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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol94s-82L2
www.ga rfield-cou ntv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
DemolitionCom mercial/Mu lti-Family
Manufactured Home (single or Multi-Level)
r Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Address: 1005 CooperAve. Glenwood Springs, CO 81601
Diamond J, LLC- James Gornick 379-1763Phone: (970 )Property Owner:
Emait Addresr. jim@gbsinc.com
Mailing
James Gornick Building Specialties lnc pnone, (970 )379-1763
Address: PO Box 1065 Glenwood Springs, CO 81602
Contractor:
Mailing
Emait Addresr. jim@jgbsinc.com
Address: 960 Clubhouse Dr. New Castle, CO 81647
Architect: Patrick Stuckey
Emait Addresr. stucarch@comcast. net
Mailing
prrone: (970 \984-9220
Address: 713 Cooper Ave., Ste 200 Glenwood Springs, CO 81601
Bob Oddo Phone: (970 )
945-1 006Engineer:
Emait Addresr. bob@oddogws.com
Mailing
Phone: ()Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAILS
Owner's Valuation of Work: $- Property Size (Sq. Ft. or Acres)
Describe y¡or¡. New single family residence
,u6. Aspen Glen Flg '1
547 acres
Height:25
Job Address:22 Kingfisher Ln. Carbondale, CO 81623
1
Assessor's Parcet Number: 239320301 053
Sq. Ft. of Building:3,855 # of Floors
EtrâLot r._-rar Block
r'Class of Work:New Remodel/Alteration Addition
Garage Attached Detached
PROJECT DETAILS CONTINUED
I CommunitySeptic:CWTS
Propane Electric OtherType of Heat:Natural GasI
Permit #:pt
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,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 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 orCounty 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.
Driveway
Permit:
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. 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)). lacknowledgethatthe
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 Buildlng
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
ner en 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 i and accurate to the best of mV knowledge
10t25t2'l
Property Owner Print and Sign Date
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oFFtc¡AL USE ONLY Pû. { t, bl.l,2b ê'e. to/23/2èztåbÐ
Special Conditions
Adiusted Valuation; -
{zq.q _1q4 lo Plan
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Fee:rþCheck
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Permit Fee:
ç2,ldYo,l5
Manu. Home Fee:
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Misc. Fees:
RtF eBD'2.103
Totalleel: ^,ç4.3Ø,6'
Feó Paid:
.* l, {"9,'tr.4'r'"'66Balánce Du
+2.loôb ,
BP No:
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OWTS No: t
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t"'o^übNÞ,OCC Group:
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Const. Type:
À J* daI ¡ ifr"or '
Zoning:
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BUTLDTNG / pTANNTNG DrvrsroN , A M''øØU tÞ t2-2-021
Signed Approval Date
Gurfteld County
BUILDING DEPARTMENT
L08 Eighth Street, Suite 40L, Glenwood
'pt¡ngs,
CO 87607
Tel: (970) 945-8272
P NR EV IEW CHEC KLIST
permit No: g¡gg- lô-Zl- 7Z I b
Planning/Zon ing lssues fl U,Building lssues
Engineered Foundation
N/4 e\ü?rf*ûriveway Permit
Surveyed Site Plan
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Property Line Setbacks
30 ft. Stream Setbacks
re¿ePl¿-t 47â7Fa
Descri ot on & Summa
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
rv
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No'
40# Snowload Letter - Manu
Soils Report
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t/Seotic Permit and Setbacks aØlmlrilry
Grade/ ToPograPhY 30%
nttach Residential Plan Review List
"i;;;iåiå"w¿ør,,ley'
Fire Department Kev
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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 by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the 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 without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (FinaliCO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
o
nt and Sign Date
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