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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701s45-82L2
www.ra rfleld-countv.com
Gurfreld County
BUILDING PERMIT
APPLICATION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
T ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelline Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Abel Esteban Gomez p¡on". ¡970 )3669210
464 N. MIDLAND AVE
Emait Addresr. ae@impseg.com
Property Owner:
Mailing Address:
Phone:Contractor!
Mailing Address:
Email Address:
15502 Stoney brook WPkwy #104-580, Winter Garden, FL34787
Phone: (800 )
5579083
Mailing Address:
Email Address:info@gablesteel.com
Architect: GABLE STEEL
STEVEN R. EDMISTON 5100773970Engineer:
1040 Main Street, Carbondale, CO 81623
Phone
Mailing Address:
Email Address:
15502 Stoney brook WPkwy #104-580, Winter Garden, FL34787
Emait Addresr. info@gablesteel.com
Describe *o.*. Metal building
TBD CR 214
10
2Lot
20'Height
Mailing Address
Owne/s Valuation of Work:c33975.00
Manufactured Home Installer: GABLE STEEL p¡on".1800 )5579083
Block
PropertySize (Sq. Ft. orAcres):
Job Address:
Sq. Ft. of Building:# of Floors:1
sub. ccP.suBDtvtsloN
Assessor's parcet Number: 218105101296
3600'
1/Class of Work:New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAILS CONTINUED
Septic:CWTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
Permit #:
NOTICE
Authoritv. 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 Owner, 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.
Other Permits. Mult¡ple separate permits may be required: (1) State Electrical Permit, (2) County OWIS 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 L80 days after commencement.
CERTIFICATION
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 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)
requiringthe 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
designer, engineer and/ or builder.
I hereby acknowledge that I have read
provided the required
ABEL ESTEBAN GOMEZ
Property Own
d the Notice and Certification above, as well as, have
accurate to the best of my knowledge.
06t21t2021
Date
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Special Conditions:
Adiusted Valuation:
Bltc-T)4-@
Plan Check Fee:dza4./8 'ðIAiþ.2ç Manu. Home Fee
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Misc. Fees:
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Fees Paid:
$SE ¿.8
Balánce Due:
òt^?9o,4
BP No:
@LßË- 6731
owrs trÍo:
-s/¡Set6acks: ,oK-
OCC Group:
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Const. Type:
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Zoning:
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Date
BUILDING / PLANNING DIVISION :
Signed Approval
Garfield County
BUILDING DEPARTMENT
7O8 E¡ghth Street, Su¡te 407, Glenwood Spr¡ngs, CO 8L60L
Tel: (970) 945-8212
PLAN R VI EW CHECK T
Permit No: fi/1QÇ-/þ-Z-b/ 7 3
B uilding lssues Planníng /Zonintglssues R UlUL
Engineered Foundatíon
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ 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.
40# Snowload Letter - Manu' Homes
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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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 Official 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 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 understand and will abide by the requirements of this
checklist.
Date
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