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Garfield County
Community Development Department
108 8`h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfieldcountyco.gov
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family ❑ Demolition
Manufactured Home or Tiny Home (Single or Multi -Level)
❑ Residential (SF, Duplex or Town home) 10 Reroof
❑ Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARTIES
Property Owner: W fZt-j (an0\ Q
h(: c, rrmf z Phone: �i� jG ) LJ 56 -1� 12-
Mailing Address: 430 L 50 S� ,
Email Address: cSnaoiz ann .
com
Contractor:
Phone: ( )
Mailing Address:
Email Address:
Architect:
Phone: ( )
Mailing Address:
Email Address:
Engineer: Il� fUC�La�� Y�i�{
Phone:
Mailing Address: A +"�
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Email Address: i
Manufactured/ Tiny Home Installer: YO
Ur Phone: (q1C ) Z�i�2
Mailing Address: Po. -&x,
Moo I Ir co ' �qC) 1
Email Address: Ji ' 0, LaorroLek.O
PROJECT DETAILS
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Describe Work: l 1 i4i
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Sit 52
Job Address:
Assessor's Parcel Number: 1Fiyooy9C�
Sub.
Lot Block
Owner's Valuation of Work:: $ �][:C) f (j UU Property Size (Sq. Ft. or Acres):.
Sq. Ft. of Building: 2 , t
Height: �%' 11 %zs" # of Floors:
Class of Work:
jo New
❑ Remodel/Alteration
❑ Addition
❑ Repair
❑ Move/Relocation
Garage:
Attached
11 Detached
PROJECT DETAILS CONTINUED
Septic: �r
® OWTS
❑ Community
Type of Heat:
❑ Natural Gas
® Propane
❑ Electric
❑ Other
Driveway
® Exempt
❑ Permit #:
Permit:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by
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.
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 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
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. In 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)).
All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and
Development Code. 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 authorized agents, including without limitation my
architect designer, engineer and/ 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 correct and accurate to the best of my knowledge.
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Property Owner Print and Sign Date
OFFICIAL USE ONLY
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Special Conditions:
tl
Adjusted Valuation:
Plan Check Fee:
P rmit Fee:
Manu home Fee-.
Misc Fees:
.DO
5�2.55100
Total Fees:
2 L
Fees Paid:e0
41006.
OCC Group:
Balance Due: BP No:
&G-'2 . 2 i - 98 D
Con st T :�
OWTS No:
. 4?$!1
Zon'ng:
Setbacks:
BUILDING / PLANNING DIVISION.,
69ned —ApprovfDate
E-C
Garfield �ff
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:
Building Issues Planning/Zoning Issues
Frv.irteerp-d Foundation
Driveway Permit
Plan
Surveyed Site
Septic Permit and Setbacks
�—
Grade/ Topography 30%
List
Attach Residential Plan Review
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter— Manuf. Homes .d--
Soils Report
zProperty Line Setbacks
ck 35 ft. Stream Setbacks
Flood Plain
-
'BuPiding r'ieigh-t
Zoning Sign -Off
Ro-ad impact -Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
®escription Summar :
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Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
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Applicant: Andrew & Alicia Frantz Phone: 970-456-2872
Project Address: 1711 CR 331, Silt
Subdivsion: Lot: Block:
Type of Space
Square Feet
Ivaluation
Finished Living Space (N/A for Manufactured Homes)
$175.92
Unfinished Basement
$32.00
Crawl Space
1549
$24.00
Garage (Attached)
$32.00
Garage (Detached)
$40.00
Covered Patio/Deck
$24.00
Uncovered Patio/Deck
$18.00
Misc:
$0.00
Misc:
$0.00
Manufactured Home Set -Up
Fee -
Single Level ($400)
$0-00
Multi -Level ($600)
$600.00
Se tic.OW"S
Fee
New Installation ($600)
Septic - Major Repair (New System & STA) ($600)
Septic - Minor Repair (Tank Only) ($200)
Alteration ($200)
Vault & Haul ($75)
$0.00
Plan Review Fee $339.66
Building Permit Fee
$522.55
Manufactured Home Set -Up Fee
Septic Fee (OWTS)
Other (Ex: Road Impact Fee)
***All fees are estimates until final plan review is completed***