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f,ommnnlty Dsim{oFmFnt o€pirtfiisnt:
108 8rh Street, Srlite lt0l
Ghnwood Spdngr, tO S160l
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ur*d Hn*rr* r:r'Ti ltlmP le os Multi-Leu*l
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Arcessor*v' Drry Unit - hrAillMlilltl SlIt OF FEET
BUIIBING PERMIT
APPLICATION
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Burketl Family Trust _Fhoner i97Lrs165r--
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Emri;lAddnas*;aIltecbob@grnail.com
Fropeny Oulne,r:
f,lrlllng, frddresr:
rddress: 1153 county road 23I Silt Colorado 81652
Bob Eurkett gIfi 3rs-460$€,llntr.stst;
Emsl,t Addre$, al ltec;bob @grn a itr.csm
Plrnnt
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Ar.chrred: Tirn herlyn e
st street ayne,}lrlllngA'ddrerr
f,mrilAddrssr:RH ix@ti rn berlyn e" co rn
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Fhone:1402 l8rlsgnn
r606 r22il-2447
lls, 5D 571fi5
En5lneer:Frame Engineering l-LC
25n0 \tJ. 49th streefi Suite IZ4 Sioux Fa
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Melllngtddresr:
Erirrlii Addrqri;
trleiling Address: __ __
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l.lew stick built harnbBsribe tilorl:
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lqb Addrer*;1159 County Road 237 Siit Co B'[652
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r[ssssgnrrr Parrel Humber
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FrsF*rlt'sir* [5q, Ft, ur Acrst!:25S,0nil
,ro, Anllers Orchard Deuelopment
o'rrnqlr Urluatbn
Sq. Ft, of Buildlnr;Heightr -Zj*:-*- fl sf Ftoor'r:J
G*ff,,F:f l ix:horrl Brliil:hErl
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$rptis;f trws mmunilt'
Type ol H*rt:lnturtlG;rri t Frqpfi ne i lEl*r;tr
ir:fith*r
Ilflurnrcy
Ftrm;t;
rnll il:
rontf
Aruttroritr, Thls apFlirationr for a fluildin6 Fe,rmit must bp signed by'the 0tau*r 'lf thr prtrpertv..desrribed abo're-
or an au,tlrsrhed agent. lf the stgn.tture belnu is not that cf ttre Ltluner" s sEp'lrut,E lsatcr of 'luthorlty, rgnrd b1
Ihe f]r,rlrrer,. r'rrust he fiirr,'rld*di urith tlrit Appltc;ltlnn.
Losel Accru- A BuikJirrg Frrrnit [rtnul'r]t br ir';uud witlhnrrt Frrnu,l' .ul ltgal rnd irrltrrlqJ'irtr" ir[t(r:i !u Ihr FrroF*rt'f tnr
trrrrp.sr*s. cl inspertlnns 'hry the Bui$dinfl Bi,rrrinn,
Other Fermltr. Multiple separate permits mra'p,be reqarired: []l State filectrrcal P'ermit,'lIJtor.sntT Otlfls Fermit.
iIJ ,rnethet p**mlt requlred fn+ use *n the prrrp€Jtl id"entifred aLreruB, F.E. 5t.ale or fsulltt HlShwty,,'ltoad rtcrerr
lrr .r sl* tfl w.rst+'"riiirl,lil Biri{:h'rrg* Fet rrri I .
sf the d;te af issuancs arnd if work il sr,rspen$ed or ahandcrned fnr r perind,nf lfitldrts a{iul cornnaencement,
EIrrFlcfiNilI
il hereb.rr reftsfy [,ha[: I have read this ApFlirat'c,n pnd that thr infsrnrati*n'rnniained abote is trut and c'nrrect, I
r*rndtrstarud that thr Fuildinn lli+irinn ar:rqflt: lhrAFplirttinn., tlnnE with thr.'Flanr;tn{-d rpr+ificatiqrr,rand flthqr dilior
,y{the,rubfiiittatrand.rpFrr}'rfli al thir fippllcatlnn. a, Bulldrng Per'nttr rtill b€ '*sued E[sntlrlB Feri]lr551ofl trr tn{, i5
fir.uncr, ts fonr.tru[t th{ sirL}flturEl:.1 .rnd {acilitrer deiaiF.ed nn [fie :ubnritta lr re,rie'*ed br, lhe Suildine t]iwtinn. ln
c+nr,idrrailian qrf thr ilrr.mncr nf ths Srrilding Fprrnit, lagr.s{ th;rt lflfltt m!'ilSr"'nie 'lrirll cnmpll with Frn'r"irs.rnl pf an,!
