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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(,s7ol94s-82L2
www.ga rfi eld-countv.com
Gørfield County
BUILDING PERMIT
APPLICAT¡ON
TYPE OF CONSTRUCTION
Commercia Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex orTownhome)Reroof
lZl Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
\(Phone:11"aa -o oÒ
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Email Address:4 rlo
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contractor: Mtn-tL Ca* Slu-r¿Ä'or.r Phone: 1Q1a¡ 4'qø - lo'¿4
Mailing Address:
Email Address:
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Architect:Phone: f I
Mailing Address:
Email Address:
Engineer:t ¿>S Phone:t41¿'t q45- b3oS
Mailing Address:çot>- C¿,vvt*wr,Q¿|,,154t îtt¿5, (-e Øløal
Email Address:t O*V-toO . L-ÕY-Y=\
Manufactured Home Installer:Phone: ( I
Mailing Address:
Email Address
PROJEgT DETAILS
Describe Work:\Jl\Å d.
Job Address:5 5 \^l s o o\
Assessor's Parcel Numben J / J. < 3ç å¿-r/ ôö"3
s"a. ôld Õr ¿Lq^¿l 9L" ' tot 3 erock
Owner's Valuation of Work:Property
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Size (Sq. Ft. or Acres):
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sq. Ft. of Building: t S oct 4 ?7Ç Height:pç'#otFloors: L
Class of Work:v New Remodel/Alteration Addition
Garage:Attached K Detached
Gørfreld CowmQt'
BUILDING DEPARTMENT
708 Eighth Street, Su¡te 407, îlenwood Spr¡nqs, CO 87601
Tel: (970) 945-8272
PI-AN RE VIEWC HECKI.IST
Permit No: BtgA< bZ?l 562
Building lssues
W
NA
Pl a n n i n g/Zoning I ss ues
Engineered Foundation
Drîveway Permit 7
Surveyed Site Plan
Seotic Permit and Setb¡acks , t t
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Graðe/ Topography 30% t I
Attach Residential Plan Review List
Subdivision Plat Slotes
Fire Department Review
Va luation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach co nd itions Vfi rtl-
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
80zoqz
Descri o & Summa
Property Line Setbacks
30 ft. Stream Setbacks
hw_Frood Prain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
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