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Community Development Department
108 81h Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.ga rfi eld-countv.com
BUILDING PERMIT
APPLICATION
DemolitionCom mercial/M ulti-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
PARTIES -tPhone:
â
Email Address:
Property Owner:
Mailing Address:
Phone:Contractor:
Mailing Address
Email Address:
É?t6fr
Phone:
Email Address:
Architect:
Mailing Address
Phone:
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Engineer:
Mailing Address:
Email Address:
Mailing Address:
Phone:(
Email Address
Manufactured Home lnstaller:
PROJECÍ DETAITS
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Lot
0
Height:fl' I .6"
Sub
Describe Work: ñ ¿^^, S,
Property Size (Sq. Ft. or
fof
Assessor's Parcel Number:
Job Address:
Owner's Valuation of Work: $
Sq. Ft. of Building:
Remodel/Alteration AdditionClass of Work:New
DetachedAttachedGarage:
Community
PROJECT DETAILS CONTINUEÐ
Sept¡c:
Electric OtherPropaneral GasType of Heat:
Permit #:Driveway
Perm¡t:
pt
NOTICE
AuthoriW. This application for a Building Permit must be signed by the
or an authorized agent. lf the signature below is not that of the Owner,
the Owner, must be provided with this Application'
Legal 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.
Voidpermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
Owner ofthe property, described above,
a separate letter of authority, signed by
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
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 grantìng
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 author¡zed agents, including w¡thout limitation my architect
contained above is true and correct. I
the plans and specifications and other
and/ or builderer
CERTIFICATION
I hereby acknowledge that I have read and understand the Notice a nd Certification above, as well as, have
provided the required information which is correct and accurate to the best of my
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Property Owner Print and Sign Date
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êeeaÞbached ØNÞ lT70N<Special Conditions
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Manu. Home Fee:¡¡l¡Check w Permit 76
OWTS No:
cot^'\\,N
ance Due 75 -765tBP No:
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Paid:
ozg. t(Total I20
Zoning:ê.L.Type:
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Const.
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BUITDING / PLANNING DIVISION :
Signed Approval Date
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Gørfield Coun$t
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 81601
Tel: (9701 945-8212
PLAN REVI E W CHECKLIST
Permit No: V tI<E-O7-Zi!-7¿æ
Bullding lssues Pla nning/Zoning lsst¡es cnL,
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ev)a.ofuêhrnø,JEngineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
./ Subdivision Plat Notes
NA
,/
ns/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Fire Department Review
Va luatíon Determination/ Fees
_/-;7-
Descri
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
d lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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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.
Frarning /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 Officialthat 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.
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Property Owner Print and Sign Date