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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www. ga rfiel d-cou ntv.com
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Garfield County
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
DemolitionCommercial/Multi-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
M Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Property Owner
Mailing Address
Email Address:
INVOLVED PARTIES
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Phone:5s3 ^ I éSA6qP. C"l*.,Ar\1,
6r ¿þ Phone: (_)Contractor:
Mailing Address
Email Address:
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il¿trArchitect:
/ 6ÒJMailing Address
Email Address:
Phone:Engineer:
Mailing Address
Email Address:
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As.sesspr's Parcel Number: ê^3Q t 73A ÞCøql
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owner's úalüation of Work: S Q, ø¿rr
Describe Work:
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Sq. Ft. of Building:JlSoa
Phone: ( )
Job Address:
PROJECT DETAILS
Email Address:
Manufactured Home lnstallen
Mailing Address
Height:
Property Size (5q. Ft. or Acres): I "
gAt A.pj
Aot *ol¡loors; /
AdditionClass of Work:New Remodel/Alteration
Y DetachedGarage:Attached
PROJECÍ DETAITS CONTINUED
xSeptic:3WTs Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
pt Permit #:
NOTICE
Authoritv. This application fora Building Permit must be signed bythe Ownerof 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 tsuilding uivision.
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.
CERTIFICATION
lherebycertifythat lhave read thisApplication and thatthe information contained above istrue 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
complywith provisions of anyfederal, state or local law regulatingtheworkand 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 Br"rilding 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
er, en 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 correct and accu to the best of my knowledge.
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Property Owner Print and Sign Date
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Adiustet Valuation:_32838
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Plan Check Fee:
loo,oÔ 'tìVäiaa Manu. Home Feex/s Misc. Feesl /
Fees Paid:
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Balance Due
472, o '6 BP No:
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OWTS No:
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Setbacks:OCC Group:(.P.c.Const. Type:
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Zoning:
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Date
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Signed Approval
Gørrteld Cownty
BUILDING DEPARTMENT
708 Eighth Street, Suite 407, Glenwood Spings, CO 81601
Tel: (9701 945-82JZ
PLAN REVIEW CH ECKLIST
Permit No:qt4Ú-ov2-7ø42
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Building lssues
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Engineered Foundation
Surveyed Site Plan
Planning/Zoning lssues
Property Line Setbacks
30 ft. Stream Setbacks
¿/ Flood Plain
Building Height
Zoning Sign-Off
d lmpact Fees
ã erade/ Topography 40%
Planning lssues
Subdivision Plat
Descri ion & Sumrna
væ
ptic Pbrmit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
Attach Conditions
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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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a
Property Owner Print Date
. Additional Dwelling Units may require Administrative Review,. A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" minimum size, complete,
identical, legible and to scale. All plans will be checked at the counter for completeness. lf any of the
required information is missing, the building permit application cannot be accepted.
SITE PLAN: Please make sure the following information is provided on the site plan.
. Propertyaddress/legal description.. North Arrow and Scale on each page.. Show all property lines, building envelopes, flood plain and easements.. Provide setback distances from boundaries, buildings, septic, well and waterways.o Location and direction of the county or private road and driveway accessing the property.. Proposed and existing structures. lnclude sheds, barns, decks, patios, and any other buildings.. Existing and proposed grade, positive drainage around structure (to be contained on site).. Streams, rivers, creeks, springs, ponds and ditches.o Existing and proposed wells, septic tanks, leach fields and other systems (if applicable).. Retaining walls (engineer stamped detail required for walls over 4 ft., measured from boitom of
footing to top of wall).
NOTE: Any site plan depicting the placement of any portion of the structure within 50 feet of a property
line or not within an established building envelope shall be prepared, stamped and signed by a licensed
surveyor. For structures to be built within a building envelope, provide a copy of the recorded subdivision
final plat with the proposed structure located in the building envelope.
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.. Minimum of four (4) elevations (N,S,E,W). lndicate height of building measured from existing
grade to the midpoint between the ridge and eave of a gable or shed roof or to the top of a flat
roof,. Floor plans for each level, including dimensions and scale noted.. Clearly label each room or space (bedroom, bath, kitchen, closet, etc).. Show the location of the mechanical equipment.o Building cross sections with construction details.. Window sizes, types and operation noted on the floor plans or elevations.. Specify roof slope/pitch, roof covering and siding materials.. Stair and guard details specifying rise, run, height and spacing.. Attic, roof and crawlspace ventilation details. lndicate size and location of ventilation openings.. Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.o Provide stove and fireplace make, model, EPA or Colorado Phase ll Certification. Masonry
fireplaces shall be designed to the lnternational Residential Code (lRC) requirements.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
. SOILS REPORT - lf the project is located in a subdivision with a final plat requiring site specific
soils investigation report or if Structural plans make a specific reference to a soils report, then a
copy of the soils report is required to submit a building permit application.. Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.. Foundation plan showing complete footing and foundation dimensions.¡ Footing and foundation details specifying reinforcement and referenced on plans.