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Glenwood Springs, CO 81601
108 8th Street, Suite 401
Development Department
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BUILDING PERMIT
APPLICATION
Demolit¡onCommercial/Multi-Family
Manufactured Home (Single or Multi-Level)
I ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
941 County Road 129. Glenwood springs 81601
Property owner¡ Becky Ciani Phone:r970 t3O9-1027
Mailing Address:
Email Address:becky@masonmorse.com
contractor: Domoplex, LLC
Mailing Address:2550 Hwy 82, Unit 1084, GWS, CO 81601
Email Address:slawek@domoplex.com
plrone: { 970 )987-2353
Address: 2550 Hwy 82, Unit 1084, GWS, CO 81601
plrone:t970 )987-2353Arch¡tect:Domoplex, LLC
Mailing
Email Address:slawek@domoplex.com
963-3223
Ema il Address: jerniekollar@gmail.com
Engineer:Ernest Kollar Engineers Phone:970
Mailing Address:320 Main St. #203 Carbondale, CO 81623
Describe 1¡¡or¡. Single Family New Residence
2.36 Acres
20'2"Height:
Job Address:146 Kingbird Dr., GWS, CO 81601
Owner's Valuation of Work:( 980,000
Phone: ( )
Assessor,s parcet Number: 218536113080
sub. Elk Springs
f of Floors: 1
Property Size (Sq. Ft. or Acres):
Manufactured Home lnstaller:
Sq. Ft, of Building:4202
r-ot 80 r¡o.¡ Filling 9
Mailing Address:
Email Address:
,/New Rcmodel/Alt€rãtion
I
Addïtion€lass of llllork:
{Attached DetachedGarage:
TOWTS CommunitySeptic:
ElectricI OtherNatural GasI PropaneType of Heat:
Driveway
Permit:
Permit #:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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.
OthCf_PefmllS. Multiple separate permlts 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.
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 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 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
construct¡on 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
en r and/ or builder
I hereby
provided the ired
that I have read and understand the Notice and Certification above, as well as, have
ich is correct and accurate to the best of my knowledge.
oa125t2022
nt and Sign DateProperty
ó?ß a tba dne¿/ ca/vÞ / 70/1/sSpecial Conditions:
Manu. Home Fee:
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Misc. Fees: .-
k o.ø Rt4to.Adiusted Valuation: -b azz ß57.bu
Check Fee:
12.,Lb,
Planl6 I
Permit Fee: r ê
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BP No:
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Fees Paid Balance Due:Total Fee-s:
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Type:
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Const.
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Zonins:P.U,DOCC Group:
I .R.C.Setbacks:(þNt>
U/ir!/.,BUITDING / PIANNING DIVISION :
Signed Approval
Q-1n-zz
Date
Gørficld County
BUILDING ÐEPARTMENT
708 E¡qhth Street, Su¡te 407, Glenwood Springs, CO 81æ7
Tel: (970) 94s-8212
PLAN REVIEW CHECKLIST
Permit No: 8L@ Oø 22 7781
Building lssues Planning/Zoning lssues PU Þ
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Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permít and Setbacks
Gradel Topography 30%
Attach Residential Plan Review Líst
Valuation Determination/ Fees
Red Line Plans/ Stampsl Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
2 / Gr adel Topography 40o/o
Planning lssues
Subdivision Plat
8ozsl6 ?rin þ
Description & Summarv:
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
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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 Officialthat 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
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 edge I have read, understand and will abide by the requirements of this
checklist.
a$t2ât2022
Prope Own and n Date
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