HomeMy WebLinkAboutApplication-
TYPE OF CONSTRUCTION I 0 Commercial/Multi-Fami ly
j D Manufactured Home (Sing l e or Multi-Level)
1 CJ Residential (SF , Duple x or Townhome)
I IN '{_OLVEf? P~RTIES
I
Property Owner: _µ....µ..._-!=~~~~1,1.......l.-..!:~~...J,._l..-..!....l.~~ I Mailing Address: -.. ! \ • 'l C L
I Email Address : CiCCl .\~e v<; €.\"\ '<::-Y"
D Demolition
[!] Reroof
i Contractor: d d T Tu \;'DC\ / ( -e Phone: tl]OJ (5/ lo -Lj \ d-'1
I --~ ~\ _) 1 I <'' \ \ _ I Mailing Address : \-(""'I ~:;?._ 'l A Q '---l, ~ ·1
: Email Address: A-~2-\2~_K;"'j\lc .@ov\~\ook ,tone
: ArcMtect' n I r\:. Phon., ! __ ,). _____ _
I Mailing Address : __________________________ _
j Email Address =---~-----------------------
Engineer \11 (A Phone:( __ ) _____ _
Mailing Address : _________________________ _
I Email Address: __________________________ _
Manufactured Home Installer: ....:.G--+i,\1->-C1..L----------Phone:( __ ). _____ _
I
Mailing Address:
Email Address: __________________________ _
i PROJECT DETAILS
I De~ribe~o~:~·~~~~~~~~~~~~~~~~~~~~~~~~~~· ~wQ \~~
ffi\ ?il' \\•vX?Jt ·r : y.('\ ~(_l .\·~~J..~ ~
I c J:Vl ~l:JI\ ~ ~·~t\··,/ Job Address : /"11...W-lll....<.UL._..:l...µ..!.<:µ4).t=.1.1...A.-J~;.L-.--L...-~~o!.l.!'..l.6....l-i.....,..L-l.-..).....L.~
Assessor's Parcel Number : C~f ~ .)r (i\.Yl\ ~· ul\J\
S\1\ )1 31 Sub. ___________ _ Lot ___ Block __ _
owner's Valuation of Work: $ _________ Property Size (Sq. Ft. or Acres):-----
Sq. Ft. of Building:-------Height:------#of Floors :. ____ _
I Class of Work:_ I 0 New I 0 Altera t ion I C Addition
I Garage: j 0 Attached
I 0 Repair
r D Detached
0 Move/Relocati on .
i PROJECT DETAILS CONTINUED
Septic:
Type of Heat :
O owTs
! 0 Natural Gas 0 Propane
0 Community
0 Electric O other
Driveway Permit: 0 Exempt []Permit#:~~~~~~~~-
: NOTIC E
Authority . This application for a Building Permit must be signed by the Owner of the property, described above,
1 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 Perm its. 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.
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
1 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 .
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; 01· (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
designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required inform tion which is correct and accurate to the best of my knowledge .
C . '· _ JL~ .J &H I dL.:kJ_ rK·{1 , b. c n
Property w er Print and s ·g n v Date I
8 OFFICIAL USE ONLY
Special Conditions :
Manu home Fee :
A
Misc Fee s:
A Permit Feeoo
~10 .
Total FeesOO Fees Paid :
~ 0()
OCC Grou p: c__
BUILDING/ PLANNING DIVISION '~ fl w~ I G-17./?=
c;r'T .............. I\ ......... ,.. ...... 1 n ...........
A 2 Z Roofing LLC
PO BOX 364
SILT, CO 81652
Name I Address
Craig Kohles
8606 Highway 6 & 24
Parachute, CO 81635
970-234-2036
Bill To
Proposed work to be completed :
To provide permit
I. To remove and haul away existing roof' t appro\ 180 0 \f te 1).
2. To i11stn l l 2"x2" drip tla ·hing <trouncl .;nure ro ofpernnet r .
3. ro in 1}111 Ti11111i11111 P. 'I e an I Water hi •id 6' 111 fr •111 c11\e:;.
4. l'u insta ll Fcltex yn1l1c1ic underlayrn ·11 ! l"l 1"1!111a i11 in g m 1:
5. To install 30 Year architectural shi11gles in color of choice .
6. To clean up job site.
7. To install piece of'?/16 0 .S.B. pl)1\ood as discussed
·~5 YEAR WARRANTY*
* EXTRAS $70 I hr plus materials to replace rotten decki ng
Proposal
Date Estimate#
10/10/2017 0129
We propose hereby to furnish material and labor -complete in accordance with the above specifications for the
sum of: , -· -;T"""\/'t c l) J
1\-> ~ ,CiuQJ_B,.__· ------
Any nltt!1111ion or devi<iLion from nbove specilicntions 111rnlving extra wsls \1iil :~e
cxecutcJ only upon wri11en order, 1rnd will bec1Jn1e cin e.xtn1 clrnr¥e O\i.'r 111id
above 1hc es1irna1e All a_greerne1us co111i11gt!nl l1po11 s1rikes, ~ccid ~11 1;; 01 d~l c\~ ~
beyond ou1 cont1ol
The above p11cc:s. spec1licat1ons rn1cl co11cl1l1011 s me S<H1s/"actory ;mcl <11e
hereby accepted . You are authorized lo do the WLllk as specillecl Payments
will be made ;1s outlined as ;illol'e
Phone# 9708764129
Total $8 ,900.00