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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.ga rfield-cou ntv.com
BUILD¡NG PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Comme Fami Demolition
Manufactured Home (Single or Mult¡-Level)
-nei¡Aential (SF, Duplex or Townhome)Reroof_l
Accessory Dwelling Unit (ADU)- MAXTMUM S|ZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
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t Phone:utoS 551- 5372Property$
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Email Address:
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Email
Mailing Address:
Contractor:
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Mailing Address:
Email Address:
Architect:
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Mailing Address:
Email Address:
Mailing Address:
Email Address:
PhoneManufactured Home lnstaller:
PROJECT DETAITS
Assessor'sParcelNumber; Z3\3 oSSo 5ÞOt
Describe Work:
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Height:# of Floors: ?-çr, k
Owner's Valuation of Work:s'T1o øæ Property Size (Sq. Ft. or Acres):2.o1?
Sq. Ft. of Building:
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q5q RJob Address:
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New Remodel/AlterationClass of Work:
DetachedGarage:ÁÍtached
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:ZflãturalGas
Propane Electric Other
Driveway
Permit:
pt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of 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 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 identif¡ed above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
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 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 permiss¡on 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 Build¡ng 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 Bu¡lding
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
designer, engineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required information which is correct and accurate to the best of my knowledge'
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Owner Print and Sign o/te (
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Special Conditions:
Manu. Home Fee:
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1a.'ooAdiusted Valuation:nnJlS,bê
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BP No:
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Zoning:
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OCC 6roup:
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Const. Type:
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Signed Approval
BUITDING / PLANNING DIVISION
I
Date
Gurfu,Id Cownty
BUILDING DEPARTMENT
1OB Eighth street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PI.^AN RE VIEW CHECKLIST
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Br*ËËdËcrg Ëssues Ffi aatni mglZcnËng Essues ruÞ
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Subdivision Plat Notes
Fir:e Department Review
Valuation Determination/ Fees
Soils Report
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trLS 720 x 74, 69 J 53, 7b?, éo
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Property Line Setbacks
30 ft. Stream Setbacksq¡^'g
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Building Height
Zoning Sign-Off
Road lmpact Fees
-- Grade/ TopographY 30%
ch Residential Plan Review List ô,00 *//r(* /0=Aoú
Grade/ Topography 40%
Planning lssues
Subdivision Plat
-/ Red Line Pla ns/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manu. Homes
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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 wilf 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
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Property Owner Print and Sign Date