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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
19701945-8212
www.garfield-countv.com
Garfield County
BUILDING PERMIT
APPLICATION
Com mercial/Multi-Fa mily Demolition
T Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Dwelli Unit U - MAXIMUM SIZE OF SQUARE FEET
w
Phone: (970 )
379-379-7599
Emait Address. megancerise@gmail.com
Property owner: Megan Cerise and Evan Will
Mailing Address: 16724 Hwy 82 Carbondale, CO
contracror: Wood Doctor Construction, lnc 948-1299
300 Oak Run Road, Carbondale, CO
970Phone:
Emait Addresr. bruceh@sopr¡s. net
Mailing Address:
Address: 315 West Skyline Road, Arkansas City, KS 67005
620 442-9060Phone:Architect:Champion Home Builders, lnc
Mailing
Email Address:vwclark@skyl inehomes.com
Address: 315 West Skyline Road, Arkansas City, KS 67005
574 350-2281
Emait Address. mneidlinger@skylinehomes.com
Phone:Engineer:Michael Neidlinger
Mailing
3027 Patterson Road, Grand Junction, CO 81504
Describe uuor¡. Excavate, lnstall foundation, garage slab, set manufactured home, install
Burch Precise Contractors prrone: ( 970 t77g-5504
necessary Entry Decks
Job Address: 16724 Hwy 82, Carbondale, Co
18'3"Height:
Email Address:bu rch precisecontractors@gmail.com
Owne/s Valuation of Work:(
tot2
Manufactured Home lnstaller:
Block
Mailing Address:
Sub.Cerise Minor Subdivision
Sq. Ft. of Building:2508
Property Size (Sq. Ft. or Acres):6.004
Assessor's parcet Number: 239132202002
# of Floors: 1
IClass,of Work:New RemodeUAlteration Addltion
{Garage:Attached Detached
t CommunitySeptic:)WTS
Propane Electric OtherType of Heat:atural Gas
Driveway
Permit:
pt Permit #:
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.
Lesal 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.
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)). I acknowledge that the
Building Permit may be suspended or revoked, upon noticefrom 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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
d eer a or builderr
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.
5ßt21
Property Owner Print and Date
Special Conditions:
Adiusted Valuation:'44 ç.nñ.00
Plan Check Fee:
þ3q2,18
Permit Fee:öhoz.35
Manu. Home Fee:$+oo.oj Misc. Fees:$t.qg0,oo
Total Fées:
ët^341,ffi
Fees Paid:
l{ôo.a-o
Balance Due:
þ qq6,56 !L.No:
BL f'{F ' ¿g'l t
OWTSÑo:
s€fr - 66J+L
Setbacks:ôl/OCC Group:IRÜ Const.Type: IRO Zoning:
F,rJ ?At-
/Ø--rlzze î-29-4BUILDING / PTANNING DIVISION :
Signed Approval Date
Garfteld County
BUILDING DEPARTMENT
708 Eighth Street, Suite 401., Glenwood Spúngs, CO 81601
Tel: (970) 945-8212
PLA N REVIEW CHECKLIST
. BLrnF-05-21*6841
Building lssues
Permit No
Surveyed Site Plan
4z
it and
Planning/Zoning lssues
V' Property Line Setbacks
Nft 30 ft. Stream Setbacks
Nft
Engineered Foundation
5
Setbacks
L
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Permit
Flood Plain
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L/ Subdivision Plat Notes #to
Grade/ Topography 30%
Attach Residential Plan Review List
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign ApPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
I/ Building Height
(/ Zoning Sign-off
UF9 Road tmpact Fees (E,B,D)
Grade/ Topography 40%
Planning lssues
subdivision Ptat %O/¿ /
Description & Summary:
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Officialthat additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe 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 lmpact 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 (GO) 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.
5t6t21
Property Owner Print and S Date
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