HomeMy WebLinkAboutApplicationApplication Form
FjjM7G_arfie1d County
Community Development Department
108 8`h Street, Suite 401
Glenwood Springs, CO 81601
(970)945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
0 Commercial/Multi-Family Q Demolition
Q Manufactured Home or Tiny Home (Single or Multi -Level)
Q Residential (SF, Duplex or Townhome) Q Reroof
Q Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARTIES
Property Owner: Blue Mind LLC Phone: (919 ) 349-2980
Mailing address: 5190 Upper Cattle Creek Road
Email Address: Sheldon@coloradoextreme.org
Contractor: Javier Martinez Phone: (970 ) 379-7398
Mailing Address:
Email Address: lavier91680@gmail.com
Architect: Span -Tech Fabric Building Systems Phone: (866 ) 741-8266
Mailing Address: PO BOX 2000
Email Address: 609 Main Street, Houghton, IA 52631
Engineer: High Country Engineering, Inc. Phone: ( 970 ) 945-8676
Mailing Address: 1517 Blake Ave Suite 101, Glenwood Springs, CO 81601
Email Address: mikeg@hceng.com
Manufactured Home Installer: Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: Installation of a prefabricated Long Span Structure: 72' width, 160' length and 33' height
Job Address: 2340 100 County Road, Carbondale, CO 81623
Assessor's Parcel Number: 239336400278
Sub. Lot Block
Owner's Valuation of Work: $ 1138.240 ($12/sf x 11,520 sf) Property Size (Sq. Ft. or Acres): 69.749
Sq. Ft. of Building: 1 1,520 Height: 33' # of Floors: 1
Class of Work: Jj
New ❑Remodel/Alteration Addition
Garage: NSA El Attached El Detached
Colorado Extreme Building Permit Application - Long Span Structure
2
PROJECT DETAILS CONTINUED
Septic: nOWTS
Type of Heat: L�Natural Gas
❑Community j
❑ Propane ❑Electric ❑Other N/A The
l
LSS will not
be heated
Driveway ❑Exempt ��Permit#: CJW 23-D-0D-0
Permit: _
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If 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 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.
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. In
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
1 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, 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 I
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 designer, engineer and/ or builder.
I hereby acknowled that I have read and understarl the Notice and Certification above, as well as, have
provided the r\(red info mation which is correct and ccurate to the best of my knowledge.
Xn i d.- \ 11 /12/2025
Property Owner Piirtand�n Date
OFFICIAL USE ONLY
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Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Permit Ffte:,,
Manu. Home Fee:
Misc. Fees:
Total Fees
s
Fees Paid
Balance Due:
SP No:
OWTS No:
r 1
Setbacks:
OCC Group:
Const. ype:
Zoning -
� 74 2X
BUILDING / PLANNING
DIVISION:
Signed proval
Date
Colorado Extreme I Building Permit Application - Long Span Structure
3
Ile, Garfield County
BUILDING DEPARTMENT
108 Eighth Street Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit Ho:3uw ice. zs-vcoa --
Building Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach List of Required Inspections
Subdivision Plat Notes
Fire Department Review
./
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcel/ Schedule No. I
tjA 40#Snowload Letter-Manuf. Homes
t3 A Soils Report
Planning/Zoning Issues
Property Line Setbacks
J
35 ft. Stream Setbacks
KJ A
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
�A- Subdivision Plat
Description & Summary:
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