HomeMy WebLinkAboutApplication - Approved6/23/2021 Application Review
https://records.garfield-county.com/forms/form/approval/b8a7cf13-9c13-4412-9abb-66fab574e27e 1/4
Building permit application
A valid email address is required in order to submit an application form online.
Application Date
Parcel Number *
Permit Type *
Project Address *
City *
Block
Lot
Section-Township-Range
Subdivision
Zoning
Applicant / Owner *
Mailing Address same as project
address?*
Owner's Mailing Address (Same)
Owner Phone *
Email Address *
Email Permits *
06/22/2021
217713400502
Sign
Building 2080 CR 352
Rifle
Enter in the following format: ##-##-## or ##-##-###
13-06-93
PA- Public Airport
Rob Holton
Yes No
Building 2080 CR 352
(Street, City, State, Zip)
(314)330-4554
rob@holtoncapitol.com
I would like the permit documents emailed to me.
Yes
No
6/23/2021 Application Review
https://records.garfield-county.com/forms/form/approval/b8a7cf13-9c13-4412-9abb-66fab574e27e 2/4
Representative (Arch, Eng, etc.)
General Description *
Sign Size (Square Feet)*
Illuminated *
Sign Type *
Upload Detailed Site Plan *
Upload Rendering of Sign *
PLEASE NOTE: Engineered drawings may also be required.
Base Sign Fee
Total Sign Permit Fee
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described
above, or an authorized agent. If the signature below is 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
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 work is suspended or abandoned for a period of 180 days after
commencement.
CERTIFICATION
Justin Hudechek
Please be as detailed as possible.
17' x 10' banner frame and banner signs.
Sign frame will be permanently fixed to the north face of
building and banner will be stretched into frame.
Sign section
170
Yes No
Wall
SIte Plan Rifle Aviation.odt 177.16KB
Upload Rendering of the Proposed Sign including Specifications.
Rifle aviation Banner HALF SCAL…431.84KB
Permit fees:
25.00$
195.00
(Base Sign Fee of $25 + $1 per square foot.)
$
Notice and certification
6/23/2021 Application Review
https://records.garfield-county.com/forms/form/approval/b8a7cf13-9c13-4412-9abb-66fab574e27e 3/4
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 Building Division. In 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 designer, engineer and/ or builder.
Acknowlegement
Signature:
Application Complete?*
Transaction Number:
Total Paid:*
Prefix
Assign Permit Number?
I hereby acknowledge that I have read, understand and
will abide by the requirements of the Notice and
Certification listed above, as well as, have provided the
required information which is correct and accurate to the
best of my knowledge.
Yes
No
Payments:
Q73T1SQMMA1
Please enter the transaction number from the online payment.
$ 220.00
Permit number assignment:
SIGN
Yes
No
6/23/2021 Application Review
https://records.garfield-county.com/forms/form/approval/b8a7cf13-9c13-4412-9abb-66fab574e27e 4/4
Permit Number *
Received By:
SIGN-06-21-6935
Sam Irmen
APPROVED BY: WADE PATTON DATE: 06/23/2021