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BUILDING PERMIT
TION
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Sq. Ft. of Bulldlt¡:Hcl¡frt:iWl t otÍtooç:
Cla¡¡ of Wort:
Gt¡t3cl
Add¡tion
Detacfiedffiiî",
Remodcl,/Alteration
ProJãcf o€TA¡15 ooilnilu€o
$eptic:
Typc oú Hret;l*lNaturatGar
Cornmunity
rrecirit
Permf f :
Other
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Aidøty. fhi: applicaarãn loi ¿ Suil¿inç Prrmit must be si¡¡ned by the Owne r of the property, dnxribed above,
gr an authorl¿ed a6ent. lf the signðture belor¡ ar not th¿t of the Owner, a tepat?le lette¡ of ¡uthority, agned by
lh€ OvvnÉr, mull be prw¡ded wtth thÓ ApB.|icät¡an.
Læal Acce**, A Building Permit c¿nnot be irsucd r¡lithoul proof ol legal and adequate acr,ess lo the property for
purpoteá of inepect¡oßf by the Building Division.
Othcr Permit', Multiple separrte p€rmits may be required: { t, Stale Electrical Permit, (2) County OWTS Permit,
{3f another prermit reguired for uçe oñ lhr property identifìed above, e.g. State or County Hightrry/ ßoad Aøess
or e 5t¿1Ë Wasle*¿lff Dis¡J],arye Pe¡mlt
ydd PêqDiç A Euilding Permit beconnes null and void if the work authorizsd is not cornmencrd within 18O days
of the date ol issuance and il work b surpended or aband<¡ned lor a ç¡¿liod of 180 days ¿f¡er çornmencement.
CIRTFßANOil
I herefi ccYtíy that I hãve read thir Appficalion and thðt the rnforrn¿tron contdrned âbove 15 lrue end correct. I
understând th¿t the 8u¡ldrng Orvrsron ðc(e9tr the Applicâtion. along wrlh lhe plans and spac¡ftcationl and other
d¿t¿ Subm¡tied by rne or on ß!y behalf {rubrnittal:}, based upon rny cerlificat¡on as to accwaô/. Asruming
completeners of ¡he submiltåls ðnd apgraval of thir Appftcatron, a Burld¡nt Perrnrl wrll be rs¡ued granltnt
permilsion lo ms, a5 Owner, to coflrtruct the rtructure{s} end facilitier dstailed on fhe suþrniltålr reyiewed by
the Bu¡td¡nß Dívision. fn cons¡deration of thc i¡:uançe of the Building Perrnit, I sgree th¡t I ¿nd my ag**s wlll
cornply wrlh prwiuons of any feóeral,5tätc or local law regulatìng the wort ¿nd the Garfield Cnunty guílding
Code. OWf S regulatrons and applrcable land ure regulations (County Regulation(s))- I acknowledge thðt the
Bu¡:d¡ng Permil may be suspended o¡ revoked, upon notice from the County, if the location, conltruction or ur€
of tñe structure{s) and facility{ies}, delcribed above, are not in compliance with Co{¡nly fi,egulation{sf or any
other applirable law.
I hereby grant perrn¡s5ion to the Euilding Division to enter th€ propeñy, described above, ta inspect lhe yJor*. I
further acknæiedge thðt the is¡uance of the Building Permlt does not preyenl the Suilding Olficial lrom lt)
requiring th€ correct¡on al errars in the ruþrnittals, if an ¡, dircovered alter i¡ruance ; o¡ {21 rlopprng
construrJion o¡ u* af the rlruclure(r| cr facrlily{iec) if ruch ¡s in violatron of County Rtg'ul¿t¡on{sl o{ any othet
applicable l¡w. Revia¡¡ rrf th¡s Applicåtion, inrlvding rubmitl¿ls, and inspe-ctioo: of the worh by fhs Evilding
Divrifon do not consî¡tu¡e an ac{eptance ol responribility or liåbll¡ty ry th€ County çl errs¡s, ornl¡¡isrrr er
dire repanciet A¡ the f)wnpr ,l acknowledge that responsib¡liîy for cornpliance with feder¿1. stâte ðrø loc¿l laws
rn<! County tegulations ¡ert with ¡rrp ¡nd my âuthôr¡re.d agents, inrtrrrling without l¡mitãtion my architecl
dc+¡gner, engineer ¿nd/ ot buitder.
I freãry útnwley'l3e tJr¡t I have read and understand the tJoticc and Certifìcation lbove, er wcll a¡, h¡ve
grovlded tlrc Informat&on ryhk*r i¡ correct ând åccur¡¡tc to tñ€ bcrt of my knowlcdgc.
ß¡E¡llmet
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Prop€rty Owocr Prlnt ¡nd S¡tn Date
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Gørfield County
BUILDING DEPARTMENT
708 E¡ghth Slrcet, Suìte 401, Glenwood springs, CA 8rc07
.r Tel: (970) 5-8212
PLAN REV¡EW C HECKLIST
Permit No: BtKr-o?-zz- 7ø 35
Building lssues Planning/Zo ning lssues PA. b
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Buildíng Heíght
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planníng lssues
Subdivísion Plat
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivisíon Plat Notes
aluation Determination/ Fees
nsl Stamps/ Sticker
.1tê?é5,.-- Red Line Pla
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40f Snowload Letter - Manu. Homes
Descri & Sum
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Framirq plans for each froor þvel and roof. All beams, columns, joists" rafrers and husses
specified. Pre.rnanuhctured s1n¡ct¡res require the engineers stamp, sþnaiure and date.
Framing /ærnec*ion details, braced wall lines, shear rvall schedule, location and hdd donms.
ilOTE: lt any required infonnation is missing, delaya in issuing the permil arela be expectEd. tf
determ¡rìed by tfe Buildirg Ofñcialthd addÍtional information is necessary to ravíar tfn application
atúlor plans for cornpliance, the application may be placed on hold until the required informaticn ig
provided. Work may not proceed without the issuance of a permit.
The Building Division wíll colþc{ a Plan Review fee at time of application submittal. The pennit fee, as
well as any Road lmpac{ fees will be collected wlren the permit is issued.
Tte permit application must be signed by the owner or by person having written authøity from the cnurìer
to act as their representative.
Building cânnot be occupíed until a Certificate of Occupancy (æ) is issued. Usirg the building without a
CO will be cofts¡dered an illegal occupency and may be grounds for vacating the prern¡ses. (Final/CO
inspection reguiremer{s will be attached to your apprryed field set of plans.)
I hercby ackno*lcdgc I lrava rced, underutand and will sblde by the rcquircments of this
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Owner Date