HomeMy WebLinkAboutApplicationGørfield County Building perm¡t application
Application
A valid email address is required in order to submit an application form online.
Nofe; This application is ONLYfor projects located in Unincorporated Garfield County,
outside Gity limits.
Section-Township-Range
Application Date
Parcel Number
Permit Type*
Project Address*
Gity*
Block
Lot
Subdivision
Zoning
Applicant / Owner*
Mailing Address same as project
address?*
owner Phone*
Email Address*
Email Permits*
06t15t2422
212334404006
Roofing
305 Glen Eagle Cir.
New Castle
2
6
Enter in the following fowÊl: l+i-l+llll#
34-05-90
RIVERBEND SUB. 2ND.
PUD - Planned Unit
Development
Dustin & Ariel Holstein
r Yes No
508-333-6764
phil@stormkingroof.com
I would lìke the permit documenls emailed to me.
* Yes
No
Contractor* Storm King Roofing
Contractor's Phone* 6093305945
Representative (Arch, Eng, etc.) N/A
General Description*
Permit fees:
Pleâse be as detâilêd as poss¡ble.
Remove and properly dispose of the existing asphalt
shingles to the plywood deck. Fabricate and install 24 ga.
pre-flnlshed flashing per nranufacturers specifications.
Furnish and install Full lce & Water Shield at all eaves and
valleys. Furnish and install Malarkey Asphalt Shingles and
âssoÖlâted accessories per the manufacturer's
speciflcatlons. Furnlsh and lnstall all roof penetratlon
flashing to ensure a neat appearing and watertight
assembly. Clean up and properly dispose of roofing
debris.
Roofing Permit Fee $ 100.00
Acknowledge and Signature
Notice and certification
Cl¡ck on ârrow to to
Acknowlegement:
Signature
Notice ând Cedìfication
*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.
ffiarØa*.*
*
signed by the Owner, must be provided with this Application.
Légal Access, A Building Permit cannot be issued without proof of legal and adequate access to the
property for purposes ol inspections by the Building Division.
óther permits. Multiple separate permits may be required: (1) State Eleckical 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 1 80 days after
l\uthorit¡¿. This application for a Building Permit must
above, or an authorized agent. lf the signature below
be signed by the Owner of the property, described
is not that of the Owner, a separate letter of authority,
commencement.
and that the information contained above is true and correct.
the Applicat¡on, 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 þermission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals
iev¡ewãd 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 fiom 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 struclure(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 with federal,
state and local laws and County Regulations resi with me and my authorized agents, including without
I hereby certify that I have read this Application
I understand that the Building Division accepts
or builder.architect
i,rt1,' 11,,
i,:t j..i ii li ;/,.Ì | ,l¡
Payment Portal
Submission Complete?*
Onllne payment portal
r I hereby acknowledge that I understand payment is
collecterJ at the time of this form sr¡bmission. The section
below includes a link to the Payment Portal. I will not be
able to complete my submission without entering the
Transaction Number from the paymênt portal. I agree not
to submit the payment until I am ready to submit this form.
I am not ready to submit this form. (Please choose Save
as Draft)
Please click on the link below to enter an online payment. Once you have received the
transaction number from the payment portal complete and submit this form.
RETURN TO THIS FORM AND ENTER THE
TRANSA CTION NUMBER IN THE FIELD BELOW TO
PROCEED WITH YOUR APPLICATION.
Glick here to oÈÐ_Onltnc_Pêylnent Porta!
Transaction Number: *MTWNXGSNLlO
Please enter the transact¡on number from the onlìne payment.
ConfirmTransactionNumber:* MTWNXGSNLI0
Please re-enter the transaction number from lhe online payment.