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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970ls45-8212
www.ga rfield-cou ntv.com
Garfield County
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCNON
Commercial/Multi-Fam Demolition
Manufactured Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Dwell Unit U - MAXIMUM SIZE OF 1 SQUARE FEET
INVOLVED PARTIES
EmailAddress:
Lee Gehrett 31 96662Property Owner:
Emait Address. gngservicesllc@gmail.com
970Phone:
Phone:
Mailing Address: 864 CR 323 Rifle, CO 81650
Contrector:
Mailing Address:
Architect: *f m 6 f ronq Slee I Phone: t60o l3¿lS ¿'lú/0
el . Co*11r/ tJ ,s f0n
Mailing Address:
Email Address:
Mailing Address
Emait Addresr. dustin@dbsd.com
Engineer:DB Structural Design Phone. (970 t319-5934
EmailAddress:
PhoneManufactured Home lnstaller:
Mailing Address
Describe 1¡¡or¡. New Pre Engineered Metal Building garage/shop
PROJECT DETAITS
Job Address: 864 CR 323 Rifle, CO 81650
Assessor's parcet Number: 217 531200052
Sub.
Sq. Ft. of Building:
Lot
3000 20'Height:
172, o"oOwne¡rs Valuation of Work:
Block
Property Size (Sq. Ft. or Acres):5.11
# of Floors: 1
Remodel/Alteration
./
Class of Work:ew Addition
Garage:Attached Detached
Driveway
Permit:
PROJECT DETAITS CONTINUED
Septicr Community
Type of Heat:ral Gas Propane Electric Other
mpt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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 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)
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 eer an 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 correct and accurate to the best of my knowledge.
Lse Gehrett 3122122
Property Owner Print and Sign Date
oFFrcrALusEoNLY P¡'|D.5g.$f c.e,. ol/ZS/za
^ee cfl/vÞ/T7o/vs T2 ToSpecial Conditions
Permit Fee:1q7,75
Manu. Home Fee:
ñÀ
Misc. Fees: , ^N,/ftValuation:Adiusted''72,ooo
Plan Check Eee:6rg,l+
Balance Due:
-7q-7.75
BP No:
Br¡f,-1q()2
OWTS No:
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Fees Paid:
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Const. Tvoe:l'eu Zoning:RUTAISetbícks: r
OK
OCC Group:
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hlJ,',rlh.BUTTDTNG / PTANNING DTVTSTON
Signed Approval
Ll-b-22
Dete
Garfield Coun$
BUILDING DEPARTMENÍ
108 E¡ghth Streel Suite 407, Glenwood
'príngs,
CO 87607
Tel: (970) 945-8272
PLAN REVIE WCH EC KLIST
Permit No:Bt߀ -07-22-74o2
Building Issues
ØÈ
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhy 30%
_/
Subdivision Plat Notes
N4 Fire Department Review
-//' ValuationDetermination/Fees
æ
Red Line Plans/ StamPs/ Sticker
prinÞ
Pla n n ing /Toning lssues t_
Nrt
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t\ñ
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
egcnPl-iø^ nlq,)
5 + a-Lrþttach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu' Homes
Soils Report
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Descri n & Summa
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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 have read, understand and will abide by the requirements of this
checklist.
5-rJ-22
Property Owner and Sign Date
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