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lenwood Springs, CO 81601
(970194s-82t2
www.garfield-countv.com
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,L 1s1 Community Development Department
108 8th Street, Suite 401
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Garfield County
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
DemolitionCommercial/Multi-FamiltlManufactured Home or Multi-LevelSi
ReroofResidentialSFDulex or Townhom
INVOLVED
RYAN PRATTProperty Owner:Phone:{(970))319-6439
Mailing Address:PO BOX 1627 CARBONDALE CO 81623
Email Address rpraft2311@gmail.com
RYAN PRATT Phone: ((970) p19-6439
PO BOX 1627 CARBONDALE CO 81623
Email Address:rpratt23 1 1 @gmail.cont
Mailing Address:
Contractor:
19-4305
Email Address:tl montoya@frontier. net
e70)Phone:
Mailing Address PO BOX 288 WALSENBURG CO 81089
Architect: TERRI MONTOYA
5012 CNTY RD 154 GLENWOOD SPRINGS CO 81601
KURTZ AND ASSOCIATES Phone:r(e70) 945-6305
Email Address ku rtzen g i neer@ya hoo. com
Mailing Address:
Engineer:
Manufactured Home lnstaller: Phone:
Mailing Address:
Email Address:
PROJECT DETAIIS
NEW SINGLE FAMILY RESIDENCEDescribe Work:
TBD PANARAMA DRIVE
367172.60
Height:
l-ot A Block
of Work:
Job Address:
22.5 FEET
Assessor's Parcel Number
Sub.PANARAMA RESERVE
3250 LIVING
Property Size (Sq. Ft. or Acres). 8.1
# of Floors: 3
Owner's Valuation
Sq. Ft. of Building:
Move/Relocation! Alteration n Rd¿¡t¡on flRepairClass of Work:[ ruew
! oetachedGarage:Inttached
PROJECT DETAIIS CONTI NU ED
Septic:OWTS ! Community
Type of Heat:
Driveway Permit:
Natural Gas l_l eropane ll Electric llotner
Exempt l_lPermit #
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 Buílding 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.
CERTIFICAT¡ON
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 Appl¡cation, a Building Permit will be issued Sranting
permission to me, as Owner, to construct the structure(s) and facilities detaíled 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)). 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, omissíons 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 and accurate to the best of my knowledge.
Prope Owner Print and Sign Date
OFFICIAL USE ONtY
Special Conditions;
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Misc Fees:
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OWTS No:ffi- q?bt+
Zonirìg:R
it Fee Manu home Fee:
Fees Paid:nce Due:I Fees:
OCC Group:lRclRo
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Plan Check Fee:-
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BUILDING / PLANNING DIVISION
Signed Approval Date
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Gørtìeld
Buildin pl Zonins Plan Review Checklist
Permit Number:ØL?4'ob- t1'41b7
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Buildine Planni Zonine
Engineered Foundation
AAú Driveway permit
,/ surveyed site Plan
Septic Permit and Setbacks
Gradel TopographY 30%
Attach Residential Plan Review List
,/ Subdivision Plat Notes
/ Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
/ Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No
Soils Report
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Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
General Comments:
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Property Line Setbacks
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