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Community Development Department
tog 8th street, su¡te 401
Glenwood Springs, CO 81601
(97Ole4s-82r2
www.garfield-cou ntv,com
Dwel Unit - MAXIMUM SIZE OF SQUARE FEET
Gørfteld County
BUILDING PERMIT
APPLICATION
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Property Owner:
Mailing Address:
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Mailing Address:
Email Address:
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Mailing Address:
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Maillng Address:
Email Address:
Phone: {Manufactured Home lnstaller:
Remodel/Alteration
Assessor'sParcetNumber: L313 llSo 9ò [19
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Sq. Ft. of Building:45ltt 5r
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Owne/s Valuation of Work:
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Describe Work:
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Property Size (Sq. Ft. or Acres):
neignt: F-f$ít)9 -#of rbors:;f-
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Class of Work:EW
DetachedGarage:Attached
Sêptac:Community
Type of Heat;Natural Gas Propane Electric Other
Driveway
Permit:
NOTICE
Author¡tv. This application for a Building Perm¡t must be signed by the Owner of the property, described abovê,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
lesal Access, A Building Perm¡t 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 suspendecl or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and thatthe information contained above is true and correct. I
understand that the Buildíng 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 detaíled on the submittals reviewed by
the Bu¡lding Dívision. ln consideration of the issuance of the Bu¡lding 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 regulat¡ons 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 const¡tute 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 wíth me and my author¡zed agents, including without limitation my architect
or builder
I hereby acknowledge that I have read and understand the Notice and Certification abovq as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
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Permit #:
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Property Owner Pr¡nt and S¡gn Date
OFFICIAI. USE ONTY nd f ttg.sel ce ôÎ/cr l¿ouF
Special Conditions:
Plan Check Fee:6uab. ø+
Permit Fee:
4 brTl,zE
Manu. Home Fee:
¡.t/s,Wi'F'40,æ
Total Fe6s:
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Fees Paid:
Ê436,64
Balance Due:
b7/,75
BP No:
BLR€ - bg_61
OWTS Nor
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setuãcxs6þ OCC Group;tkù Const. Type: tRO
Zoning:
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Date
BUILDING / PTANNING DIVISION :
Signed ApÞroval
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Gu,rfteld CounQ
BUILDING DEPARTMENT
708 E¡ghth Street, Sulte 407, Glenwood ,pt¡ngs, CO 81607
Tel: (970) 945-8212
PLAN REVI EW CHË,c KLIST
Permit No: þQqE-?VAl- ¿îb I
Building lssues
t/Engineered Foundation
Driveway Permit
Surveyed Site Plan
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils RePort
Pl a n n i ng / Zoning lssues
Property Line Setbacks
Flood Plaint/
ptic Permit and Setbacks 7 u/
ry
I Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
4øtatdu/,ntry
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N/A
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1/ Red Line Plans/ stamPs/ sticker
Attach conditions Ì//4
Description & Su mmarv:
1 lL[ x 7q, b6 =,îMr32/'6L
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r Fram¡ng plans for each floor leveland roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date,r 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 Official that 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 (CO) 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.
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Property Owner Print and Sign Date