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Community Development Department
1Og 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701945-82L2
www.garfi eld-countv.com
BUILDING PERMIT
APPL¡CATION
DemolitionCommerciaUM ulti-Family
Manufactured Home (Sinele or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SqUARE FEET
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Property Owner:
Mailing Address:
Email Address:
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Mailing Address:
Email Address:
Phone:
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Mailing Address:
Email Address:
Engineer:Phone:
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Mailing Address: 2t5 N lz:t71 *Ø Øøzz
Assessor's parcetNumbe ï ZVIaOÕ 3e7Oø6
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Describe Work:
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Job Address:
Owner's Valuation of Work: S
Sq. Ft. of Building:
Manufactured Home lnstaller: NA
Mailing Address:
Email Address:
Property Size (Sq. Ft. or Acres): 9.7î
^#ollloors: ?
Class of Work:New Remodel/Alteration Addition
XGarage:Attached Detached
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PROJECT DETAItS CONTINUED
Septic:)WTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Perm¡t:
Exempt 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. 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl-80days
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 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 issu.ance of the BLlilding Permit, lagree that land my agents will
comply with provisions of any federal, state or local law regúlating the work and the Garfield County Building
Code, OWTS regulations and aþplicable land usç regulatiöns (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), de:cribed above, are.not in compliance with County Regulation(s) or any
other applìcable law.
I hereby grant permission to thé Building Divis.ion to entei the property, described above, to insþect the work. I
further acknowledge that the issuance of the Bujlding Perm.it does not prevent the Building Official from: (1)
requiring the correction of eirors in the submittäls, if any, discovered after lssuance; 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 thç work by the Bujlding
Division do not constitute an acceptance of responsibility or liabilit\7 by the County of errors, omissions or
discrepancies. As tbe Owner', I aôlìnowledge that respbñsibility for compliance with federal, state and local laws
and County Regulations rest with me and my quthorized agents, including without limitation my architect
designer, engineer and/ or builder.
I hereby
provided
ledge that I have read and understand the Notice and Certification above, as well as, have
ired information which is correct and accurate to the best of my knowledge.qøla(
Owner Print and Sign Dete
OFFICIAL USE ONLY
Special Conditions: tr/eX
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Permit Fee:. ,r- /
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Plan Checkjee
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BP No:
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OWTS No:
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'Total Ées:gl,l"7.b,,w
OCC Group:
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Type:
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/Þ27Ø;clil,y#,BUILDING / 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 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 lmpactfees will be collected when the pennit is issued.
The permit application must be signed by the owrìer or by percon 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 yourapproved field set of plans.)
I have read, understand and will abide by the requirements of this
a
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Owner Print and Sign Date
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Garfield County
BUILDING DEPARÍMENT
708 E¡ghth Street, Suite 407, Glenwood ,pr¡ngs, CO 87607
Tel: (970) 945-8272
P LAN REVI EW c HECKLIST
Permit No: ø/-RE-/A-Z/- 72ø
Pla n ning/Zoning lssuesBuilding lssues
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Engineered Foundation
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/ St¡cker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcellschedule 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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