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HomeMy WebLinkAboutApplicationApplication Form
Garfielil County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
l970l s4s-82L2
www.garfiel d-county.com
PARTIES
Property Owner:
Mailing Address:
Blue Mind LLC
.,'a.t
a ,:..
m
' t\:t:c5 r$
919 349-2980Phone:
5190 Upper Cattle Creek Road
Email Address:Sheldon @coloradoextreme.org
contractor: Javier Martinez pnone: ( 970
)
379-7398
Mailing Address:
Email Address:
Architect:Kay Park Recreation Phone r 866 t741-8266
Mailing Address 1301 Pine Street, Janesville, lA 50647
Email Address:chad@kaypark.com
Engineer Precision Structural Engineering p1ron.. 1440 \349-1204
Mailing Address 3'1340 Solon Rd 26, Solon, OH 44139
Email Add ress: Pfectsloneng.us
Manufactured Home lnstaller Phone: (
Mailing Address
PROJECT DETAILS
Describe Work Temporary installation of 10-row Towable Aluminum Bleacher, 30' length
Bleachers will be utilized for a l day event and then removed
Job Address:2340100 County Road, Carbondale, CO 81623
Assessor's Parcel Number:239336400278
Sub.Lot Block _
Owner's Valuation of Work: $$15,000 ($lZlsrx 13,000 sf Property Size (Sq. Ft. or Acres)69.749
sq. Ft. of Building: 1'300 (bleachers in place) Height:# of Floors:
Class of Work:New Alteration Addition
Garage:Attached Detached
Email Address:
Colorado Fxtreme I ArnendcrJ l.'rrd lJse fltarrc;e Pernril Applir.ation
2
BUILDING PERMIT
APPLICATION
Demolitionu lti- FaCommerci
Manufactured Home or Home or Multi-Level
ReroofResidential (SF, DuplexorTownhome)
Accesso Dwel Unit - MAXIMUM SIZE OF FEET
l
ral Gas
DHMDESIGN.COM
Driveway
Permit:
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Propane Electric Other
pt Permit #:
NOTICE
Authoritv. This application for a Building Permit must be signed bythe 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 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
ofthe date of issuance and ifwork 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)). All County development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building
Permit may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe
structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other
applicable law.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 nqtppngtl|g\e,an
acceptance of responsibility or liability by the County of errors, omissions, or discrepancie!.rAAfr{dUr6n*er, 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 andl or builder.
I hereby I have read and understand the Notice and Certification above, as well as, have
provided the which is correct and accurate to the best of my knowledge.
Property Owner and Sign
1?t I l|2024
Date
F;,t ( v-- \0- \s.aAOFFICIAT USE ONLY \
Special Conditions:
.esPermit Fee:JLS Manu. Home Fee
\J IA
Misc. FeesAdiusted Valuation:\4.ool oo f{l'Plan Check\?4.
BP No:
RTn.Qo,s
OWTS No:Fees Paid:
Aet.uto
Balance Due:e-t{!5+.to\eTotal Fees:
t"Ur,OCC Group:€onst. TypeSetbacks:
BUILDING / PLANNING DIVISION
DateSignApproval
(z-12
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