HomeMy WebLinkAboutApplicationGørfield Coanty
Comm unity Development Department
108 gth Street, Suite 401
Glenwood Springs, CO g1601
(e70l. e4s_82t2
www.sarfield_countv.com
WPE OFCONS:TRUCTIOf\I
Comme rciallMulti-Family
Manufactured Home (Single o,r Multi-Level)
Residentiat (!F,Duplex or Townhom e)
Accessory Dwelling Unit (Aou)MAXIMUM SIZE OF I,OOO SQUARE FEET
INVOLVET' PARTTES
Property owner: Gobblers Knob LLC
I
Reroof
Phone:t97O I 379-8184
1602Maíling Address:
Address: awz@za_enr Email gineerin g.com
contractor: Top Gun Plumbing & Heatin g lnc.Phone: ( 970
)379-5781
Mailing Address' PO B OX 1197, Glenwood Springs, CO g1602
emalladfress:juliann @topgunplumb¡n gtnc.com Master lic: 1 8625 9 Contractor lic:gSS
Phone
Mailing Address:
EmailAddress:
Engineer:
Phone: I' Mailing Address
l
Email Address:
' Manufactured Home lnstaller:
Mailing Address:
Phone: (-_-)
Email Address:
PROJECT ÐETAITS
Describe 1¡or¡. lnstallation of 1 inch n atural gas line to boiler from meter
JobAddress. 16b1 Don egan Road, Gl enwood spr¡ngs, Colorado g1601
Assessor's parcel Number:
Sub.
218505100064
Lot 1 Block
Owner's Valuation of Work:(
Property Size (Sq. Ft. or Acres), Sq. Ft. of Building:Height:
Class of Work:ew Addition
OeiactreO
Arch itect:
BUITDING PERMIT
APPLICATION
Garage:Attached
Remodel/Alteration
2 acres
: PROJECT DETAITS CONTINUED
Septic:
Type of Heat:Propane
Community
El ectric
Permit #:
OtherNatural Gas
ExemptDriveway
Permit:
NOTICE
Authoritv. Thii application for a Building Permit must be sígned by the Owner of the property, described above, l
or an authorized agent. lf 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 Perm¡ts. 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.
'VoidPermit. ABuildingPermitbecomesnull andvoidif theworkauthorizedisnotcommencedwithinl80days
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 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 Build¡ng Permit does not prevent the Building Official from: (1)
' requiring the correction of errors in the submittals, if any, discovered after issuance; or (2llstopping
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.
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.
Anthony William Zancanella 12t22t2021
Property Owner Print and Sign Date
oFFrcrArusEoNtY ?a * roc).èê eJKtÚ lSloÔ tz/tè/2Þzr a!ftx)
Special Conditions:
Adiusted Valuation:' ¡,1 /*Plan Check Fee:'"ö7ïä!æ Manu. Home Fee:F/*Misc. Fees:
Total Feei:
4toon
Fees Paid:
$ loo.æ
Balance Due:
,ø
BP No:
?aoF - 7 zgÍ OWTS No:
NA
Setbacks:OCC Group:'l rLc.
Const. Type:
IAC
Zoning:
&v lL,. L
tdz/,¿aBUITDING / PLANNING DIVISION
Signed Date