lederal. Llitlli,ur llr*irl lnw regrriirting. lhr: *.rrrk;rs'tli ll're tinrlitld CourrlX'Euih!ing{url:, I.}VJTS rrtgulirti*ltl;rrtd
spFl*rsbl* li:rrrj ule rEElrliltl'lns {f,*urlt1 ttqgulal,ion(rll. All fiountf deuel':glrnertl fequlril'rg a pEflnit, ercept'lrrs
irpidentlal usee;tre suhiect to Art'rcle I u{the Land Use and,L}flelopmgrrt ('s'ds. I atlnowledS;Fthat lft€ build,nf
iPsrmrt ma'li he sr.rsprnded nr reusterl, trFrn nutorE frnm the {rrunt'1" if thr'lnc;ti'pn, [$nt'lrttlt{sn ar ura $f the
applicable l*,.v.
it hereby grrant perrnlsslon to the $Lrlldi rq ,llrulsion [s BntEr thg FroFertv, rlF!{rih,€d ab'lvp, t'E ltlspeat thF ivork. I
frirrthsr arknowlBrln* thnt the il:n*nq* of thg €{,rldinF [qermit 6h1c"t n#t Frerent the Fuildinn fiffirial {r*n [n I reqttirinE
IrrurtureisI ur faritity{ier} ii rurh il ,irr ui*lrt.iurr ol E,rurrty n*Sulldti$rr{5} ur rrty rrlher,rpplir*hrlc lilu- lte'rieu *f tlth
AFplr{ailon, lncl'rrd tng +u hrnrr,tlelE, .rrrd rnrpectlons nf the r'*orh by the Hur ldinE nlulllofl do n'lt ,tt nstl{.ute s rl
frc(sfiiante a{ rErFsnlrhility *r l-ab'lit1, hl'the Coufitf of errnrt. smissi$ns, u1r disrreF*ncips. As the frrrner. I
rrre i*rrrl nif Juth*fixer:l it*ertil.. irr{.iludirlB nitffr*ul lirfiits'tlurt,rn,p ilrelriaec.t. deri#i*r, *riHirrEer arid/ or bulldrr.
I hereby
rprouided
ecknuwle'dEe thet I hdvE re,e'd endr undlersti{rd tfte
kh ir corrert snd arrura
Ourrer Prlnt end
Hutke .end fsrtiftcatlon ehoue, aq well aE' hilvg'
L
te to the 'best of mV knorrrledSe,
I d
nate
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{cndition*:set at*a 4e/ C2N b / T/ a/VSSps*irl
'HW:W 'ilY6V. as Mnnu. Homs Fss:
Fee+'rqb *|";rb"'qr EP Ho:EnE-qru-
,OWTS l{s:qefrQn+
Adlu-"-C Varluitlnl:r
1653 U,as
'*"'E:i'5nt?
conn.rlrhO lnninrr{rSeffie#sr ftEc Grouu, p L'
Ail'rr//r-BUil.D{!$G / FrAiJFilf{E DrfflSl,Ofi :;62e-29
Silnsd '[pprsual
f
Brte
Gur$cld Counly
BUILD]NG DEPARTMENT
108 Eiqhth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 94s-8212
PLAN REVIE W CHECK LIST
Permit No:BLRtr-of -15-?/Z6
Building lssues Pla nning/Zoning lssues
4vu &rffi
UND
1F
a
1..'
-.''
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review l-ist
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
h Conditions
Appl
Parcel/schedule No
40# Snowload Letter - Manuf. Homes
Building Height
Zoning sign-off &50
Road tmpact Fees P,l F N
t
e "^n
Property Line Setbacks
35 ft. Stream Setbacks
"/AbU 650 f
or"" I F Driveway P*^'ft(tffi
Surveyed Site PIan
Jt'Flood Plain
il
Eb
- 'u - Grade/ToPograPhY40%
Planning lssues
Subdivision Plat
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Description & Summarv:
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