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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) s4s-8212
www.ga rfield-cou ntv.com
Gurfield County
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Com mercial/M u lti-Fa mily Demolition
Manufactured Home (Single or Multi-Level)
r Residential (SF, Duplex orTownhome)Reroof
Accessorv Dwellins Unit {ADU)- MAXIMUM SIZE OF 1,000 SQUARE FEET
D5
INVOTVED PARTIES
Property Owner:
Mailing Address:
Melissa Mcpherron Phone 970 379-8743
238 Sundance Trail, Carbondale, CO 81623
Email Addresr. mamcpherron@gmail.com
contrector: Key Elements Construction Phone 970 963-5667
Mailing Address:1 '11 1 Village Way, Carbondale, CO 81623
Ema i I Add resr. rob@keyelementsco nstruction.co m
Architect: Bldg Seed Architects Phone:970 340-8211
Mailing Address: 417 Main Streel, Suite B, Carbondale, CO 81623
Email Addres' ramsey@bldgseed.com
Engineer:KL&A Engineers phone:(303 )384-9910
Mailing Address: 1717 Washington Avenue, Suite 100, Golden, CO 80401
Email Addres' ddoherty@klaa.com
Manufactured Home lnstaller Phone: (_)
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work: Earthwork, new deck, outdoor kitchen, gas firepit, new hot tub
Patio door replacement, melal pergola wilh retractable shade. 1,420 sf of work.
Job Address: 238 Sundance Trail, Carbondale, CO 81623
Assessor's Parcel Number:
,rO. Aspen Glen Flg #4
23931 9112017
Lot sD-17 Btock
'Owner's Valuation of Work: $324,062.15 Property Size (Sq. Ft. or Acres):23,885 sf
Sq. Ft. of Building:1,430 sf new deck Height:12',# of Floors: 1
Class of Work New r'Remodel/Alteration Addition
Garage:,/Attached Detached
TCWTS CommunitySept¡c:
OtherType of Heat:Natural Gas Propane E lect ric
Driveway
Permit:
mpt Permít #:
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.
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 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
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, includingwithout limitation my architect
de er neer a or builder
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I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
de the required information which is correct and accurate to the best of my knowledge.
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Special Conditions:
Manu. Home Fee:*/a Misc. Fees:ñ/A rmhimustAdiusted Valuation: .,,î'tn?zg,Ø Plan Check Fee:
I t?a,bl Permit Feel,fz?3,25
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BP No:OWTS No:
€oU*rurt r1/Total Fees:
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Fees Paid:
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Balance Due:
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Const. Type:
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Zoning:?UDSetbacks: I
B.E, olþ OCC Group:
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BUITDING / PLANNING DIVISION :
Signed Approval Date
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Gurfield County
BUILDING DEPARTMENT
708 E¡ghth
'tree,
Suite 407, Glenwood Springs, CO 81607
Tel: (970) 94s-8272
PLAN R EVIE WC HECKLIST
Permit No: tStPç-2fu4- bøíf
Building lssues
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Pla n n i ng lZoning lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fíre Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
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Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
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,VA
'/Zoning Sign-Off
N ft Road rmpact Fees minirnug
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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Descri otion & Summa
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Parcel/schedule No.
40# Snowload Letter - Manu
Soils Report
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Homes
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 ackn
checklist.
read, understand and will abide by the requirements of this
nd Sign Date
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