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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
19701945-8212
www. ga rfield-countv.com
Ga{teld Coanþ
BUILDING PERMIÏ
APPLICATION
WPE OF CONSTRUCTION
Commercial/M ulti-Famil Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accesso Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET
INVOTVED PARTIES
Property Owne Phone: rç2a t*¿¡S á23 7t2ft
Mailing Address:/re¿tø5 (o
Email Address:¿ârn
Contractor:CërtÈ (o¿¿Phone: t/*81 8¿/5 ?2¿lB
Mailing Address:/êay Çs Qgö
Email Address:
Arch¡tect:Phone:
Mailing Address:
Email Address:
Engineer:ru/H Phone
Mailing Address:
Email Address
Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
PROJECT DETAITS
Describework: óa 4* ¿/e'
Job Address:/7á rß ("o",
Assessor's Parcel Number: 2tZ3 LS 3 2-1è2ç
Sub. Cnr 'r Cr ¿¿li €Sf.. ut¡lot t5 Block _fD
Owner's Valuation of Work:(Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building 2 /0o .tE, rr Height:fof
r'f 3 r-
Class of Work:V New Remodel/Alteration Addition
Garage Attached x Detached
l
Septic:Community
Electric OtherType of Heat:ral Gas Propane
Permit #Driveway
Permit:
NOTICE
PROJECT ÐETAItS CONTINUED
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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. 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 Buildi ng Permit becomes null and void if the work authorized is not commenced within L80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
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 grant¡ng
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)
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 ner, en ineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is and accurate to the best of my knowledge.
le.¡*rl¿
Property Owner and Date
on/I ¿th A,o âr STOFFICIAT USE ONtY 2
speciar'""0"'þT,'/4 /e reá t /enfr âJ qâraqe aø/v, +þ # 4s
Plan Check Fee:éqcu e4 Permit Fee: r
6/oØ 75 Maní Home Fee:*"Å)TÅ" ls rzAdjusted Valuation
ê5V, úî)-æ
o\ rfs No:-NnUilìi+"r Fees Paid:,/l//2?Balance
6 6t3,
Due:t0 BP No:are-7/g/
Const.Typet/?O ""P/r/t'>Setb-acks¡6L oCCGroup: /KO
//.3.21BUILDING / PLANNING DIVISION :
Signed Approval Date
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 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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eroperty Owner'Érint and,dign "..''r .,/Date
Gørfield Coangt
BIJILDING DEPANTMENT
lOB Eighth Street, Sutte 407, Glenwood Spríngs' CO 81607
Tel: (970) 94s-8272
Build g lssues
PLAN REVI EWC HECKLIST
permír No: 6;Rç-/A-Z/- 7/8/
Pla n ni ng I Zoning lssues
eEngineered Foundation
ûriveway 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 i
Application Signed i
Plan Reviewer to Sign APPlication
Parcel/schedule No'
40# Snowload Letter - Manu. Homes
Soils RePort
Property Line Setbacks
3O ft, Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Descripti on & summarv:
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