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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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www.ga rfield-county.com
Gørfteld County
BUILDING PERMIT
APPLICATION
TVPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home (Sinele or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailíng Address:
Email Address:
Phone: âè2t *1< LBzT
l.
Contractor:., t?Io t J-11 -81 I L
Mailing Address:
Email Address:l.ttrb)3 @ /ro*n*^'l-, ¿-ð/14
Architect: T^ henlv n e-Phone: t,P98 I 4 ffl - /á 8Õ
Mailing Address:
Email Address:
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t I9ttWTl5c¿lYlç-f (9 flmÞJ^r lUfPtØfYt
'rhon", (¿tO) .?JÕ -))ôAEngineer:
Mailing Address: //¿t Ë Kç ta .,. .Çrr*f n4^lve)/^A , PÅ /9.< g,r
Email Address:
Manufactured Home lnstaller:Phone: (_)
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:,E' ,^t ,t¡e¿e-M ß"^-^
.r'
Job Address:
Assessor's parcel Numb er: 2J þ3. 74zo e qJ Z---
Sub. lot Block
Owner's Valuation of Work: 5 l3-B r'7 UO Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:qrTU Height:# of Flo
Class of Work:k New Remodel/Alteration Addition
Garage:Attached ô(Detached
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propa n e
Exempt Permit #:
NOTICE
Authorítv. This application for a Building Permit must be signed by the Owner of the property, descrìbed above,
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 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.
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 th¡s 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,)
requiring the correction of errors in the submittals, if any, discovered after ¡ssuance; 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
ner, en eer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certífication above, as well as, have
provided the requíred ich is correct and accurate to the best of my knowledge.
lZ'G-4
Property nd Date
lkl Erectric Other
Driveway
Permit:
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Special Conditions:
seeu.htached ØNbtwdl$S otr PæmlT
Adiusted Valuation:itss-7Øæ Plan Check Feeûîþ0 7a Permit Fee: . -i/,r4lt te Manu. Home Fee:xla Misc. Fees:N/A
'iliuìs'/.st Fees Paid:
+ EbO,1ò
Balance Due: . -
f l,gzl,ts
BP No:
8r*6 -7266
OWTS No
sePl -7LL7
Setbacks: .ok OCC Group:t,2.c.Const, Type:
t,&.e
Zoning:
Z.uø'¿^
Date
BUTLD| NG / PTANNTNG DrvrsroN 0 %r¿#ru Þ7- u4Z
Signed Approval
Framing plans for each floor level and roof. AII 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 Otficial 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.
17-a-Zl
Property Date
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Gørfield County
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
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P N REVIE W CHE CKLIST
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Planning lZonintg lssues RtøBuilding lssues
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Engineered Foundation
Driveway Permit 6RE 2l-Þ-b
'iëffitTla-zzto7
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List':W4ü
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Valuätion Determination/ Fees
t/
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Heíght
Zoning Sign-Off
Road tmpact Fees
tl0tl
Grade/ Topography 40%
f Plann ing lssues
,/
U/- Red Line Plans/ stamps/ sticker nalØ
î(ûAttach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils RePort
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