HomeMy WebLinkAboutApplicationGarfield CounE
Community tloælopment ¡lepartment
108 8d' Street, Slite 4ll1
Glenrrood Springs, CO 81601
leTol!t4H212
www.garfield<ounty.com
BU]LDING PERMIT
APPLICATION
TYPE Of €flf{Srnucllot{
Mânsfectüred llome or Mu
Residential or Reroof
Unit -M¡txtMUñtSIZEOF FEET
rftnowEDPAf,nEs
17 LOCi.JST WAY BATTLFMENT MÊSA CO 81ô35
Anfiiteet:
Émail Äddrcss.
Enrineer:
EmailÂddress:
David Andrews
CMG
PO BOX 152 RIFLE CO 81650
lohn@cmgus.com
Pfto¡n: f
Phone: I
I
!Phone:{
P[¡one: r 97q4565262
phone:1 97S254050Contrãrctor:
Manufactr¡red Home ln¡taller:
MailingAddrcso:
MailingAddre¡s:
PrcpertyOryner:
MailingAddress:
Emai! Address:
Mai[ngAddrecs:
EmailÂddrss:
MailingAddres:
EmailAddre¡s:
PtolÉcTDEfAlls
kNew
REMOVE FXISTING ROOF, INSTALL NEW DRY IN AND 30tle¡cribe Wort:
YEAR LAMINATË SHINGLËS
lob Address:17 LCI T WAY BATTLEMENT IvIESA CO
A$esÉorrrparceltrtumber: 2{-C1 ttZ l1 OO3
Sr¡b. S-rox€ R¡pG€ rot 3 Ebck q
Or¡me/sValuatio¡ of Work I $18C1û.00
Sq. Ft of EuiHLtg:3.at 4 Heiglrt:N/* ðor
Clâss of Wodc Remodel./Alte¡'ation
PropertySize (SC. ft orAcresl:
DetachedGarage:Attached F¡
lorc{Lú
PNO'ECT DETAI1IS GOi¡NtlUED
Otherfledric
Se¡rttc
TypeofHeat:
Pernnit #:
Fropane
Orirrryay
Pemit:
J
G¿s
{-\
ftoÍcE
Authoritt . This applícation for a Euilding Perm¡t must be sigoed by the Gwner
or ån authorized agent. lf tire signature belor¡¡ is not that of th€ Gn¡ner, ã sepatãÈe letter of authority, signed by
the Oürner, must be provided with thisÂpplicatíon-
tcçal Aßce$. A Euilding Perm¡t cannÐt be issued w¡thout prool of legal and adsquate acc€ss ts the property fer
purposes of rinspections by the ßuildiog Ðivision.
Olher Fennits. Mu{tiple separate pennits rnay be required: {1} Stãte Ëlectricat Fenvrit, {2} County OWTS Perønit,
{31 ¿*other pêrmit requ¡red for u¡e on th€ property identified above, e.g. State or €ounty Highu¡¿Vl Rcad Acces¡
or a State Urãsterøater Ðischarge Permil-
VdC permit" A Br.uilding Pesnit becomes n¡.¡ll and void if the work åuthorited is ñot cotr¡m€nced within 189 days
of tlhe date of ]ssuance and if work is suspended or abaÊdoned for a period of !8O days after conltlrencetn€nt.
of the property, de¡cribed above,
CERNHCANOil
I heneby certify that I t¡¿ræ read this Application and that the inforrnation contained above is true and correct" I
understand tNr¿t th€ Euilding Division âccepts the Âpplication, along with the plans and specifications and other
data s,¡¡bmitted by me or on rny behalf {submatta,s}, based upon my certifkatiorî as to accuracy. Assurning
compieteness ol the submittals and approval of this Application, a 8uilding Fermit will be is¡,ued graßtiîg
pernríssìon to rne, as Owner, to construd the structure{s} and facilities dêtailed on the submittals reviewed by
the Suilding Diuisior¡. ln consíderation of the lssi¡ance of tfre Euilding Permit, i agree that I and rny agents will
cornply yiritlì prov¡sions of any federal, ståte or local law regulat'ing the work and the Garfield C¡uñty Building
Code, OWTS neguåatlons and applicable land use regulations {Counry fiegulation(s}}. I acknowledge tt!ãt th€
Building perm¡t rnay be surpended or revoked" upon nôt¡ce from the Count¿ il the locetion, constr¡Jction or use
of the rtructure{s} and facil,ity(ies!, described above, are not ¡n €ompliance with Cûunty Regulation{s} or any
other applicable law.
I herebv grãrìt perrniss¡rn to the Building Ðivision to enter the property, descríbed above, to inlpect the wor{<. I
fi¡r"ther acknowiedge that the issuance of the 8uilding Perrnlt does not prevent the Buildång Official from: {1}
req.jtir:¡ûß tlie crrreclüo.å of errors in tl¡e subrnittals, if any, dircovered after issl¡ance; or {2} stopping
j constnlction or üse of the structure{sl or facility{ies} if such is in violation of County Regulation{sl or any other
i applicable law. fleview of th¡s Applicåtion, íncluding subrnittals, and inspections of ttre tuork by the Suildiag
i Oivislon do not const¡t¡;le ãn ac€eptãnce of respocsibilitV or liabilíty by the County of errors, omissiocs or
i discrepanoies. ås the Owî€r, I acftnorøledge that responsibility for cornpliance with federal, state and local l¿ws
, and Couøtv Regulations rest ur¡th me and my authori¿ed agents. including without limitatior¡ my architect
, desiener, e¡¡ßineer andy' or builder"
I here$y aclnowledge thãt I haue read and understand the flotice and Certificatbn abone, as well ð3, have
prodrled the required infonnatbn whidr is correct and acfr¡rât€ to the be¡t of my tnwledge"
<tF r trrrÉe ^F ÂrJr-
d,')a ra^'1",Itt LLi LWLL
Propcrty Or.rner Print and 5[n Dãte
oFÉqÂlusEoÍltY ?Aro. $loo.ôô c. e. ot/tz/zozz <9->
sFec¡¿¡l Cqrdition¡:
Adjusted Valuation:Plan Check Fee:Permit Fee:*tôo. æ Manü. Home fee:
ñ/A
Misc. Fees:
ñ/rr
Total Fe.es:Fees Paid:f (oo.o B¿lance Due:
+.Ø/
BP llo:
Roo F-77? o
OWTSNo:
¡t l¡
Setbacl¡:O€CGroup:
t R.e
f-onst. lype:t.R.q Zoninç
U ÞP
ôtfz¿/zor<EU|UXI{C / PLAfrü$frc
9igned Approval [tate