HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
i ,. , r . i: i ii i.-.' , 1Og 8th Street, Suite 401
Glenwood SPrings, CO 81601
ilii i il I ltil+ (srols4s-s2t2
www. garfi eld-cou ntv.com
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BUILDING PERMIT
APPLICATION
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
I Residential (SF, Duplex or Townhome)I Reroof
Dwel Unit - MAXIMUM SIZE OF FEET
Email Address:milesrippy@gmail.com
Mailing Address:1297 County Road 240, Glenwood Springs CO 81601
Property ownelt iles & Teresa Rippy p6ong.1970 t23O-0773
412E.6th Street, Rifle CO 81650
Contractor:JLP Roofing Phone:
Email Address:ledezmajose082@g ma il.com
{ 970 fi40-0912
Mailing Address:
Mailing Address:
Email Address:
nrchltect: N/A Phone: ( )
Phone:Engineer:N/A
Mailing Address:
Email Address:
Mailing Address:
Email Address:- . -
N/A Phone: ( )
PROJECTDETAIIS
Manufactured Home lnstaller:
lnstall new 100% lce & Watershield underlayment. lnstall new Asphalt Shingles
1297 County Road 240, Glenwood Springs CO 81601
Sub. Lot- Block-
46,965
Describe Work:Remove existing and dispose of debris.
Job Address:
# of Floors:_
Assessor's Parcel Number:
Owner's Valuation of Work;
Garage:Attached
AdditionRemodel/Alteration
Detached
Class of Work:New
Propefi Size (Sq. Ft. or Acres):
Sq. Ft. of Building: Height:
PROJECT DETAIIS CONTINUED
Septic:Community
Type of Heat:Natural Gas Propane Electric Other
Driveway pt Permit #'.
-
' Permit:
Ii NOTICE
AuthoriW. This applicatio n 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.
'
CERTIFICATION
I hereby certify that I have read this Application and that the i
understand that the Building Division accepts the Application,
nformation contained above is true and correct. I
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 read and understand the Notice and Certification above, as well as, have
provided the required correct and to the best of my knowledge.
r-l/c 10to1t2024
Property Owner Print and Date
OFFICIAL USE ONLY
Special Conditions:
Misc. Fees:Manu. HglgfsetPlan Check Fee:
-
cDo'TU5"Adjusted Valuation:
BP No:ffip OWTS NO:Balance Due:-rTotal Fees:cio\OO OU
\
Fees Paid
Zopigrg:
{<\
Const. Type:
-fl0 torrsryho
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Setbacks:
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BUILDING / PTANNING DIVISION :
Signed Approval
)
Date
