HomeMy WebLinkAboutApplicationGctúield County
Community Development Department
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fl Manufactured Home (single or Multi-Level)
fl Residential (SF, Duplex orTownhome)
INVOLVED PARTIES
n Demolition
fll Reroof
{970 r
261-8050
Property Owner:
Mailing Address:
Joel s \Mlliford
49 Cedar Circle Parachute Co 81635
Phone:
Email Address:jwillifordl 964@9mail.com
Contrector: Phone:
Architect: Phone:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
Engineer: Phone: (-)-
Mailing Address:
Emai! Address:
Manufactured Home lnstaller:Phone: ( )
Describe Work:Complete tear off of tile and under lining, replace tar underlining and new
shingles
Mailing Address:
Email Address:
PROJECT DETAITS
Job Address:49 Cedar Circle Parachute Colorado
Assesso¡'s Parcel Number:
Sub.Saddleback VLG FLG #1 tot 9 elock 21
Owne¡/s Valuation of Work:Property Size (Sq. Ft. or Acres):
1742 Height:11',f of Floors: 1Sq. Ft. of Building:
Class of Work:
Garage:
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Iattached
I Rlteration f] R¿a¡tion [lnepair f] uove/nelocation
I oetached
PROJECT DETAIIS CONTINUED
Septic:
Type of Heat:
Driveway Permit:
f]owrs
fluatural Gas
n rxempt
I Community
I Rropane I electric
nPermitf:
f]ottter
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the s¡gnature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Lesal 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 perm¡t required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Perm¡t.
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 Bu¡ld¡ng Division. ln consideration of the issuance of the Building Permif I agree that I and my agents will
comply with provisions of any federal, state or local law regulating the work and the Garf¡eld 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 locat¡on, 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 (21stopping
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 const¡tute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance w¡th 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 the Not¡ce and Certification above, as well as, have
to the best of my knowledge.
-\-l^\
and Sign Date
OFFICIAL USE ONLY
Special Conditions:
Adiusted Valuation:
\'..\ ln Plan Check Fee:r\ lA 'Si"Äl*Manu home Fee:r) /A Misc Fees:ú)D
lîó7T'oo '#5wu Qrrv-=Q(ilBP No:OWTS No:
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Total Éees:
$ I on.Õo
Const Tvoe:\ÐC,ffih'tSetbacks:
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BUITDTNG / PLANNtNG DTVTSTON
Signed Approval
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