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Commudity Development Department'*ì't'6 8th street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.ga rfield-cou ntv.com
Garfuld County
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Comme ulti-Fami Demolition
Manufactured Home (single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Dwelli Unit U - MAXTMUM S|ZE OF 1,000 SqUARE FEET
IM/OIVED PARTIES
Property Owner:Phone: ( q?0
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Mailing Address:lut?-fz''^n t Aue Unít ì*5
Email Address:
Contractor:Phone: I a?o I q(,ll -Z62T
Mailing Address:llt{lZ lo.vn",l /lrr¿ Unl| &á
Email Address:(¡Yv\
Architect:Phone:( 1?ô | L¿tf 'gô3q
Mailing Address:
Email Address:
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Engi neer: f-\\c-ô e¡rqirs¿-v;rla,anr-Phone: rq3ç ) ]8q-gqnt
Mailing Address:
Email Address
Manufactured Home lnstaller: A(Ê"¿ rlo (.on<l ,.,I-i¿n Phone:( ol?ı ) q6?-f632
Mailing Address;
Email Address:
PROJECT DETAIIS
Describe Work:l4o^*C,-t"rtÀ Sornø
Job Address L
Assessor's Parcel Number:
5u5. þìlead øt * 2 Bbck
Owner's Valuation of Work:Propefi Size (Sq. Ft. or Acres):¿l-llÒ AcreS
Sq. Ft. of Building:l^&rA Height:#oÍtloors 2
Class of Work:K New Remodel/Alteration Addition
Garage:Attached Detached
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 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 bulldlng wlthout 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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flønÇþnt,,0q- H- 2027
Property Owner Print and Si ,Date
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Natural Gas XleroRane
Electric Other
Driveway
Perm¡t:
Exempt Permit #:
Authoritv. 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 ¡s not that of the Owner, a separate letter of authority, signed by
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 Perm¡ts. 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.
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 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
designer, engineer and/ or builder
NOTICE
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required is correct and rate to the best of my knowledge.
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Property Owner Print Sign Date
OFFICIAT USE ONLY c,
5:eÊ a#arub/ P/UÞ /V¿/þ49Special Conditions:
Manu. Home Fee¿r(rr>f¡ .ou +
plan Check Eêc:-
274,O1 'iiui:t€^yu:i+Trb
ffi6-çgq¡,rytr?-aq+Fees Paid:Uen &Balance Due: ,
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BUITDTNG / PLANNING DIVISION :
Signed Approval
(
0ï'14^202,
Date
Gørfield Coangt
Community Development Depa rtment
108 8th Strcêt, Suite 401
Glenwood Springs, CO 81601
(9701 945-8212
www.ga rfield-countv.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
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Block:Subdivsion: C¡Nd¡À (¡a¡ôe¡c tot: *Z
nt:ÍC<
3,C¡rl3FLù€^^,Ad Itollatvt5LAa\qProjectÎBD,
Finished Living Space (N/A for Manufactured Homes)s74.68
Unfinished Basement 541.oo
Crawl Space s18.00
Garage (ConditionecJ) (i.e. insulation, sheetrock)S32.oo
Garage Unconditioned)s24.00
Covered Patio/Deck s18.00
Uncovered Patio/Deck s12.00
Misc s0,00
Misc So,oo
Single Level (5400)So.oo
Multi-Level (S600)5o.oo
New lnstallation So.oo
So.oo
Plan Review Fee
Building Permit Fee
Manufactured Home Set-Up Fee
Septic Fee (OWTS)
Other (Ex: Road lmpact Fee)
This Section Deterrnined by Garfield County
Total Fees Due So.oo
***All fees are estimates until final plan revigw is completed***
Gørfield County
BUILDING DEPARTMENT
708 Eighth street, suite 407,ãlenwood Springs, Co 81æ7
Tel: (970) 945-8212
PLAN RE VIEW CHECKLIST
Permit No: BUn F-A ¿/-27807ê
Building lssues
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Pla nni ng/Zoning lssues fQ
t/Property Line Setback , 616
t/
Engineered Foundation
DrÍveway Permit
Surveyed Síte Plan
Septic Permit and Setbacks
Gradel TopographY 30%
Attach Residential Plan Review List
Raäaraastbçf , t
subdivision Plát Notes 6Øfq4t\ole14)
Fire Department Review \'/
Val uation Determ ination/ Fees
Red Líne Plans/ Stamps/ Sticker
Attach Conditíons
Application Signed
t/
35 ft. Stream Setbacks
Flood Plain
,/ Buitding Height
Zoning Sign-Off
Grade/ Topography 40%
t/ Planníng lssues
Subdívision Plat
ßtn s,A.3 =
YØ Road tmpact Fees túf û/LeA@
(/
'/ Plan Reviewer to Sign Applicatíon
Parcel/ Schedule No r
40# Snowload Letter - Manu' Homes
Description & Summarv:
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