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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ole4s-82L2
www.garfield-counW.com
Gurfield County
BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Family
Manufactured Home (Sinele or Multi-Level)
T IResidential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MÆflMUM SIZE OF 1,000 SQUARE FEET
phone:{480 }710-5515Whitney Erickson
51 Sopris Ave Carbondale CO
Property Owner:
Mailing Address:
Emait Addresr. Whitiaye@Gmail.com
contracror: Groth Construction Services (John Groth) phone: ( 970 ) 379-9121
Email Addresr. Grothconstructionservices@outlook.com
Mailing Address 4264 CR 117 Glenwood Springs CO
Phone:Architect:
Mailing Address:
Email Address:
Phone:Engineer:
Mailing Address:
Email Address:
Phone:Manufactured Home lnstaller:
Mailing Address:
Email Address:
add shed roof off of existing home for patio coverage'
owne/s valuation of Work: S {6t tl-O Property Size (Sq. Ft. or Acres}:
Job Address: 51 Sopris Ave Carbondale CO
239328313014
0.41 Acres
lot Block
Describe Work:
Sq. Ft. of Building:2464. (Sao *,rò Height:fr of Ftoors:2
Assessor's Parcel Number:
Sub.
Class of Work:ew Remodel/Alteration
PRO'ECT DETAIIS GOilTTNUËD
Septic:T )WTS Community
Type of Heat:Natural Gas Propane I Electric Other
Driveway
Permit:
Exempt Permit #:
NOTICE
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 is 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 Permits. Multiple separate perm¡ts 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 afiter commencement.
CERTIFrcANON
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 o.n 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 const¡tute 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
provided the required information which is correct and accurate to the best of my knowledge.
Whitney Erickson, DNP, RN, Dig¡tallvsisnedbvwhìtnevEr¡ckson'DNP'
cEN åÏi"lIrr.*.,, r0:2e:2r-06'00' s/17/zozz
Property Owner Print and Sign Date
go.j, c.c.OFFICIAL USE ONTY ¿z
Special Conditions:
Manu, Home Fee:
tUA
Misc. FeesN/AAdjusted Valuation:
þ944/l Ø Plan Check Fee:q/), 5/Permit Fee:-/l?.4
/1q,25
Balance Due BP No:
BLRS-?543
OWTS No:-- x7¡,"rü:;'à Zé+# lt
Fees Paid:
4 Qo.sl
Const. Type:
l. R. .C.uZoning:
Ê.
Setbacks:OCC Group:
I Ro
BUtLDTNG / PIANNTNG DIVISION úul,@
Gwrføetd Cowmty
BUILDING DEPARTMENT
708 E¡ghth Street, Suite 407, Glenwood Spr¡ngs, CO 87607
Tel: (970) 945-8272
P[.AN REVIE WCH EC KLIST
Permit No:øLe7-06-Z-76/a
Building Issues Pl a n n i ng /Zoning lssues R,il,
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Nlotes
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
Property Line Setbacks
3û ft Stream Setbaeks
Flood Plain
Building Height
Zoning Sígn-Off
Road lmpact Fees
^/ft
Descri
Gradel TopograPhY 40%
Planning lssues
Subdivision Plat
tion & Su a
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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 Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the 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 acknowledge I have read, understand and will abide by the requirements of this
checklist.
Whitney Erickson. Disitallvsisnedbvwhitnev
DNP,RN,cEN iiïllliiii!'Tol5Ï,,-ou*'
Property Owner Print and Sign Date
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