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HomeMy WebLinkAboutApplicationGarfield County BUILDING PERMIT APPLICATION ttt:f l , ,:-;,i ,, 108 8th Street, Suite 401 Glenwood Springs, CO 81601 nity Development Department (9701e4s-82L2 www.ga rfi eld-cou nty.com Glli..l ii.' r, ,. cf.rlli. . ". i TYPE OF CONSTRUCTION Commercial/M ulti-Familv Demolition Manufactured Home (Single or Multi-Level)I Gas Pipine Residential F Du or Town Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOIVED PARTIES Property Owner:Mike Peebles ,303 .8594020Pnone: I I Mailing Address:181 Sundance Trail Carbondale CO 81623 Email Address:MPEEBLES@COLUMBIN EFORD.COM DALY PROPERTY SERVICES Phone: (970 9272430 Contractor: Mailing Address:PO BOX 1880 BASALT CO 81621 Email Address:BR IAN @ DALYPROPS E RVE.COM PROJE T DETAILS lnstall direct bury gas lin outdoor fire feature Describe Work: AdditionClass of Work:Alteration Propaneral GasType of Heat: 181 Sundance trail Job Address: 23931 91 1 201 5 Assessor's Parcel Number sub.ASPEN GLEN FLG #4 Block _Lot 15 53 FT. 314" PIPE Gas Pipe Length/ Diameter: Appliances Serviced By Gas Line (list all, include BTU): FIREPIT 175K NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. I eqal Arracc A Rr rildino Dormii nennnt ha iccr rad r^riih^r ri nrnnf nf loorl rnrl rdanr rrio 1..6cc +^ f ha nrnnarirr fnr Pr vvr vr qu!Yvv!! p-urposes of inspections by the Building Division. Ojlhgfg_rmits. 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. V_S!d-Penl!-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. I hereby certify that I have read this Application and that the information contained above is true and correct. I rrn^arc+rnrl ih.t +h6 D"ilrlinn nivi.i^h -^^^h+. +ha Annlian+ia^ ^l^^- '.,;+t' +1"^ ^l^^. ^^..1 ann^i{ira+iana rnrl a+h^ruLLLlJrr LrrL AvPilLUrrvrr, orvr16 vvrfrr trrL ProrrJ orrv JvgLrilLsLrvrrJ ulru vLrrsr data submitted by me or on my behalf (submittals), based upon my certification asto 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)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the Iocation, 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. Property Owner Print and Sign Date €)OFFICIAL USE ONIY Special Conditions Adjusted Valuation N/A ri6'ff"6b Misc. Fees: T-otal Fees:f/o6 @ Fees Paid:f/oo.*Balance Due:+a.@ BP No:Zonins:Ptrrl I Y#/avBUTLDTNG / PLANNTNG DtVtStON : Signed Approval I r{onct i- ,ii Authority. This ipplir.iti*:e {irr a l:r :ilrlinl l:e yt*il rri*ii ir:i sirtlrq* [;i.: iiri: {li;ir*r t:i ii]r: ;,.rr.ri_;:ll,"i, d:::..i,-,: j .-.,r,,t,:,. or an auihorired a{:*}rt. ll ilir.,silat:tur* br:la'"t i: ru*t ilt:.:l of the t-)i;';ne.rr. E:{:lJijr,li:: l*t,.r ui.,rrir;..rr!.i, :i;tr;.:r-i ::i,:the O rvner, rnust be piov; deri \rilh ti'i js,rrppiir*titr:r. kfat kcesq.A Br3ilding Frrrrrlt *annot be is-sue* vrithci!r.pirlc:f nl legalt aird :':tlqfru.i:tt i1c[;-is !r ?irr iirrori'rr1 ''r.ri'purpos$ of iaspeetierr:s by the Suitdi*;; Dlviri*;r.qhctfsrnits. tvtultiple separ ale perrliils i11;ry bE rcr:riirerl: {Ll Sii;trr