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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
le70l 94s-82t2
www.garfield-county.com
TYPE OF CONSTRUCTION
Commercia -Fami'Demolition
Manufactured Home (Si ;le or Multi-Level)
Residential u Townhome)Reroof
Dwel Unit - MAXIMUM 5IZE OF SQUARE FEET
PARTIES
Property owner: Jane S Lamphere Phone:17
Mailing Address:220 Redbluff Vista Glenwood springs C.O. 8'1601
Email Address islamphere'1 @gmail,com
Contracton Foundation Repair of Western Colorado Phone: ( 970)628-3738
Maiting Address 2575 Hwy 6 & 50 Suite A
Email Address: info@repaircracks.com
Architect Phone: { )
Mailing Address:
Email Address:
Engineer: DL Engineer p¡on"720 440-9450
Mailing Address: 9100 W Jewell Ave Ste 200 Lakewood C.O. 80232
Email Address: admin@dlengineer.com
Manufactured Home lnstaller:Phoner ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work lnstall (25) oush Diers alono the walls to help mitiqate future vertical
in these areas: lnstall 3 piers alonq the E. wall, 3 below the front porch columns. 6 piers along the
,"fflgi"s,$" w wall and 7 alons the s' wall' ¡åô P¿Åbtu{f vtttú._
Assessor'sParcelNumber 2395122272A5
sub. TRONBRTDGE pUD, PHASE !t Lot 2Os Block
Owner's Valuation of Work: $
/,Í.,loþ ,tO Property Size (5q. Ft. or Acres)7,966
Sq. Ft, of Building:1 389 Height . 1-story fi of Floors: 1
Add¡t¡on
wall,
BUILDING PERMIT
APPLICATION
Class of Work:
Garage:Attached
Remodel/Alteration
Detached
PROJECT DETAILS CONTIN UED
Septic;
Type of Heat Gas Propane Other
Driveway
Permit:
, NOTIGE
Authority. 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.
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 Permíts. Multiple separäte 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 Permít. A Building Perm¡t becomes null and void if the work authorized is not commenced within 1.80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERT¡FICATION
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 acceptsthe Applicat¡on, 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 wlll 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
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
r and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
required info which is correct and accurate to the best of my knowledge.
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Sign Date
oFFrcfArusE oNLv Pen.t {qt.a{ c.c.. o8/tb/%22 ¿fu
Special Conditions:sæ atual?el ØNÞ/T7A/fS
Adiusted Valuation:
úhø. ßqâ&Plan Check Fee:ïq.z.t Permit Fee:?Çq 75 Manu. Home Fee:ñ/r Misc. Fees: -N/+
Total lees:
ô t2 rtâ.qr Fees Paid:
4 nle¡.2.¡
Balance Due:
?5ã.,75
BP No:
BLßË-??6I
OWTS Ño:
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sãtbãcks üCC Group:t,Rê.C0nst. Type:
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Zonlng:
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8-z?-2BUITDING / PLANNING DIVISION û,ü¡nr1.v
Signed Approval Date
Gørfield County
BUILDING DEPARTMENT
108 Eiqhth Street, Su¡te 401, Glenwood Spr¡ngs, CO 81607
Tel: (970) 94s-8272
P LAN REVIEW CHECKLIST
tstKg-og-z-TôlPermit No:
Building lsst¡es
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
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.
40# Snowload Letter - Manu. Homes
Soils Report
PlanninglZoning lssues
Property Line Setback s nO À -S
d"oulr^\
Road rmpact Fees N A
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descripti CIn & summarv:
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
5,tbni+le"l
(eyair Vølne ç w.80
Fodo*ion Kryr
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures requíre the engineers starnp, 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 requlred information ís
provided" Work may not proceed without the issuance of a perrnit.
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 collecied when the permít is issuod.
The permit application must be signed by the owner or by person having writlen authority from fhe 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. (FinallÇO
inspection requirements will be attached to your approved field set of plans.)
I horeby acknowledge I have read, understand and will abide by the requÍrements of this
checklist.
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and Sign Date
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