HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
RECE|VEÞ Glenwood Springs, CO 81601
üËfi ,¡ $ ;,0'Íi ***.:'J,TL?Í:.-:"'"'í..","
GARFIELE C
COMMU
BUILDING PERMIT
APPLICATION
fl Commercial/Multi-Family Demolition
n Manufactured Home (Single or Multi-Level)
II Residential (SF, Duplex or Townhome)Reroof
Address: 72 Lupine Lane Parachute CO 81635
285-9379
RMSENT@msn..comEmail Address:
Phone:
Mailing
Property Owner:Bob & Judi Seidlitz
Emait Addrerr. I nfo @ Colorado Roof ingConsu ltants.com
379-7459contractor: Colorado Roofing Consultants Phone:
Mailing Address: PO Box 2371 GWS, CO 81602
Mailing Address:
Email Address:
Phone:arch¡tect: N/A
Mailing Address:
Email Address:
Phone:Engineer:N/A
Mailing Address:
Email Address:
PhoneManufactured Home ¡¡s¡¿¡¡s¡r N/A
Tear off one layer Laminated shingles - lnstall Owens Corning Oakridge Laminated Shingles.
10'
Lot
Height:
Job Address:72 Lupine Lane Parachute, CO 81635
Describe Work:
Owne/s Valuation of Work:q6500.00
Sq. Ft. of Building:2050
Assessor's Parcel Number:
Sub.Block
Property Size (Sq. Ft. or Acresf :
# of Floors:1
lJ trtew l_J Alteration LJ ad¿¡tion Repair
Garage:Attached I I Detached
I Class of Work:Move/Relocation
Electric
PROJECT
, Septic:OWÏS Community
Type of Heat:Natural Gas Propane Other
Driveway Permit:Exempt Permit #:
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below ¡s 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 propefi 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 L80 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIF¡CATION
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the information which is correct and accurate to the best of my knowledge.
Property Print and Sign Dete
I hereby certiff 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)). 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 Regulations rest with me and my authorized agents, including without limitation my architect
neer and/ or builder.
oFFrcu\rusE oNtYy,åùd tal aøl t e ü+#{+el *¡ 66.ao
Special Conditions:
TJU#J"'""'N\ IA
Misc Fees:Check FeeIAPlan
r\)Vîåiïaao0,".fr)ulluation:
BP Nó:
Ø1r'\tr-3dââ
owfS No:
L) )AooTotal Fees:'9l oo
Fees Päid:$/ôn.ø BalancevÕ Due:oo
ConstType:ffi.Zoniirg:
Prrs>
Setbacks:N'A (OCC Grouo:Avl ,
BUttDtNG / PIANNING DIVISION :
Signed Approval w:.ry