l.li:rliir*l 'ret}rti1, ii{} {:;r:riiy l}i.i"tT5 5utnt,t, {3i another permit requileei far trt* cli ilt{: pri}llet'aiJ ide nlifie ril:r!.rcue, :,9. Siaiil r:r {-*r:niy iiigilr'.r::i1,I;{iied ,'4:'li;:t or a Statewastewater blsrhorge Ferlnit. \bldfEmt-n tsuilding Fer*tit !:ecttlnss iruli anril v*id if thr rtai'l,, authurizcqi is not corrri-fli:;-,ic.ii-,vi';h;tr ,1,8* c':y.'; of the date of issuance and if Werlt is sgspr*rled *r abandos'reri f*r a gre riori af 18l) days ::lie r sfirllr.rertlcsr,rcsl- I hereby certify that I haue read tlris ftFplicatian arrd that ihe lnforrutatiorr {snt;li!}ec ab*'re is'iru* ;rnd cr-:rrecl' i understand thct the guilding B-rvision accepts the Application,alsng wiih tl'te plans r:ntj r,p':r:ii*a':ici"is ;it:ej olh;:; data submitted bT rne or oR nv behalf {rubrniltalsJ, i:al.:d uFsn rnti eertif ica?i urr a s t'.r a cr* racy' i! t:itt iuirl 3 completeness of the subn'rittals and app raval af this AppliratirrR, allwikling 5re r,rlrit i';ill l:e issLts'{i gri:nling perrnission to me, a9 Owner, to eonst*tcl tlte str{,}ct.l rsts} a rrrJ facilitics deteile on thc Stlbliril'ials t'€viel't*ti |ry the Euilding Division. ln consideration of the is:rrance of ihe Euilrlitr6 Elerlnif i ag{ee thel I ancl ltly age'11'5'"ri:l comply with provisions of any federa!, stste or lneai iat'r regulatittg the vlork arrd the Garfr elci faullrY Euiidir3 Code, OWTS regulttions and appliceLrle tranrJ tse regulat'ton*' tcountY Regutcriontsl)'I *cilr':eru'rle ii;e tltat 'ite Euildine Petrait maY be susPended ar revoked, uPon nofice frorn the CcuirtY, if ihe i ocati*n, *oll5tnrt:iDt or t!'.': of the structure{s) and tacilityties},desc;ibed above, af* ttct in cslnplietrre ytitli Counll lieguletioriis] c; enY other applicable law. I herebY grant Permisslon to the Suilding Oivision to eflter the praperiy, ciescribeci absve,lo itlsF?gl iire qrorll' I fu rther a drnowledge that the issuance ogthe BLtildit'lgP ernrit dqes t1o! Pteverlt the Puildii"rg Oiireiai ircl't: i'!] requlring theconection of errors in titc subfflittals, if any,discovered af{er iss$a rccei *r {Z} stoPrPing or use of the structure{s}or facilitY{ier} if suc{t l9 in viclation cf CountY Regvl atiart{s) *r anlr o';i;er applitable law.Reuiew of this Appliraticn'!ncluding submittals,ancl insPection:; of the ''"Jc{'<ljV Iile'd'illurllSons-:ruction do nat constitute an accePrance of responsibilitY 0r tiabilib/ blt the Cor.lntv sf etrror:,oi-*!ssion:' or Dtvision ,l acknowtedge that tesPonsibility for comPlianee r,..rillr federal,staie efid loc.:l lai';s drscreFrnes.AstheOwner authorized aEents'including without !ir*itaiion ffiV sichits::i fest with rne and mY 6 I t ! i I a i I \ or buildet I hercbY adcnowledge tha? I haue read and $nderstand rhe i,letice and Ceitifieaticl* lboue, is r"i:ll :::;' rrrhich is and accurate ts thB 'sc$t oi *lv hrue the --3 >i M!-,Da*e ProgtYOmer Print snd Slgn OTIV $alstree Sscj:$!l$s, -l*ninr-'l tr!:iss. f€es: Pcrralt Feel fcer P*ld: , nAHNING DlVlSlOf'! | --'-_-'*-'--".stg,"; AFFroual $ate