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Gørfield County
BUILDING PERMIT
APPLICATION
TYPE OFCONSTRUCTION
Commercial/Multi-Fa Demolition
Manufactured Home (single or Multi-Level)
I Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF I,OOO SQUARE FEET
IN\ÍOLVED PARTIES
Propefi Owner:Derrick Wiemer phone:{970 t343-2208
Mailing Address:1760 County Road 151, Gypsum, CO 81637
Email Address:derrickwiemer@g mail.com
Contractor:Homeowner (Property Owner-see above) phone:
Mailing Address:
Email Address:
Architect:DuroBuildings Phone:800 445-0412 x:306
Mailing Address:
Email Address:myrna@d urobuildings.com
Engineer:KRM Consulting prrone:(970 )949-9391
Mailing Address:PO Box 4572, Vaí1, CO 81658
Email Address:Tim@krmconsultants.com
Manufactured Home lnstaller:Phone: (_)
Mailing Address:
Email Address:
PROJECT DETAII.S
Describe Work:Steel Building Garage/Shop
Job Address:1760 County Road 151, Gypsum, CO 81637
Assessol's Parcel Number:
Sub.
186322400116
lot Block
Owner's Valuation of Work: $$ 76, ooo Property Size (Sq. Ft. or Acres):16.195
5q. Ft. of Building:7¿^rc ú Height:25 # of Floors: 1
Class of Work:
Garage:
New Remodel/Alteration Addition
Attached ,/Detached
DETAIIS CONTINUED
Septic:Community
Type of Heat:Natural Gas
Driveway
Permit:
NOTICE
Authoriw. This application for a Building Permit 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 author¡ty, 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 perm¡t 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
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l
Permit #:
Electric OtherPropane
I hereby certiry that I have read this Application and that the information contain ed 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 certificat¡on 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 Bu¡lding 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, construct¡on 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
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.
Derick Wiemer 10t2612021
Property Owner Print and Sign Date
oFFtctALUSEONIY Pd' { 5{5.3{ C.C. rol zt [?èllâeÐ
Special Conditions:
Adiusted Valuation:
ö7ß,oø).Ø
Plan Check Fee:
ô î45.6+
Permit Fee:6sæ.7r Manu. Home FeeNlA Misc. Fees:N/A
Total
þt
Feés:
-395 61 Fees Paid:t rqf.8+
Balance Due:-ùga,ø BP No:
BLRç."1273
owllruo:
-N/^Setbaíksl, -6K OCC Grouo:'l'fl . C'
Const. Type:l'R.€'Zoning:
RU A,AL
t l-t6-2tBUtTDtNG / PTANNTNG DTVISION
Signed Approval Date
Garfield County
B'IILDING DEPARWENT
708 E¡ghth Street, suite 407, Glenwood Spr¡ngs, CO 81607
Tel: (970) 945-8212
PLA NRE VIEW CHEC KLIST
Permit No:ølRF-/ezþ7zz¿ç
Building lssues
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Pl a n n ing I Zoning lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
þuild fi"ne et2-øP
Fire Department Review r
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlicatíon
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Offl./
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descri nt ion & Summa rv
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Road rmpact Fees nottàa/tthl/e
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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 Officialthat additional information is necessary to review the application
and/or plans for compliance, 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 without a
CO will be 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 read, understand and will abide by the requirements of this
checklist.
/o- -e 4 -2t
Property Owner Print and Sign Date
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