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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7o) 94s-82t2
www.Ra rf iellLçeultw.çenQ
TYPE OF CONSTRUCTION
Gørfteld County
BUILDING PERMIT
APPLICATION
E1
DemolitionCom mercia l/M u lti-Family
Manufactured Home (Single or Multi-Level)
I ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SqUARE FEET
INVOLVED PARTIES
8310 Banpo Bridge Way Delray Beach, FL 33446-0030
David RowleyProperty Owner:Phone: (q11 )
Email Address:
Mailing Address
^9ttt
Email Address:blake@bu ildwithrm.com
Mailing Address 5030 Co Rd 154 Glenwood Springs, CO 81601
Phone:(970 )300-2025contractor: RM Construction
970 712-5045Architect: Kraai Design Architecture Phone
417 Monumenl Rd, Grand Junction, CO
Email Addresr. eric@kraaidesign.com
Mailing Address
Knott Laboralory, LLC
7185 South Tuscon Way, Centennial, CO 801 12
Phone, ( 303 ) 925-1 900
Mailing Address
Engineer:
Email Addresr. shargrove@knottlab.com
r'Remodel/Alteration
Attached DetachedGarage:
Manufactured Home lnstaller:Phone
Mailing Address:
PROJECT DETAITS
Email Address:
Describe Work:New Residential Construction
Job Address:1121 Callicotte Ranch Rd, Carbondale, CO
Assessor's Parcel Number: 239324206025
,uo. Callicotte Ranch Subdivision Lot 25 glock
Owner's Valuation of Work: S- Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building. 4,295 incl. garage # of Floors: 2
4.157 Acres
Class of Work:New
Height:25
Addit¡on
TSeptic:OWTS Community
Propane Electric OtherType of Heat:atural Gas
Driveway
Permit:
Permit #:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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: (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. ABuildingPermitbecomesnullandvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
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 constructthe 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 authorized agents, including without limitation my architect
des ner e neer 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.
Da^ ^d, R.o:' rll'g 7/23/202a
Property Owner Pr¡nt and Sign Date
7
Special Conditions:
Plan Check Fee:
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Permit Fee:
62..133.75
Manu. Home Fee:
ñ/A
Misc. Fees:
Rt tr=i 2-aßrAdiusted Valuation:þzz4-æz
Total Feél:
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Fees Paid
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Balance Due:
b2,5a335
BP No:
BLr¿e - G1g ç
OWTS No: ¿
SePf.- 6111+.
Setbacks:ôlL OCC Group:tac Const. Type:
Ir¿¿f¿Al-Zoning:
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t¿/a- 2h;ú'-BUILDING / PLANNING DIVISION
Signed Approval
6-a-2/
Date
Gørfield County
BUILDING DEPARTMENT
1O8 Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 87601
Tel: (970) 94s-8272
PLA NRE V IEW CH KLI T
Permit No: øLW-O7-Zh b??A
Planning lZoning lssues R kBuilding lssues
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Engineered Foundation
riveway Permit
[/Soils RePort
Surveyed Site Plans€fr07-2hb%r
5eþtic Permit and Setbacks
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Subdivision ptar Notes 0e/;5,
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va tuàtiın oãteim ¡natio'n/ rees
Red Line Plans/ StamPs/ Sticker
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
'/99 Road lmpact Fees
Grade/ TopographY 40%
1/Planning lssues
Subdivision Plat
Plaj- #-75¿13t3
Descri otion & Su marv:
Attach Conditions ffit,
Application Signed
Plan Reviewer to Sign APPlication Rttr = ëz,o?3, 07/
//Parcel/ Schedule No.
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