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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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www.ga rfield-cou ntv.com
TYPE OF CONSTRUCTION
INVOLVED PARTIES
Demolition
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Property Owner:
Mailing Address:
Sherman Muller & Janice James Phone:, c/o , MDC Below
230 Overlook Rd Carbondale, CO 81623
Email Address:c/o Mata Design Co. Below
Manufactured Home lnstaller:NA Phone
Mailing Address
Email Address:
PROJECT ÐETAITS
BUILDING PERMIT
APPLICATION
Com mercial/Multi-Family
Manufactured Home or Multi-Level
ReroofResidential (SF, Duplex or Townhome)
Dwelling Unit - MAXIMUM SIZE OF 1,OOO FEET
948-1 890Phone: t97O I
P.O. Box. 10251 Aspen, CO 81612
beniasedgwick @yahoo.com
Contractor:L A. Sedgwick, Inc
Mailing Address:
Email Address:
Architect: Mata Design Co Martin Mata
P.O. Box 189 Carbondale, CO 81623Mailing Address
Phone:
Email Address . matadesign@mac.com
( 97O | 274-6011
Rakowski-Millard Structural Design LLC 404-248497Ò
Email Address:stevemillard. pe @ gmail.com
Mailing Address
Engineer:Phone:
2l2Yaquero Rd. Carbondale, CO 81623
AdditionCWRemodel/AlterationClass of Work:
Describe Work:New single family home- New driveway- New OWTS
Job Address:184 Clipper Place Carbondale, CO 81623
239 129 105 024Assessor's Parcel Number:
,uo. Stirling Ranch t-ot 24 slock
3,250,000 32.377ac
Owner's Valuation of Work: $
Sq. Ft. of Building:7693 gsf
Property Size (5q. Ft. or Acres)
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Garage:Attached
Height:23 tt
Detached
Septic:
OtherElectric
TNaturalGas
PropaneType of Heat:
ExemptDriveway
Permit:
PROJECT DETAILS CONTINUED
Community
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 mits. Multi ple 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 Hi ghway/ Road Access
or a State Wastewater Discharge Permit.
Void permít. 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.
CERTIFICATION
I hereby certify that I have read this Application and that the information conta ined 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 land my agents will
comply with prov¡s¡ons 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
des er, engineer a or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as we ll as, have
accurate to the best of my knowledge.
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Property Owner Print and Sign
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Soecial Conditions:
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Adiusted Valuation:
{tí,q,297, (É Plan Check Fee:
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PSrmit Fee:
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Manu. Home Fee:x/¡Fees:lF=
Total Éees:
ö5,1V9,65
Fees Paid:fer¿st.to
Balance Due:
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BP No:
BLRç- ê1t6
OWTS No; '
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Setbácks: tOU OCC Group:IBU Const. Type:tRC
Zoning:
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Date
BUttDTNG / PLANNING DIVISION
Signed Approval
Gørfteld CounQ
BUILDING DEPARTMENT
708 Eighth Street, suite 407, Glenwood
'púngs,
CO 87æ7
Tel: (970) 945-8272
REV EW HECKL T
Permit No: BtRE-fub-Zl- b%b
Pl a n n i ng I Zoning lssues
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Building lssues
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Engineered Foundation
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Property Line Setbacks
30 ft.Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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74çnt rivewav Permit
Surveyed Site Plan
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SeptiðRermit a nd Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Va luation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
PIan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowloàd Letter - Manu. Homes
soirs Report \\-VZZ4 k+ft
Description &Sumrnarv:
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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 iconnection 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 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
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Property Owner Print and Sign Date I
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