HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.cam
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
E Commercial/Multi-Family _ -
El Manufactured Home (Single or Multi -Level)
j 0 Demolition
❑ Residential (SF, Duplex or Townhome)
Reroof
INVOLVED PARTIES—
Property Owner: Wade Patton Phone: (
Mailing Address: 67 Lasso Ln. Silt CO 81652
Email Address: wpattnsd@yahoo.com
Contractor: Phone: (
Mailing Address _
Email Address:
Architect: Phone: (
Mailing Address:
Email Address:
Engineer:
Mailing Address:
Email Address:
Phone: (
Manufactured Home Installer: Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: remove asphalt roofing and re -roof with steel
Job Address:
Assessor's Parcel Number:
sub. 217905400624
Lot
Block
Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: 1490 Height: 12 # of Floors: 1
Class of Work:
Garage: • Attached
Addition
Repair J j Move/Relocation
❑■ Detached
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Septic:
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• Community
.OWTS
Type of Heat:
❑ Natural Gas ❑ Propane
[] Electric
pother
Driveway Permit:
J Exempt
^Permit #:
Authority. This application
or an authorized agent.
the Owner, must be
Legal Access. A Building
for a Building Permit must be signed by the Owner of the property, described above,
If the signature below is not that of the Owner, a separate letter of authority, signed by
provided with this Application.
Permit cannot be issued without proof of legal and adequate access to the property for
by the Building Division,
separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
for use on the property identified above, e.g. State or County Highway/ Road Access
Discharge Permit.
Permit becomes null and void if the work authorized is not commenced within 180 days
and if work is suspended or abandoned for a period of 180 days after commencement.
purposes of inspections
Other Permits. Multiple
(3) another permit required
or a State Wastewater
Void Permit. A Building
of the date of issuance
y ) 1 �/f v �lrsTis 1rff � �i•i 'P� Wit-ft
utd 4. d .; b f
1 hereby certify that I
understand that the
data submitted by me
completeness of the
permission to me, as
the Building Division.
comply with provisions
Code, OWTS regulations
Building Permit may
of the structure(s) and
other applicable law.
I hereby grant permission
further acknowledge
requiring the correction
construction or use of
applicable law. Review
Division do not constitute
discrepancies. As the
and County Regulations
designer, engineer and/
have read this Application and that the information contained above is true and correct.
Building Division accepts the Application, along with the plans and specifications and other
or on my behalf (submittals), based upon my certification as to accuracy. Assuming
submittals and approval of this Application, a Building Permit will be issued granting
Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
In consideration of the issuance of the Building Permit, I agree that 1 and my agents will
of any federal, state or local law regulating the work and the Garfield County Building
and applicable land use regulations (County Regulation(s)), I acknowledge that the
be suspended or revoked, upon notice from the County, if the location, construction or use
facility(ies), described above, are not in compliance with County Regulation(s) or any
to the Building Division to enter the property, described above, to inspect the work. I
that the issuance of the Building Permit does not prevent the Building Official from: (1)
of errors in the submittals, if any, discovered after issuance; or (2) stopping
the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
of this Application, including submittals, and inspections of the work by the Building
an acceptance of responsibility or liability by the County of errors, omissions or
Owner, I acknowledge that responsibility for compliance with federal, state and local laws
rest with me and my authorized agents, including without limitation my architect
or builder.
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.
1.„),,Ok
Property Owner Print and Sign
Date
Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Permit Fee:
00 —
Manu home Fee:
Misc Fees:
Total Fees:
IUD
Setbacks:
Fees Paid:
OCC Group: it
Baance Due:
RP No:
OWTS No:
Const
BUILDING / PLANNING DIVISION :
ype: IC
Zoning:
Signeal
P lop.00)cc., I1[4i
Date