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tuÉ Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(e70194s-82L2
www. ga rfiel d-cou ntv.com
TYPE OF CONSTRUCT¡ON
Com mercia l/M u lti-ta milv
Manufactured H
Reside n!|91 1Sf, Dup!e19¡ l9¡1'nhomç)
Dwell Unit - MAXIMUM SIZE OF 1,OOO SQUARE FEET
Demolition
Reroof
INVOTVED PARTIES
Property Ownef: ll'latt/ùIclissa Gootlstcin Phone:l 970 )3799225
Mailing Address:503 \Vest Castlc Coult, GWS, CO 81601
Email Address:ll{LGGWS@t'ahoo.com
Gørfield County
BUILDING PERM¡T
APPLICATION
Contractof: RetlIÌouseAlchitecturc Phone 970 945-8240
Mailing Address:815 ltlakeAvc, GWS, CO 8ló01
Email Address:bruce(f red houscatchitecture.com
Architect: Same Phone: (
Mailing Address:
Email Address:
Engineer:Colorarlo Structural Phone: ( e?0. )349.se22
Mailing Address:
Email Address:m ike@coloradostructural,com
315 BELLVIEWA\/8. TINIT IICI{ESTED BT 'TE, CO 8I224
Manufactured Home lnstaller:Phone: I
Mailing Address:
Email Address: _
PROJECT DETAILS
Describe Work Nerv SF rcsirlence
Job Address 620 Juniuel Lane. CWS. CO 81601
Assessor's Parcel Number 2l 8s36412003
Sub.ELI( SPIìINGS, LOS,\}I IGOS
Owner's Valuation of Work: $s r,200,000.00
sq. Ft. of Building:5858.5
Class of Work:
Property Size (Sq. Ft. or Aøes):3s.909
# of Floors: 2
16{ lìR3 Block
24'-0
Garage:Attached
Height:
Alteration
Detached
I PROJECT DETAITS CONTINUED
Septic:
Type of Heat Natural Gas PropaneI
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Community
Electrlc i
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Other
3:iïi:' lrlr""'Pt
NOTICE
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nuttroritv. IhisapplicatiJnfoiaauildingPermitmustbesignedbythèOwnerof theproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 ¡nspections by the Building Division.
Other Permits. Mult¡ple separate permits may be required:(L) State Electrical Permit, (2) County OWTS Permit,
(3) another perm¡t required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
VoídPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
, CERÍIFICAT¡ON
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 Perm¡t 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 with County Regulation(s) orany
other applicable law.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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
er e r and/ or builder
I hereby acknowledge I have read and understand the Notice and Certification above, as well as, have
provided the requ n which is correct and accurate to the best of my knowledge.
9-7-21
Property Print and Sign Date
USE ONLY ô
Special Conditions:
Plan Check Fee:
6t^ î0u to Permit Fee:
6 z-rl9/.r>Manu, Home Fee:
N/A.Wi'Ë'=laøAdiusted Valuation:.¿
4t g3q8.ö1
Total Fe6s:4{5/7,25 Fees Paid:
$ tr?o'1. to "füb,,tBala{z BP No:
.3LRE -1r27
OWTS No:
sePT -1t28t*rwúÞ,OCC Group:ltae Const. ïype:
r È.c
Zoning:Pv>
qrL?.LlBUILDING / PLANNING DIVISION :
Signed Approval Date
Garfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite 407, Glenwood spr¡ngs, CO 81607
Tel: (970) 945-8272
PLAN EV IEWC HECKLIST
Fermit No: B¿-PZ,?&| '7lZZ
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Building lssues
eÅø.rrt
Pl a n n ing I Toning lssues
ta 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
h Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
re¿a'vedq.zî.zl
Soils Report
perty Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road rmpact Fees /a, aO
(sfu22 areu /ô)
ìlrade/ Topography 40%
Planning lssues
Subdivision Plat
80zgt5
Descri & Sumrna
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