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Home My WebLink AboutApplicationc:e· Garfield Coq~ I Community Development Department ~ 108 8111 Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION D Commercial/Multi-Family D Demolition D Manufactured Home (SF or D ~_e lex} __ L El Residential (SF, Duplex, or Townhome) El Reroof I INVOLVED PARTIES Property Owner: _K_e_ri_J_en_s_e_n _____________ Phone: ( 970 )~~ 9740 work Mailing Address: 6434 CR 309 Rifle Co 81650 970-216-9874 cell Contractor: Colorado Maintenance Group Phone: ( 970 )_6_25_-4_0_5_o __ _ I Mailing Address: P~x 152 Rifle Co 81650 Architect:-------------------Phone:( __ ------- Mailing Address:----------------------------- Engineer: ___________________ Phone:( ___ ------- Mailing Address: ____________________________ _ I Manufactured Home Installer: ____________ Phone :( __ ------- Mailing Address:----------------------------- PROJECT NAME AND LOCATION Describe Work: Re roof garage. Install new 30 year laminate shingles and new underlayment. Job Address: 6434 CR 309 Rifle I Assessor's Parcel Number: Sub.---------Lot Block __ , Owner's Valuation of Work: $_6_34_1_·0_0 _______ Property Size (Sq.Ft or Acres):----- Sq.Ft of Building: ________ Height: ______ #of Floors: _ --' ic;; ·an D Repair ro Move/Reloca~ l!J Detached Class of Work: D New I D Alteration l 0 Addit1 i Garage: D Attached ----Septic: El JSDS D Community Type of Heat: ---r-D Natural Gas D Propane f D Electri-c -D Other -Driveway Permit: D Exempt D Permit#:-------- - NOTICE ----, Aut hori ty. 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. Lega l 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 ISDS 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. V old 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 1 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 . Assumi ng 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, ISDS 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 Regulation s rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or builder. _J 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. Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: 00 Manu home Fee: Misc Fees: FeesP 'd: OO 1>100. Setbacks: OCC Group: fl BUILDING/ PLANNING DIVISION: ~fl. (J li.~.J,.{ .;; Signed Approval Date ! I I . I I I eld County : D Demo lition (!] Reroof . ontractor: Colorado ei~tenance Group ailing Address : ?O ox 1152 Rifle Co 81650 Phone: 1 910 )_e_2s_-4_o_s_o __ _ ailing Address: --T---;.------------------------- -----;;--.:-.. ____________ Phone:(_) ______ _ : I I anufactured Home I staller: ____________ Phone: ( l .__ __ ' I ob Address: 6434 C~ 309 Rifle _______ Sub. ----~---Lot Block ---------Property Size (Sq.Ft or Acres):----- q.Ft of Building:_..,_ _____ Height: ______ #of Floors: _____ _ 0 Alteratlon 0 Addit ion D Repair CJ Move/Reloc~tlon GI Detached D Community D Propa n e 0 Electric D Other · riveway Permit: [J Permit#: ______ _ 3::lN';;IN31Mitt~1 oa1;;1cio100 060t>SC:c:l0L6t <:0:00 9t0Z/lt /t>O I ereby certify that I ha re'.ad this Applicition and that the information contained above is true and correct. I nderstand that the Buil ing : Division accepts the Application, along with the plans and speci fications and other ata submitted by me or on hiv behalf (submlnals}. based upon my certification as to accuracy . Assuming mpleteness of the sub ltt~ls and approval of this Application , a Bull ding Permit will be Issued granting ermlssion to me, as OW er,~to construct the structure(s) and tacllities detailed on the submlttals reviewed by the ulldlng Division In cons der~tion of the issuance of the Bullding Permit, I agree that I and my agents wlfl comply ith provisions of any fe er.\I, state or local law regulating the work and the Garfield County Bulldlng Code, ISDS gulations and applicab~e lahd use regulations (County Regu lation(s)). I acknowledge that the Building Permit ay be $USpended or revoke'.d, upon notice from the County, if the location, constru ction or use of the 5tructure(s) nd facility(les), describe~ a~ove, are not in compliance with County Regulation(s) or any other applicable law. hereby grant permissior'I to~he Building Division to enter the property, described above, to inspect the work. I rther acknowledge that thf issuance of the Bu!ldlng Permit does not prevent the Building Official from . (1) quiring the correction ~f e~rors in the submlttals, if any, discovered after Issuance; or (2) 1topping construction ruse of the structure(s~ or facility(ies) if such Is in violation of County Regulat1on(s} or any other applicable law evlew of this Applicatio , i~cludins submlttals, and inspections of the work by the Building Division do not onstltute an acceptanc of responsibility or liability by the County of errors, omiss ions or discrepancies. As the , wner, I· acknowledge t at r~5pons bility for compliance with federal, state and local laws and County Regulatlons st with rne and my au r1Fed agents, including without limitation my architect des18ner, engineer andt c,, uilder. r th t I have read and understand· the Notice and Certification above as well as ' uirtd information which is correct and accurate to the best of my knowledge. Pl n C~edc FH: I I f IH p'_ald: I I I i Permit Fee: Balance Due: Date Manu home Fee: Misc Fee$: ~: Const Type: Zoning : UILDING/Pl.ANNING DI l.SION :------------------ ' Signed Approval Dare i I I I I 2:0/2:0 39ttd 3:JM~N31MitlN OGttC:I010:) 060Mo2:90L6 t