HomeMy WebLinkAboutApplicationGarficld County
Community Development Department
108 8th Street, Suite 4Ol
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfield-counw.com
BUILDING PERMIT
APPLICATION
Demolition
Manufactured Home orTiny Home (single or MultFlevel)
I ReroofResidential {SF, Duplex or Townhome)
Accessory Dwelling Unit {ADU} - MAXIMUM SIZE OF 1,200 SQUABE FEET
580 Village Drive Rifle, CO 81650
-prestonromero@gmail.com
-
dEmail Address:
David Romero p,1ron". 1970 )989-4317Property Onmer:
MailingAddress:
989-4317contractor: David Romero
Email Address:
970Phone:
MailingAddress:580 Village Drive Rifle GO 81650
Email Address:
Phone:{ }Architect:
MailingAddress:
Email Address:
Phone:{ }Engineer:
MaillngMdress:
Manufactured Home lnstaller: Phone:
Concrete Pads & Covered PatioDescribe Work;
bt 28 & 29 gbck 6
14260
Job Address:580 Village Drive RIFLE CO 81650
Assessor's parcel Numbe r. 217720204443
Sub,RIFLE VILIAGE SOUTH
ft
oooOrune/s Valuation of Work:Propefi Sire (Sq. Ft. or Acres|:
MaillngAddress:
Email Address:
Sq. FL of Building:
-
Height:# of Floors:
./Class of Work:New Remode/Alteration IV Addition
Gas Propane Other
Community
Electric
Septic:
Type of Heat:
Driveway
Permit:
Permit f:
NOTICE
Authoritv. 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.
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 perrnits may be required: (1) State Electrical Permit (2) County OWTS Permit,
(3) another permit required for use on the propefi 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 Buildine 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 cornpleteness
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 €ode, 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 Counff 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.
PROIECT DETAIIS CONTINUED
I herehy 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.
David P, Romero wtoa2024
Property Owner Print and Sign Date
OFFICIAT USE ONTY
Special Conditions:
Manu. Home Fee:Misc. Fees:Adiusted Valuation:
tr 18nG
Plan Check Fee:12.3r Permit Fee:l(t.5
rtotal Fees:I tgg sc \
Fees Paid:
?A 3
Balance Due:
t(t.25 ffop,&q,J,
OWTS No:---'--=;'---
Const. Type:I t"ntffirr-Setbacks:OCC Group:
BUttDtN6 / PtANNTNG DrVlSlON :? -c -e1