HomeMy WebLinkAboutApplicationGarfuld County
FfSFrqffi'unity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTIOI{
Commercial/Mu Demolition
Manufactured Home (Single or Multi-Level)
T Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM S|ZE OF 1,000 SQUARE FEET
INVOTVED PART¡ES
Address:457 Lodgepole Cir Parachute CO 81635
301-2118
Email Address:
Mailing
Phone:970Palcerc{-Property Owner:
3595 E Fountain Blvd #1 15 Colorado Springs CO 80910
prrone, (719 p44-2659contractor¡ Dabella Home Exteriors
Mailing Address:
Email Address:mbubak@dabella.us
Phone: ( )Architect:
Mailing Address
Email Address:
Phoner (_)
PROJECT DETAITS
Phone:
Engineer:
Manufactured Home lnstaller:
Mailing Address:
Email Address:
Mailing Address:
Email Address:
Describe Work:Replace existing shingles with GAF shingles
rob Address: 457 Lodgepole Cir Parachute CO 81635
Assessor's Parcel Number, JLlÒ? 83211ôû5
Sub.
Owne/s Valuat¡on of Work:
Sq. Ft. of Building:loôL{ -Height:
lot 5 Block 5-
Property Size (Sq. Ft. or Acres)
#ofF
ditionClass of Work:
Garage:ed
Remodel/Alteration
Detached
A
CommunitySeptlc:OWTS
Propane Electric OtherTType of Heat:Natural Gas
Driveway
Permit:llExempt
Permit S:
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
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 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.
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 certificat¡on 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) stopp¡ng
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
or builder.1,
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the required information is correct and accurate to the best of my knowledge.
â l+leof)
Property Owner Print and Sign Dete I
Special Conditions:
Manu. Home Fee
\ù ,n Fees:
lrJ
Misc.
f\\
ediusteJ
þ!uatlon:
Check FeeIAPlan
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Permit Fee:^^$lnn.w
BP tÚo:ffitr-r:qaq OWTS No:
n llnTotal Feås:4lclÔ.6
Fees Éaid: ^
S,ôô.oo
Balance Due¡d,¡ oo
con'Jt'1å"¡
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ør*rú-n.l*;-*LlBUTTDTNG / PTANNTNG DTVTSION
Signed Approval
I
Date