HomeMy WebLinkAboutApplicationGørfield Cownfit
RECEIVEômmunity Development Department
1o8 8th street, Suite 401
$þ"f) I 'i 2CIT{1 Glenwood Springs, co 81601
GARFIELD COUNTY P7O194.5.82T2
COMMUNITYP¡Y6¡gP[46W
BU|TDING PERM.IT
APPTICATION
f--l DemolitionE Commercial/Multi-Family
E Manufactured Home (Single or Multi-Level)
lZ, Residential {SF, Duplex orTownhomei Reroof
owner: Nella Barker & Gregory Valunas pr,on", (970 )319-8883Property
lç-i,r.f
1973 Cou Road 210 Rifle, CO.81650Mailing Address:
Email Address:
Phone:Contractor:
Mailing Address:
Emai! Address:
Phone:Architect:
Mailing Address:
Email Address:
Phone: ( )Engineen .41u
Email Address:
I
Mailing Address:
206 301 COUNTY RD, PARACHUTEJob Address
Assessorr's parcet Numbe r. 240707103001
sub. GREEN SUB-DtVtStON
7000
[]'
Addition
I Rttached
Phone:
New
Describe Work:Replace roofing underlayment and shingles
tot 1
of Work:
Move,/RelocationtRepair
1240
Alteration
Heightr
Detached
Property size (sq. Ft. or Acres): 21780 Sq' Ft'
slock 1
Manufactured Home lnstalle rr.4//C
Mailing Address
Email Address:
Owner's Valuation
Sq. Ft. of Building:S of Floors: 1
Class of Work:
Garage:
Community
! rt".trt.l-lo*rer
Permit #:
I herebv acknowledge that I have read and understand the Notice and Certification above, as well as, have
accurate to theprovided the red information ls
Éî.,¿ r4S
P Owner Print and Sign
*"iï,';"1;'"å
Date
PropaneNatural Gas
Driveway Permit:Exempt
owïs
ln
Septic:
Type of Heat:
Authoritv. This application for a Building Permit must be signed by the owner
or an authorized agent. lf the signature below is not that of the Owner, a sepa
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 worl< is suspended or abandoned for a period of 180 days after commencement.
of the property, described above,
rate letter of authority, signed by
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
data submitted by me or on my behalf (submittals), based upon my certlfication 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, lagree that land my agents will
comply with provisions of any federal, state or local law regulating the worl< 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 facll¡ty(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 Builcling
Dìvision do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acl<nowledge 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
contained above is true and correct. I
the plans and specifications and other
des ner, engineer or builder
Special Conditions
Misc Fees:Manu home FeeN/APlan Check Fee:Permit Fee:Adjusted Valuation
BP No:
Q_ooF <ufv
OWTS No: . A
-N//+
Balance Due;
ffiê:
Fees Paid:
6po.,n
Total Fees:
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Const Type:T-tLOCC Group:tL(Setbacks:
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Date
BUILDING / PLANNING DIVISION
Signed Ap