet the structure(s) and facilities detailed on the sukrmittals revir,'wed by the Building Division. ln
consideration of the issuanc,e of the Building Permit, I agree that I and my agents will comply with provisions of any
federal, state or local law re1;ulating the work and the Gafield County Building Code, OWTS regulations and
appllcable land use regulations {County negulation(s)). All County development nequiring 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 Fermit does not prevent the Building Official from; (1) requiring
the ccrrrection 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 llegulation(s) or any other applicable law. Review of this
Application, including submittals, and inspections of the work by the Buildin6 Dirrision 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 agenl:s, including without limitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certificatlon above, as well as, have
provided is correct and accurate to the best of my knowledge*yytl
,fiuA. lBrAD33
Property Owner Print and Siign Date
OFFICIAI USE ONtY I
Speclal Conditions:
^ J!---^-J r r^l---tr--AUlustu(I Vdtudttuil
Yfr?5, 51q.50
rec:
5
ree:onY tdt
z{I5
tvtanu. nurre ieg;tvllsu. rees
Total FeesiDtqi.ss 572.5e
Fees ffi Balance Due:ffi.r qqg)oWT$ No:
Setbacks:OCC Group:B Const. Type:T9 '"1+'i _
7-3 -z5BUTTDTNG / PLANNTNG DTVTSTON :
DateSigned
Garfteld County COMMERCIAL BUILDING
PERMIT
FEE ESTIMATE
WORKSHEET
rty ueveropment uepartment
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-8212
www.ga rf ield-cou ntv.com
Breakdown of Fee Calculations:
Tabular Value = iZe&.q x .6 = 161.046 x .2 = 532.21
.6 is the modifier approved by the BOCC and 20% of the total valuation is for tenant improvements.
***All fees are estimates until final plan review is completed***
icant:estern or earing Clinic e
Project Address: 214 Center Drive, GS
Subdivsion Minor Lot Block
Type of Occupancy Type of Construction Square Feet Price per Sq. Ft.
B ilB 9s0 s32.2L
TotalValuation s30,599.50
5293.70Plan Review Fee
s4s1,8sBuilding Permit Fee
Septic Fee (OWTS)
Other (Ex: Road lmpact Fee)
This Section Determined by Garfield County
S74s.ssTotal Fees Due