HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERMIT
APPLICATION
t*U4gttúffiü Development Department
108 8th Street, Suite 401
,i.,:,, I Glenwood SPrings, CO 81601
G ARr- tF.r-Ð c (j Jfrlol e45-82t2
'äù niir* "f nÈrywwnsflúiþld-counW.com
Com mercia l/Multi-Fami ly Demolition
Manufactured Home (single or Multi-Level)
I ReroofResidential (SF, Duplex orTownhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:Evelyn Schaller Phone: ( 970
)
261-7709
Mailing Address: 38 Aspen Way, Parachute, CO 81635
EmailAddress: N/A
Engineer:Phone: I I
Mailing Address
Email Address:
Manufactured Home lnstaller:Phone: ( )
Mailing Address:
Email Addressl
PROJECT DETAII.S
456-7122JNB Construction, LLC-Justin Birr Phone:970Contractor:
Mailing Address:506 County Road 294, Rifle, CO 81650
EmailAddress:j nbconst4567@gmail. com
Phone:(Architect:
Mailing Address:
Email Address:
Describe Work:Re-shingle over existing 1 layer of shingles, approximately 2500 square foot. lnstall roof
jack vents quantity 4-2",1-5".lnstall new drip edge and ridge cap. Roof has 6 existing attic vents.
Job Address:38 Aspen Way, Parachute, CO 81635
Assessor's Parcel Number:
Sub.
, Height:
Block
Property Size (Sq. Ft. or Acres);
# of Floors:_
Iot
Owner's Valuation of Work:
I sq. Ft. of Building:
of Work:New
Garage:Attached
Remodel/Alteration
Detached
DETAITS CONTINUED
, Septic:Community
Eleåtr¡c -Propane
mpt Permit #:
Permit:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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: (L) 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 dateof issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERNFICATION
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 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) orfacility(ies) if such is in violation of County Regulation(s) oranyother
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
er neer a 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 Ís correct and accurate to the best of my knowledge.
Natural Gas Other
l--.t'l':.:-.\
fj
Property Ownei and Sign Date
OFFICIAT USE ONIY
Special Conditions;
Adiusted Valuation:
trr ln Plan Check Fee:NIA Permit
$/nn
Fee:oo Manu. Home Fee;f\)/+Misc. Fees:
IÙ /A
Total Èees:
í/Ø Ø Fees Þaid:ín).M Balance Due:
ø ı."Ò
BP NorQW-HilÇ OWTS'No:
t\\lA
occ
bBUTTDTNG / PIANNING DIVISION :
Signed Approval Date