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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970le4s-82l2
www.garfi eld-cou ntv.com
Garfield County
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner;Donald Reboul prrone, t337 )3033667
Mailing Address: PO Box 994 New Castle, CO 81647
Email Address:donreboul@gmail.com
contractor: Donald Reboul Phone:(337 t3033667
Mailing Address:PO Box 994 New Castle, CO 81647
Email Addresr. donreboul@gmail.com
Architect: Jarod Hebert prrone, t337 t7067923
Mailing Address:172O Kaliste Saloom Rd. Suite A1. Lafayette, LA 70508
Email Address:jarod @arod he bertarch itect. com
Engineer:Mic Bacca- Studio M Engineering Phone:970 3668690
Mailing Address:2546 Moonridge Dr. Grand Junction, CO 81505
Email Address:studiom. eng ineer@gmail.com
Manufactured Home lnstaller: NA Phone: ( )
Mailing Address:NA
Email Address:NA
PROJECT DSTAII.S
Describe Work:Residential new constrcution/ Slab on grad e/single family
Job Address:TBD 312 County Road New Castle, CO 81647
Assessorrs Parcel Number:
,u6. Orr-Smith
218330402004
tot 4 Block
Owner's Valuation of Work:510,000 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:4872 Height:24'.# of Floors 1
16.26
Class of Work:ew Addition
Garage:Attached
RemodeUAlteration
Detached
PROJECT DETAILS CONTINUED
Community
Natural Gas T Propane Electric Other
Permit #:
Ruthoritv. thisapplicationforrBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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 specificatíons 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 Buílding Division to enter the property, descríbed 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 l2l stopping
construction or use of the structure(s) or facility(¡es) 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 and understand the Notice and Certification above, as well as, have
provided the required and accurate to the best of my knowledge.
Donald Reboul 12181202'l
Property Owner Print a Sign Date
oFFrcrAr usE oNry P¿. s tr¿ (1,,o cr.t 1321 tvt 3/?o arifÊ*r
Special Conditions:see a,Lba¿hd, con/ttbm's
Adiusted Valuation:^LLï ?1A.b0
Plan Çheck Fee:
*l-zr- 1, to Permit Fee:
.* /. q40, ts Manu. Home Feel
f'riA
Misc. Fees:
RtF 96D=çt,gtl
Total Fúes:îs-2it.26 Fees Paid:
.$' r, 8.4, ¡. oo'
Bafarice Due:g/,qgo,l5 BP No:
{'!¡,gt f-: *' l "r1 ""1
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OWTS No:
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Setbaðks: t '0k OCC Group:
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Const. Type:
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Zoning:
S.tt.tlÁ I
2-l-zBUILDING / PTANNING DIVISION CØ"r/ä"t
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 lconnection details, braced wall lines, shear wall schedule, location and hold downs
NOTE: lf any required ínformation is míssing, delays in issuing the permít 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 ís
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 permít 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. (FinallCO
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.
/2-8- Zozl
and Sign
a
a
r Date
Garfield CowmtY
BUILD,ÆG DÊPARTMENT
108 Eighth Street, Suite 401, Glenwood SPrlngs, CO 87607
Tel: (97O) 945'8272
PLA NR VNEW CHE CKLIST
Permit No: 6,¿g E -t 24t-724
Building lssues Planníng lToni lssues
b1-Property Line Setbacks
3t ft. Stream Setbacks
t/ Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
t/Engineered Foundation
Driveway Permit (leÞ Qrlùâcartrvá in
Surveyed Site Plan
Septic Permit and Setbacks
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(/ Grade/ ToPograPh Y-30%
La_
lr/Attach Residential Plan Ftview Lis yß
t/ Subdivision Plat Notes
V aluation Dete ati on7',Eees
Red Line Plans/ StamPs/ Sticker-
Attach Conditions
t/
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No'
40# Snowload Letter - Manu' Homes
(/c rade/ TopograPhY 40Yo
exem7ltbn plo*- Szzgtg
Descri n & Summ
Planning lssues
Subdivision Plat
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