HomeMy WebLinkAboutApplicationEGarfield Comm),
Community DevelOprnerlt Department
108 10 Street. Suite 401
• Glenwood Springs, CO 8.1.601
F970I -8212
OF cQNSTRUCiiOFi
Corm) I/Multi•Family
Mantiiuctu red Home (Siciglt or M uF#I-Letirel
Residen tiar ASF, Duplex or Town6gme)
ACcessuryr Dwelling IJrSik rAD uJ - MAX !Komi! Si p OF 1,000 SQUARE FEET
ED PARTITS
ik
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BUILDING PERMIT
APPLICATION
n E}emolition
Reroof
Property au.iirier o � qq,)
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MMIi Addres ' `{ 1 +\' (' — l z
Email Address:
Coa�tract�,r: D I ti I EQrp Ir7C_
Mailing Address:
Email Address:
Architect_
i9 Nadive Spfrtig$ dr, .Fime r
mlks.unhoorpUomnlP
MaiJini AdrJ rfiss;
Email Address:
E►rtieNer;
Mailing And rest;
6rtMail Add r N7;
Rl.nnc; I qj -9
Phone: {
Phone! L. f
M1nufactured Home In3ta Ifer' _ _ Rhone: {
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Wang Ad dresx;
anal!! Address:
EcT DETA,1ES - -
De1Oribe WeirIr! Unicorp will tare of old roof and install new dry in material Install new 31
Job Address: 34 E$II'FOr C-t, Siii CO 431 ESF
AssMor's Parcel Humber:
*Sub- _ Lot _ _ Black
Owner's Va lu ntiun of 'Work! $ aJ.oGD Pro:perty. Si ae I Sq_ cm -Acres)! . 5_
Sq. Ft. of Suildfng: Height: 0.1 of Floors;
ad55 cf W rk: Fl New
iil$rage- Attach -:I
Jflemode vAitEration EA{Jditivn
Detached
PRIJEC7 D•ETAILSCOWYTINIJEC]
5+`ptic: "{IV�Irs
T1
Type or Heat: f lr asi,ra I Gas
f}ri4rE�Wa�r �EslBntipt
Permit;
NOTICE
Propane
Community
1 Electric
[1Permit:
Other
1
Authi.rli, 1 h i, application f i A Building. P: !•rmit must hM signed by tilt~ Owner of 1 he propertpr described above
or an autt5oci.mkd agent. II the signature below Is not that cif the Owner, a separate letter of authority, Signed by
the Owner, must be provided 1his 4pp?ic.tion.
L-e a I Access, A Building permit ? nr of be eiy.ie J without proof of legal and adequate, a' cess to the property for
purposes of inspections by [he enabling Division.
iVt r P enmll s_ Multiple sE.•p„ 7' ate �rermlt5 'ray be required; { t) State r Ii •ctrical permit, 1.54 ands it permit required for I, . nn the !wooer tyidentified fCountyOWT' ices
ed above, r.. state or County Wigh44dk/ lkrtad 4oCe85
or a Stdte'rYass e+uater Discharge Poi mit.
Void Permit. A Building Permit becomes n i dl and void if the work authorized is not commenced within? 18O days
of the date of issuance and if work k 5t'spended or Abandoned for a period of 181] days after Commencement.
CERTFF1C,b,71Dp+ -
hereby ref; ify that I. have r Lead this Applkrotion and Chi t the in for -. J
u nde,rcfia l Id t;,a( t1rt: Building Dnnsiti�l I ar:cel 11 � 1 he Application, I�'i�t �or1 c�rlta� �ti�d above 15 true and correct, l
;;long wish the plans and Specifications and other
data su bin; [I L'd by me 01 UR my bti calf f su bmrttal5), bo,sed uponi my certification as to accuracy. Assu mine,
CGmplete c r.., Or the submittals no ;.•• d of this Applio kior4, a Burlrl iryr Permit wIll be issue
permission to �n t!, as Own. r toten:,; rs1 structu rei.0 arid I �r d' granting
; nd facilitie,. detained on ;he submittals reviewed by
th.e Building Division. In c ,rl,Ikeration of ay.! issuance of tht Building Permit, I agree that I and idyl agents w1i11
' comply with provisions of Any lederil, 5ka Ioml law regulating the work and the 'Garfield County Building
Code, (WTS r elations and ippIicable land use regulations 1Cournky Regulation[5)J, I acknowledge that the
Building Pero p may be susperidcta or revoke,d, upon notice rrorri to Covnty, If the location.. construction or use
of the �rt:c+.I a ersl and facilitA;es]. Iycrri b. •r; above, are not in compliance with C unty Re .ula ti n;s f or any
other applicable law
I hereby gr,i ni perm Is.IOn. t.0 the Building Division to enter the properly. described above,. to inspect the work. I
further ack,',rwlctdge that the i':Suance of the Bt'elding Permit does no prevent the Building Officia; from; f 1]
requiring (rao corre.cEiprr of hrrcrs III Jr[7ul rnmittal s, If any, discovered ,,'ter issuance; or [2I' stopping
c nstruELICW, 011 ''se cif the 5kri'c[ine;sJ or fziciliky(ieQ if such Is itI wiaiation of County ufationfs) or any other
dpplicabl,� law. Review cif tltils AripIrratitm, Including submittalls., and inspections of the work by the Building.
' Divlslorf do out constitute an ;I cuing nce of responsibility or IIabifity by 1 his C unty of errors, omissions or
discrepo nc;os_ As the Owner, I act nowledga that responsibility For con ipllan a with federal., rat, state and local Taws
and try ti fit i' Aegula tloris rest with I n),- :and rrly,a u1 hr�rrzcd agent, Ir tied' ng without limitation Illy ,�rcr itprt
g t•ryfineer and/ or I-IJiidre.
I hereby acknowledge that I have r4 ad and understand the Notice and Certification} abc i., as well as t4ve
prodded ri • required Inform -ilia! w!lich i4 correct and sr:curake to task- bast of my knowledge,
PrOperit+y Chwr-er Pr ink and Sign - -
I Date
rrM.I14L IJSt IJINLY
SpecksI Conditions!
Ad Juste-d V a Ph n Chock reef Permit ms._ ,
$100.00
Total Fees:
$100.00
Fees Bald:
$100.00
SetLicks;
IBalance Due;
OCC Group! IRC
$0.00
Man u_ kliwne Fee_
Misc. Fees:
6P ?Jq;
ROOF-01-21-6644
O is Np_
anst hype: IRC [,nIn:
RURAL
C
841ILDLNt / et AN NING
Yll. $1UU.UU, LL, 1/12/2U21
?igned Approval Date
01/12/2021