HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ol94s-82t2
www.garfield-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCÍION
Com mercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)I Reroof
Accessorv Dwelline Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Lily Daniali Phone: I ì
Contractor:ICM Services Phone:(970 t230-9487
Mailing Address:1073 Park West Dr Glenwood Springs, CO. 81601
Email Address:csarabia@icmservices.org
Arch¡tect:Phone: ( )
Mailing Address:
Email Address:
Engineer:Phone:
Mailing Address
Email Address:
Manufactured Home lnstaller:Phone: ( )
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:Remove existing roof assembly. lnstall high temp ice and water shield , Class"A' Fire rated
lnstall metal flashings, install standing seam metal roof, install snow retention system front door/garage.
Job Address:2368 County Rd 112 Carbondale, CO. 81623
Assessor's Parcel Number:
Sub.Iot Block
Owner's Valuation of Work: S 81,883 Property Slze (Sq, Ft. or Acres)
Sq. Ft. of Building:Height:# of Floors:
Class of Work:New {Remodel/Alteration I lnooition
Garage:DetachedAttached
PROJ ECT DETAII.S CONT¡NUED
Septic:
Type of Heat:
l_pwrs
Natural Gas Propane
Community
Electric Other
Drivcway
Permit:
pt Pernrit #:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
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.
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 permÌts 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.
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 wlth 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, discovercd after issuance; or (2) stopping
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.
Sa¿¿ßø-211312023
Property Owner Print and Sign Date
\OFFICIAT USE ONIY o
Special Conditions:
Adjusted Valuation:FeeroOPlan Check\cro iä'Ëi'""""nJi.lorÂ':"'irÅ
Misc.
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Tçtal Fees: .¡O\oo.-Fees Paid: o o\oo OWTS Ño:
UIA
Balance Due:I BP No:
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Setbacks:OCC Grouo:1,{ 11
const'lrRJ.r zonitp-
BUTtDING / PTANNTNG DTVTSTON :
Signed Approval Date