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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701e45-82L2
www. garfield-cou ntv,com
WPE OF CONSTRUCÍION
INVOTVED PART¡ES
Garfield Coanty
BUILDING PERMIT
APPLICATION
DemolitionCommercia l/M u lti-Fa mily
Manufactured Home (Single or Multi-Level)
I ReroofResidential (SF, Duplex or Townhome) single Fam¡lv
Dwelling Unit D - MAXTMUM SIZE OF 1,000 SqUARE FEET
0155 Boomerang Road, Suite 5201B, Aspen, CO 81611
(970 )SCIB, LLCProperty Owner:920-3255Phone
Mailing Address:
Email Address:I uke. gosda@su n riseco.com
Mailing Address:
pr¡one: f 970 t9873527Dockers Construction
Email Address:dockersconstruction@comcast. net
Contractor:
1002 Old Dutch Mill Road, Golorado Springs, CO 80907
Email Address:
PhoneArchitect:James Woelke
Mailing Address:
679-7303Phone: (806 )
Email Address:nick@sandl inservices.com
Engineer:Sandlin Services
Mailing Address:
Email Address:
Phone: ( )
PROJECT DETAII.S
Manufactured Home Installer
Mailing Address
Single Family Residential New Home Construction
28.09Height:
Describe Work
12 3o ô7.ç
Owner's Valuation of Work: S 316,283.56
Sub.IRONBRIDGE PUD, PHASE 3., F¿ç I
Sq. Ft. of Building:3967
Assessor's Parcel Number:
Property Size (Sq. Ft. or Acres). 1.00
Lot 25 Block
o o1 t¡oorr. 2 (w/ Basement)
23q1 0
Job Address: t C0
Additionr'New Remodel/AlterationClass of Work:
r'DetachedAttachedGarage:
CommunitySeptic:CWTS
OtherPropaneElectricType of Heat:Natural Gas
Permit #:Driveway
Permit:
NOTICE
PROJECT DETAILS CONTINUED
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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 perm¡t required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
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 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)). 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
construct¡on 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
desi ner e ineer 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.
't1l'12121
Property Print and Sign Date
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Special Conditions:
Adiusted Valuation:^
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Plan Check Fee:
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Manu. Home Feettlt Whfr'"b7Ø,Ø
iotal Fóes:
f.4.2ffi.97
Fees Paid:
{ f qgo.q¿Ballnce Due:- -
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BuRe{¿3S
OWTS No:
Coì4t4uN llY
Setlacks:
O
OCC Group:
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Const. Type:
l. R. C.
Zonine:
P-, V, D,
c n2BUILDTNG / PTANNING DIVISION
Signed Approval Dete
Gørfield Coanty
BUILDING DEPARWENT
708 Eighth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PLAN REVI EW CHEC KLI T
Permit No: @URE- lp71-7238
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
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.
-+
,/Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
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Y€9 Road tmpact Fees R.Fø"
Grade/ Topography 40%
.-/ Plann ing lssues
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Subdivision Plat
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36"
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. (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.
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Property er Print and Sign Date
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