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Community Development Department
108 8th Street, Suite 401
Glenwood SPrings, CO 81601
19701945-82t2
www.garfield-countv.comú
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Gørfield CountY
BUILDING PERMIT
APPLICATION
DemolitionCommerciaMulti-Fam
e or Multi-LeveManufactured Home
Reroofor TownhomeResidentialFDu
FEETUnitAccessoDwellisU- MAXIMUM SIZE OF
Email Address:trep pertßrepp ertcap ital . com
10000 Memorial
113Phone;Property Owner:
Mailing Address:
Todd & Anna RePPert
Drive, Suite 7 40 HousLon,
425 . 3'7 -Ì 4
TX 'l1 024
Mil-ler)
comwesGPeak3asPen
Contractor:Phone:910 3s5.0859Peak3 (Wes
310 Market.Mailing Address:
Email Addressl
Street Basalt, CO 8L62I
Mailing Address:
25LPhone:
ashle vGartfuldwel
'7 61 .5911"
linqs . com
Arch¡tect:
Email Address
Artful Dwellings
Mailing Address:
Nathaniel (970 t 319.5934Decker (DB Design) Phone:
nateGdbsd. com
Engineer:
Email Address
Manufactured Home lnstaller:
Mailing Address:
Email Address:
Describe Work:
Sub Lot
1
Property Size (Sq. Ft. or Acres)
Sub.Coryell Ranch
Owner's Valuation of Work: S 2, g3r,20o
family homeConsLruction of ne\^T single
Ranch Road399 Coryell
TS 7 Ranse BB 23t3T1tozoo1Sec 29
7 glock
.3.662ac
Job Address:
PROJECT DETAITS
Assessor's Parcel Number:
Sq. Ft. of Building:8620 Height -ô I' J¿
Addition
# of Floo
Remodel/AlterationClass of Work:X ew
Garage:X Attached Detached
PROJECT DETAIIS CONTIN U ED
X CommunitySeptic:
XX OtherElectricPropaneNatural GasType of Heat:
Permit #:ExemptDriveway
Permit:
NOTICE
Authoritv. This application for a Building Permit must be signed
or an authorized agent, lf the signature below is not that of the
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 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 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,
by the Owner of the property, described above,
Owner, a separate letter of authority, signed by
CERTIFICATION
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy, Assuming
completeness of the submittals and approval of th¡s Application, a Building Permit will be issued granting
perrnission to me, as Owner, to construct the structure(s) and facilities detailed on the st¡bmittals 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 Dlvlslon to enter the property, described above, to inspect the worl<. I
further acknowledge that the issuance of the Building Permit does not prevent the Building officialfrom: (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 ancl my arrthorizerl agents, including without limitation mV architect
eer an or builderdneren
I hereby certify that I have read this Application and th
understand that the Building Division accepts the Appli
at the information contained above is true and correct. I
cation, along with the plans and specifications and other
I hereby acknowledge that I have read and understand the Notice a nd Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Á 27-2¿
Property Owner Print and Sign Date
2,8{.1'L o6/z*t/æzzcK-tOFFICIAI USE ONLY TD
see aâ*ââh€d /778/vsSpecial Conditions:
Misc.*þ/6J,6tlh
Manu. Home Fee:PermitAdjusted Valuation Plan Check Fee:b*
BP No:
BLze,-1 6l G
lance Due75s Paid
4 z,søl.c+3qTotalFees:
¿O r.^ ¡.r\ \, r-J \
Zoning:
P.u. Þ.Const. Type:
r.R,. cOCC Group:
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8-/* zZ^
Signed Approval
BUITD|NG / PLANNING DIVISION :
Date
'r*Á
Gørfield Coutttyo'
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (970J 945-8272
PLAN REVIEW CHECK LIST
Permit Na: þ¿BÇ-Ob-b7ô/ ô
Building lssues Pla n n i ng lToning lssues r>
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NA
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Fls 71 63x 74. 6g: r5órî7¿, o{
êra44// 74oz y t6 El/s4,
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees ?
/ Subdivision Plat Notes
@r,ffitReviewco/tD
Valuation Determ ination/ Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed Descript ion & Sr¡mmarv:
Plan Reviewer to Sign Applicatíon R I l=: fif6a. L7
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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. (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 Owner Print and Sign Date