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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970le4s-82L2
www.ga rfi eld-cou ntv.com
Garfuld County
BUILÐ]hIG PER¡WIT
APP¡-ICATüON
WPE OF CONSTRUCTION
Comme ulti-Fam Demolition
Manufactured Home (Single or Multi-Level)
=, Residential (SF, Duplex or Townhome)Reroof
Dwellin Unit - MAXIMUM SIZE OF 1,000 E FEET
INVOIVED PARTIES
Property Owner:
Mailing Address:
Email Address:
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Contractor:1<t\Phone: (_)
Mailing Address:
Email Address:
Arch¡tect:Rob Qocç\n",\o*-Phone:
Mailing Address:
Email Address:R"SQ \*\\.., ho ¿<¡ir:kvc$i¿n . to v'v-
Engineer:Lùe:\ S\qr Phone:I
Mailing Address:
Email Address:
Manufactured Home Installer:NÀ Phone:
Mailing Address:
Email Addresss
PROJECT DETAILS
Describe Work:N..çs-çè,¿r^\."r\ I ûñLV\ S\x\,p- \s$É't- Vt'\l
Job Address:0... c*iT-t 3i$. co <ó\\.>S?.
Assessor's Parcel Numbe¡: 2127 2 5+ Oç ô (¡{r-ti Pæ..1 {* {r U¿eis¡g¡¿{ oÈ. FPAA)
5ub.f\^\u*CI r"-V^^f rot 1"1 S Btock
Owner's Valuation of Work: S Property Size (Sq. Ft. or Acres)/"5trt
Sq. Ft. of Building:7 bst Height:f of Floors: I
Class of Work:X New Remodel/Alteration Addition
Garage:K Attached Detached
xlSept¡c:
Electric OtherType of Heat:Natural Gas XleroRane
Driveway
Permit:
Exempt
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,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. Mult¡ple 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 andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
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 w¡th federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
ra or builder
Permit #:
r e
T PROJECT DETAITS CONTINUED
Community
CERTIFICATION
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.
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Property Owner Print and Sign Date
OFFICIAT USE oNry ?Ât ?. $ trt,,t¿1', Lz eJc, d tzsl ô"/eô l2o4 ÒP
speciar conditions:
çee a+t^"hec Ø/Vb /nt ilrs
Adiusted Valuation:,
Lab- 9q2.7þ
Plan Check Fee:I t44 A2 'fliiä,çc Manulome Fee:Misc. Fees:
NøD PIT 19il
Total Fd6s:2,q^í,q Fées Paid:i l,ll.t,LL B-alance Due; ¿
1,76t,7e
BP No:
BuR:€'7tlt7
OWTS No:
596-1r.¡ t{
Setbac{sl r -aç OCC Group:
l.R..c.
Const. Type:
l.e.c.
Zoning:
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Date
BUILDING / PLANN¡NG DIVISION I
Signed Approval
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 ior 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.
Buitding cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building w!!!o_ut a
CO wili-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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Property Owner Print and Sign Date
Garfield CounQ
BUILDING DEPARTMENT
708 Eighth Streel Suite 401, Glenwood Spr¡ngs, CO 87607
Tel: {970) 945-8272
PLAN REVIE W CHECKLIST
øLK€-OÇ22.7(/øPermit No:
Building lssues
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Plann ing/Zoning lssues
tP-9ôn
Engineered Foundation
Driveway Permit
Surveyed Site Planè4t-oz-zz-74/#
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
Application Sígned
Plan Reviewer to Sign APPlication
Parcel/schedule 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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