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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfield-countv.com
13BUILD¡NG PERMIT
APPLICATION
Commercial/Multi-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential {SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
IûN'OLVEDPAAT.I
Propefi Owner:
Mailing Address:
Email Address:
Jnclc üt\cc Phone: t ?0S I'lt?D . 6540
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contractor: A{Am Shnt' \N Phone:q 3tol.th+O
Mailing Address:
Email Address:
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q \Architect Phone:q L
Mailing Address:
Email Address:t^
Engineer:.Ð Phone: (B1t +&-06'l+
Mailing Address:
Email Address:
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Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
N\ /.4.l\.t'\
Describe Dfç110 qÑñ,u\Eì$[- Ê$0ff10f{ dP 2-\l s.Ê, dd l,,qN/r
Job Address:t
Assessol's Parcel Number: 2 I 30
sub. A<oul dd^rot lÚD' ß Btock--Ì-
Owne/s Valuation of Work:BS ,600 Property Size (Sq. Ft. or Acres):0.bs Ac
Sq. Ft. of Building: Height:tNA # or rloors: lÉ,
G\e I
Class of Work:
Garage:Attached
Remodel/Alteration Addition
Detached
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PROJECT DETAIT.S CONTINUED
Natural Gas
Septic:
Propane
Community
Electric Other
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Permit #:
NOTICE
Authoritv. This application for a Building Perm¡t 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.
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 Appl¡cation, 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 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 w¡th County Regulation(s) or any
other applicable law.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,tolnspectthework. 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 w¡th me and my authorized agents, including without limitation my architect
ner, en eer and/ or builder
I hereby that I have read and understand the Notice and Certification above, as well as, have
the uired information correct and accurate to the best of my knowledge.
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DatePrint and Sign
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Special Conditions:
Manu. Home Fee:
*s/s
Misc. Fees:NlAAdiusted Valuation
6'z^Q Io¿4-
Plan Check Fee:fst.l!Permit Fee:iga,25
BP No:
BLRE -bT4I
Total Fees:
#ß,l,3lo
Fees Paid:ì srt.t!
Balance Due:
#93,2ú
OWTS No:
¡t/¡
Setbacks: .ÔL OCC Group:
I n-C-
Const. Type:tac Zoning:
Pr/ Þ
BUITDING / PTANNING DIVISION :
Signed Approval Date
¿l 2-21
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.
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 Uy tfre Building Official that additional information is necessary to review the application
and/or plans ior complianðe, 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 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 wi!!o_ut a
CO wilfbe 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 understand and will abide by the requirements of this
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n Date
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suíte 407, Glenwood Spr¡ngs, CO 81607
Tel: (970) 945-8212
PLAN REVIEW CHECK L rsr
Permit No: 0tRz-03-21-b74 I
Building lssues Planning/Zoning lssues
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
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subdivision Plat
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Descri & Summ
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a47þ x þø 5 þ2,4t,1 ,0O
NA 40# snowload Letter- Manu. Homes
Soils Reportt/