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GarÍleÍc{ {}oz¿rt
108 8'h Street, Suite 40 I , Glerwood Springs, CO 81 601
Ph:970-945-82 1 2 Fx:970-384-3440 Inspectíon Line:888-868-5306
' u'q'rv. garfield-countv'com
BUILDING PERMIT APPLICATION
STAFF USE ONLY
LotNo:Block No: Subd./I is nailable atoooNo: (åis -9170-945thedss¿8so/J 9ofrce 34)
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descriþtion
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Lic #Ph:Mailing Add¡ess:5 home installer:
AIt Ph:Ph:Mailing Address:6 Architect:
AIt Ph:
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Address:77lcs
No. of Floors://oHeight:Sq. Ft. or Acres ofLot:t,1ú<NztSq.of8
flNew ¡Alteration ÚAddition
Class of Work:
lDemo lMove9stroßá,êÉ
ECommercial Dother
Use of Building:
lResidential
l0 o sc:lr<Work:
Type ofHeat:nElectric lotherflNat. Gas
Êr\Septic:
^tNISDS
1l Garage:
ÜDetached
A
avaluationof Work:12 Driveway Permit:
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letter åi authority, sig¡ed by the Owner, must be provided with this Application
LeealAccess, ABuildingp'enniìcmåtbeissuedwithoutpioofoflegalmdadequteaccesstothepropertyforpurposesofinspectionsby_tleBuildùgDepartment,
Comiy Hlglwaytnoad Access o¡ a State'Wætewater Dischuge Pemit'
void pernit A Buìlding pemit b;";;;;rx md void if the work authorizedis not comenced within 180 days of the date of issmce æd if work is suspended or abmdoned for a priod of 180
days aftu comencement .ERTIFICATI'N
md .pecifi"ations æd other data submjtted by me or on my behalf (submitøls), based upon my certification æ to accuacy
DA
Conditions
Misc Fees:Manu home Fee:Permit Fee:
/5t. zfPIan Check Fee:
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Adjusted Valuation:
8,ooo.-
ISDS No & Issued Date:BP No & Issue Date:
ØI)C-zØLQ
Balance Due:
/5 3. zfFees Paid:qq.ØlTotal Fees:
z5z.8b
CLZoning:ConstType: g Ø
OCC Group:'s-zF sol R 7/z".Rto'
Setbacks:
r*\w,,- L
Description of Work: Pre+nanufactured storage shedE already on site.
Bin #:
Loc¡tion Address: 7800 Hwy 82
GLENWOOD SPRINGS, CO
Building PIan Review
Case Managcr¡ David Bartholomew
Plan Case Number: BLDG-5-I l-óE53
P¡rccl: 239307400026
Application lDate: 05/10/201 I
Ownen Janco Real estate Hold
Applicanû Janco Real estate Hold
Apptlcant Phone: 97Ù38É.2222 Emait
[ì r¡ntactsGeneral I rrfornratiort
, Building
Driveway Permit
Surveyed Site Plan
Fire Department Review
Determination/Fees
ication Signed
lan ReviewerTo Sign APPlication
PlanninolZonino
/ Engineered Foundation J-roperty Li ne setbacks
N/e
/
N(r4 septic Permit and Setbacks
,/./ GradelTopography 30%
þ/4 n"ad lmpact Fees
//r *oArDRc Approvar
N/*Attach Residential Plan Review List
Minimum Application Questionnare
Stream Setbacks
Plain
height
Sign-off
lssues
General Comments:
t/tr
Plat
./
Red Line Plans/Stamps/Sticker
/
'/ Attach conditions l/a/r'r/ø Q ooa- (tøsul*r/Q/
Øtøry' frt /tt zt
Paøaa't/e"?n6
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No.
Snowload Letter - Manu. Homes /¿rrlft e
tv/n Gaila Report D¿t5 ' ,/5t. Zl
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Offlcial that additional information is necessary to review the application
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 department will collect a Plan Review fee at time of application sqbmittal. The Permit Fee,
as well as any Septic or 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 representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
7^---(a 6-- 6* Z t7 //
Signature of Owner Date
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 97 0-945-8212 F ax. 97 0-384-347 0
www.qarfi ntv.com