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Community Development Department
108 8th Street, Su¡te 401
Glenwood Springs, CO 81601
(970194s-82L2
www.ga rfield-cou ntv.com
BUILDING PERMIî
APPTICATION
TYPE OF CONSTRUCTION
Commercial/Mu lt¡-Fami Demolition
Manufactured Home e or Multi-Level
Reroofor Townhome)Residential (SF, Duplex
Dwelli Unit - MAXTMUM SIZE OF SQUARE FEET
, INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone I o
ı3f rú
e:
q1
Contractor:
Mailing Address:
Email Addresst
Phoner
\
Phone:
Email
Mailing Address:
Architect:
Engineer:
Mailing Address:
Email Address:
Manufactured Home lnstaller: Phone:
Mailing Address:
Email Address:
sq. Ft. of Building:
-
5S9 f- - Height: f of Floors
PROJECT DETAII.S
t/z d.rpl<-r - 3sFrr'€s
4:\
.operty Size (Sq. Ft. or Acres):(/
lJn¡1 Z
Describe Work: -
.s€d)owner's valuatíon of work: S*tf 1 G, o Zl 'Z E
Sub.
Assessor's Parcel Number:
Job Address:
r.ot.Dß{ eloct
Addition*Remodel/AlterationNewClass of Work:
DetachedAttachedGarage:
Driveway
Permit:
PROJECT DETAITS CONTINUED
Community
Exempt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
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 perm¡ts. 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 cert¡fy 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 issuanceof the Building Permit, lagreethat land myagentswill
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 Perm¡t 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) orany
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 Build¡ng 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
desi neer 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 accurate to the best of my knowledge.
Property owner Pr¡nt and s¡8n Date
Septic:
OtherPropaneElectricNatural GasType of Heat:
orHcrmujroNrY ?Alo, f t¡o<.oz c.c. oÇ/t3/zozL ;5a,4,
6æ ab¿aMØMlTOÅlSSpecial Conditions:
FeesPermit Feel ^¿z,q3¿.T,Manu.Hgrne Fee:Plan Check Fee:
l,q)q,oz*¿iM:å'.îì:rb
BP No:
gL?€ -1581
OWTS No:
€onrvrs¡,¡¡¡
Bfance Due: ^-2.q.7b,42
Fóes Paid:
S t.qol.oz
Total Fe-es:
+,941 î7
Zoning:
?.ú.Ð ,
Const. Type:r.Ê.¿oCC Group:
RCl
Setba'cks: r (.ÐNl>
Signed Approval
BUILDING / PTANNING DIVISION :
Date
7
Gørfietd Cøwm@,
BIJILDING DEPARTMENT
708 Eighth Street, Su¡te 407, 6lenwood Springs' CO 87607
Tel: (970) 945-8272
PLAN REVIE W CHE CKLI T
Permit No: Bæ*Ob¿2-7587
Pla n ni ng lZoning lssues
C¿ao Property Line Setbacks
30 ft Stleam SetÍraeks
Flood Plain
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lØ,oo
Building lssues
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0F*,t'{-i'{üLF. $üi[-{- RËFÜi¿ I
l$ Rf"fttilRfß ,r\T F{'Xiïfil:ì
^14
Driveway Permit e$errrP+
¿' Surveyed Site Plan
:äiïffi'fu-Ø+Fire Departmef Rev
Engineered Foundation
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
ch Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu' Homes
Soils Report
^/
n
Septic Permit and Setbacks I /t^ Buitding Height
Grade/ TopograPhY 30%Zoning Sign-Off
-'/- Attach Residential Plan Review List YB_Road r mpact r"", EFÞ
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
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Descri otion & Su mmarv:
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specifiel. pre.manufactured structures require the engineers stamp, signature and date'
Fïaming /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delay-s in is.suing the permit are to.be expected. lf
deiermined bv thé aùiloing official that additional information is necessary to review the application
ànàlo," plans ior
"orËi¡"nã",
the application may be placed on hold until the required information is
provideo. 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. u-sing the building wj!!ryt 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.
Owner Print and Sign Date
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