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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
le70) e45-8212
www.Fa rfield-countv.com
GarfuId
BUILDING PERMIT
APPLICATION
Com ulti-Demolitlon
Manufactured Home (Single or MultþLevel)
Residential {SF, Duplex or Townhome}Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,0(X1SQUARE FEET
INYOLVEÞ
L91 q ô. &-l Þ 6Þ3 ßu/ù. 4 ß-)c-r Ô> ß 16.
EmanAddress: /4t t<! e 7X4 Ertt€, ^/Ë-f
Property Owner:Phone:
Mailing Address:
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Mailing Address:
EmailAddress:
ð c¡ ¡¡ Ê-À-Phone:Contractor:
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EmaitAddress: Bff¡S -J-r¡-U¡) lt p-U¿.'îL€ & 6,økt t-,Q-þ,
Phone: ß 10t Gl b cb? 0
Mailing Address:
Architect:ß o.H> -Io¡^¡
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Email Address:
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Engineer:
Mailing Address:
MailingAddress:
Email Address:
tl r*Phone: I I
PRO¡ESr DgfAllå
Manufactu red Home lnstaller:
L3qgl1¡¡rot5
çv B-l-<ıLN.tíDescribe Work:
lob Address:
Sq. Ft of Buildlng:4lt-z
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IL.|ßÞ 30pÞ,\d¿¿
ne$ht-l-'C"-,u'-,P ifl of Floors:-Z-
Assessor's Parcel Number:
Owner's Valuation of Work:
Sub.rot lã abck lÞ
propertystze {sc. Ft. o¡ ¡cresl:LL e 33 I f
Remodel/Alteration laaaitionClass of Work:ilXtuew
VGarage:Attached Detached
PROJECÍ DETAIIS CONTIÑUED
Sept¡c:Community
acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
the required which is correct and eccurate to thè best of my knowledge.
(ø -Z
rty Owner Print and Sign
Propane Electric OtherType of Heat:
flNaturalcas
IXJE
Driveway
Perm¡t:
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 authority, signed by
the Owner, must be provided with this Application.
legq!.lgccesq. 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 Perrnit,
(3) another permit required for use on the property identified above, e,g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Vgid Pqrmit. 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
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the 8uílding 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 locat¡on, construct¡on or use
of the structure(s) and facility(ies), descríbed above, are not in compliance with County Regulatíon(s) or any
other applicable law.
I hereby grant permission to the Building Division to enter the propert¡ described above, to inspect the work. I
further acknowledge that thè issuance of the Building Permit doês 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 Regulationts) or any other
applicable law. Review of this Application, including submittals, and inspect¡ons of the work by the Building
Division do not constitute ân acceptance of responsíbility or liability by the County of errors, omissions or
díscrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, stäte and local laws
and County Regulations rest with me and my authorized agents, including w¡thout limitation my architect
er, e ran or builder
oFrrcmusEoillv PAIÞ,\7',qt2 ¿¿cr(, ÉF Toll ê:f+
see øtbaol,Êd U^)> \T\2NSSpecial Condition¡:
Permit Fee:7g Fee:Manu.
È,'åÊl
OWTS No:
cêr ^^rrâr
Balance BP No:
rrvr?€'1LoLTota¡Fees Paid:It 11L,q1
Zonlng:
P. u.Þ.Const. Type:OCC Group:
ltni¿aBUtLD|N6 / PIANNING DlVlslON
Slgned Approval Dôte
Framing plans for each floor level and roof. All beams, columns, joists, rafters and husses
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 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
CQ will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirernents will be attached to your approved field set of plans.)
I acknowledge I have read, understand and will abide by the requirements of this
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6-/D -zz--
rtypwner Prþl and Sign
Égrf ûlrznbsþ'St*U Date
Gørfield Coant¡'
BUILDING DEPARTMENT
108 E¡ghth Street. Suite 407, Glenwood Springs, CO 81601
Tel: (970) 94s-gzlZ
PLAN REVIE W CHECKLIST
Permit No:øtRE *ob-zzaØb
Bullding lssues Pla n n i ng I Zaning, lssues r>
5Þ-tÓ
neered Foundation tf'',t Property Line Setbacks
30 ft. Stream SetbacksN4 Driveway Permit
f\,4
<bn2,
Valuation Deterñin
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
t/ Flood Plain
C .IF
1
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óz,b?l?
Road lmpact Fees EB>
Building Height
Zoning Sign-Off
Gradel Topography 40%
Planning lssues
Subdivision Plat
,\/
ati
Red Line Plans/ Stamps/ Sticker
Attach conditions P.irll-
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Ho
Soils Report
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Descri ption & Su mrnarv:
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