HomeMy WebLinkAboutApplicationGarfi,eld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
leTol e45-82L2
www, ga rfield-countv.com
WPE OF CONSTRUCTION
INVOTVED PARTIES
property Owner: CHRIS JACKSoN/GRAND VALLEY FIRE PRorEcrloN DIST Phone: ( 970
)
285-1466
Mailing Address 124 STONE QUARRY RD #9566 PARACHUTE CO 81635
Email Address:cHJACKSON@GVFPD.ORG, ADM I N@GVFPD.ORG
Class of Work:
BUILDING PERMIT
APPLICATION
DemolitionICommercial/Multi-FamilY
Manufactured Home or Home or Mu
I ReroofResidential (SF, Duplex or Townhome)
Dwelling Unit - MAXIMUM SIZE OF SQUARE FEET
WESTERN SLOPE ROOFING INC
PO BOX 290 MESA CO 81643
Phone:r97Q t6974719
Email Address:wESTERNSLOPEROOFI NG@GMAI L.COM
Mailing Address:
Contractor:
Architect:
Mailing Address:
Email Address:
I(
Engineer: Phone:)(
Mailing Address
Email Address:
{Addition
Detached
Mailing Address:
Email Address;
WE ARE REMOVING THE EXISTING RUBBER TPO MEMBRANE ROOF
AND CURRENT INSULATION AND REINSTALLING NEW 6" INSULATION AND TPO MEMBRANE
124 STONE QUARRY ROAD PARACHUTE CO 81635
PARACHUTE TOWN HALL MINOR SUBDIVISON LOt tot
'oo "t" " Block
Phone: ( )
PROJECT DETAITS
61 ACRES31 5000
Remodel/Alteration
Height:
ched
Job Address:
Assessorrs Parcel Number:asTamaosr 24o1112ffi5
# of Floors
Describe Work:
Sub.
Owne/s Valuation of Work: $
Sq. Ft. of Building:
Manufactured Home lnstaller:
Property Size (5q. Ft. or Acres)
Garage
PROJECT DETAI I.s CONTIN U ED
Septic:
Type of Heat:Natural Gas
pt
Permit:
Driveway
Propane
Community
Electric
Permit #
Other
l--
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, descri bed 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 1-80 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 ofthe
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
provided
that I have read and understand the Notice and Certification above, as well as, have
information which is correct and accurate to the best of my knowledge.
Print and Sign Date
1
USE ONLY \
Special Conditions:
Manu. Home Fee:Misc. Fees:'qb6",coAdjusted Valuation:Plan Check Fee:
ff*r"r-Bt\R'
OWTS No:Balance Due:+'*fliffi.oo lia{."o
"WLtD_rvee:agSetbacks:OCC Group:
9-;.24,BUITDING / PLANNING DIVISION :
Date