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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 8L601
(970194s-82L2
www.garfield-cou ntv.com
Accesso Dwell Unit (ADU)- MAXIMUM slzE oF s FEET
Com mercial/Multi-Family Demolition
Manufactured Home (Sinele or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
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Assessor's Parcel Number:73qs oî Òo Ò6
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Property Size (Sq. Ft. or Acresf /,89 fr¿
# of Floors: Z
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Owner's Valuation of Work:
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Class of Work
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Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
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 perm¡ts may be required: (1) State Electrical Perm¡t, (2) County OWTS Permit,
(3) another permít 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 commeRcement.
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 Applicat¡on, along with the plans and specifications and other
data submitted by me oron 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 regulatíons (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 lssuance 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) íf 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 authorízed agents, including without limitation my architect
Perrnit #:Driveway
ffthesignaturstelo\/ is notlhat ofthe O$¡ner,
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I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required which and accurate to the best of my knowledge.
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Property and Sign Date
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Soecial Conditions:rPeçra'Lunqrrr"rrs; see a\Laúecl tNÞtnoA/S 0F pEKrnlT
Adiusted Valuation:tzaLloó,lb Plan Check Fee:ffitz.w Permit Fee:, -#ßz,tb Manu. Home Fee:
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Misc. Fees:
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Total Fees:
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t-4-ZaZlBUIIDING / PLANNINC DIVISION :
Signed Approval
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,
Date
Garfield Coanty
BUILDING DEPARTMENT
708 Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8212
PLAN R EVI EW HEC LI T
Permit Noz &JzE=- fuZl-7Zbz
Building lssues
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Driveúav Permitä;tþri;|È'M'zØ'/7
Surveyed 9lte Plan
Septic Permit and Setbacks
Grade/ ToPograPhY 30%
Rttach Residential Plan Review List
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Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditionstf
Pla n n ing I Zoning lssues
,/Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ TopographY 40%
Planning lssues
Subdivision Plat
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Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No'
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