HomeMy WebLinkAboutApplicationGarfield Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601RECt:fV$"::i-r (g7}lg4}-g2tz
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www'sarfield'counw'com
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BUILDING PERMIT
APPLICATION
DemolitionCommercial/Mu lti-Family
Manufactured Home orTiny Home (Single or Multi-Level)
I Residential (SF, Duplex orTownhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
Address: PO Box 2634 Glenwood Springs, CO 81602
270-8221Phone: ( 786
)
Email Address. amantunesl 0@outlook.com
Property Owner:Antonio and Tammy Antunes
Mailing
131 River Boat Drive New Castle, CO 81647
Email Address:usatile@live.com
Phone: (970 ) 433-0475
Mailing Address:
contractor: American Tile and Marble LLC
?t 0 Phone
I
I
rrm6in
Mailing Address:
Email Address:
N/A Phone:Engineer:
Mailing Address:
Email Address:
29Yan Dorn Rd. Glenwood Springs, CO 81601
Phone: (_)
,uo. Chelyn Acres
20,000
Height:
Describe Work:Shower Remodel and Plumbing Repair
Job Address:
Assessor's parcel Numbe r' 218534300005
Sq. Ft. of Building:?5
Owner's Valuation of Work: $Property Size (Sq. Ft. or Acres):
l_ot 1g Btock N/A
Manufactured Home tnrt"ll"rr N/A
Mailing Address:
Email Address:
f of Floors: 1
{Remodel/Alteration AdditionClass of Work:New
Attached DetachedGarage:
: \','it,-rri'ilii I i: 'i:i 1l; i
PROJEgT DETAII.s CONTINUED
Septic:CWTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit;
pt Permit #:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor
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.
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 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)). All County development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. 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) 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.
drt"*g 4/ u" l*^l
Property Owner Print and Sign Date
OFFICIAL USE ONLY
Speciarconditions: eJ- 6z-s Uoirre*-rP,q*r fiJ:Frtqfp 9L+tq t , ^' Tttr A-r ^ rtd>- I \ €)<P65C+D - [-, t<;-gD ^16r{.tl#'i14"las Manu. Hcime Fee:Misc. Fees: '
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Fees Paid:qo-st itpilss-BP No:
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OWTS No:Toial Fees:zaq .ab
Setbacks:OCC Grouo:+0rt-d]{:
ConstT.Zoniog:K
4. (e -Z+BUILDING / PLANNING DIVISION :
Approval Date