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Community Development Department
108 8d'street, Suite 401
Glenwood Springs, CO 81601
(97Ol94s{.2t2
www.garfield-county.com
Gørfield County
TYPE OF CONSTRUCTION
Comme Demolition
Manufactured Home (Single or Multi-Level)
KerooTResitje¡liiai (5F, ûupiex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1'0OO SQUARE FCET
INVOTVED PAßTIES
Phone: glol 37q -2831
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Srt*iEmail Address:
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Mailing Address:P o (?".(\l'^^urJ L,,rr M"-c ( o A1 I^^2
Email Address:
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Phone: (q)òl ?24-2R1, q
Architect:
Mailing Address:
Email Address:
contractor: &>ça
PropertY0 ' rrrt
Mailing Addrc :
Engineen
Mailing Address
Email Address:
Manufactured Home lnstaller¡
Phone:
Phone: I I
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Mailing Address
Email AGüfess:
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PROJËCT DETAII.S
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Ørr't Prop€rty Size (Sq. Ft. or Acres):I ,'7rlg
Lot ?,O slock Phrú¿ t
5q. Ft. of Building:
Sub.
of Work:Owne/s
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Job Address:
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Remodel/Alteration AdditionClass of Work:lllf'rew
Garage:Attached Detached
PRO'ECT DETAII.S CONT¡NUED
CommunitySeptic:OWTS
Propane Electric OtherType of Heat:
ffiNaturalGas
Driveway
Permit:
Permit S:
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 thai of the Owner, a separate ietter 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 Permits. Multiple separate permits may be required: iL) 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 18o 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 rn 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 Buildine 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 not¡ce from the County, if the location, construct¡on 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 Build¡ng Perm¡t does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construct¡on or use of the structure(s) or facility(ies) if such is in violatíon 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 Regulatíons rest w¡th me and my authorized agents, including without limitation rny architect
eer and/ or buiider
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
uired which is correct and accurate to the best of my knowledge.
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and Sign Date
P¿r p, t l, ZyL.SE c.c.. o.rl,¿l?âzz;þ>OFFICIAI- USE ONTY
âæ dÈEadne.d, ØNb n-TANsSpecial Conditions:
Home Fee:
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Misc, Faos:(tF-e.Å.gt=$ L
Plan Check Fee:
èr-29b.68 å1i\iö,rsAdiusted Valuation:ßrtq.Qß.tz
BP No:
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OWTS No:
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Fees Pald:
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BaTance Due:
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Const. Type:
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Zoning:
P.rJ.D,'"'0"&iNlT)OCC Group:.r"ß.c.
BUITDING / PTANNING DIVISION :
Signed Approval
I 8.7 -Date
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Framing pians for each fioor level and roofl Ali beams, columns, joists, rafters ancj 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 Officialthat additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will eolleet a Plan Review fee at time of applieation submittai. 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.
Property
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BUILDING DEPARTMENT
108 Eighth Strcet, Suite 407, Glenwood Springs, CO 87607
Tel: (970J 945-8212
PLAN REVIE WCHEC K LIST
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Building lss¡.¡es Planning/Z oning lssues VU Þ
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Engineered Foundation
Driveway Permit
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain.- Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
UM Fire Department Review
Valuation Determination/ Fees
- 'Red Line Plans/ Stamps/ sticker
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Building Height
Zoning Sign-Off
Road lmpact Fees
JG rade/ Topography 40%
Planning lssues
Subdivision Plat
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