HomeMy WebLinkAboutApplicationGarfictd County'
Commmfi lhvclopmcnt Dcpartmcnt
16 8t" Sbcct, Sultc tlol
Glcnwood Spriqs, CO 81601
(s701 e45-8212
www. rarll eld<ounty. gom
TTPEOf GOilSftUCtFr{
l--l CommerciaUMulti- Family
Manufactured Home {Single or MultFLevell
Residential {SF, Duplex or fownhome}
G:
I
!-
:IDqmo!1tlon
t Reroof
f] Aceestory Dwelling Unit {ADUf - MAXIMUM S|ZE OF l,:00 SQUARE FEET
. illF[VFPiltfIE3
n Burk pho*,1970
987-1110
Propcrty
MrlllnS
Ponderosa Circle, Parachuie, Co 81635
fooneyl 1@gmail.com
EnrllAddrrr'r:
Contlr€lon Phonc:
MelllngAddrso:
EmrllAddruss:
Ardrhrcr:Phonc: I I
Mrlllnj Addrcrs:
Emall Addr:rsr
En3lnrrr:Phonc: I I
ifirlthgAddrcr:
EmrllAddrrr:
Menulxtund Honr lnctrlhr:Phoncr { }
Mrllln;Addrcrs:
Emell Addru*:
?mECrilStlts
Roof overlay with architectural shingles Of a single lay three tab roofDc:crbe Wort:
BUILDIf{G PTRMIT
APPLICATION
cv I rolloetosa ullUle, TaldulluLe, uu o loJJ
lob Addrrrs:
Arsciror's Frrcrl llumbrr:
Sub.
Osnlt'r Valurtlon ol Wort:(
tot Blod
PropcdySlr. (5q. Ft 03Acrfilr _
I ol Floos:Heljht:Sq. Ft. of BulHh3
Ct"ss of Wo*t
Grrrt€:
New
Attadrcd
Addition
Detached
t ft"t;"'Tolteration
trpde
llpr ol Hut:
Ddilrr1
tdB
Gac Propanc
Community
Electrlc othcr
Pcrmlt l:
or in euthorlred agrnt. lf the slgnature below l! not that of the Owner, a s€parata lrttcr of authorlty, sl3ncd by
the Owncr, must be provtded whhthis Applicrtion,
tfirl Arcrlr. A Bulldlng Permlt c6nnot bc isucd wlthout proof of legaland adequate acces to the property for
purposei ol lnsgcctbns by the Eulldiq DMslon,
Ordrrr Dr'nnltr. Multlple $psr.te perml$ mry be rcqulred: (U State Elcctrkrl Permit, (2lCountyOWIS Permtt,
(3) rnother permit required for u:c on thc proparty identlfled abovg e.8. Stat? or County Hlghway/ Road Access
, or a Statt Wartewatcr Discharge Pcrmit.
Vold prrnh. A Bulldtng Permlt beeom$ null and vold if the work authorircd k not commcncad withln 180 drys
of the drte of lssuance and lf work ls suspcnded or abrndoned for r period of 1t0 dryr rftcr commencemcnt,
I hrrcbv ccrtlfy thst I hrw rtrd thls Applicatlon rnd that thc lnformatlon contalned rbow lr truc and correct. I
undcrrtrnd thrt thr Eulldlq Dlvislon rcccptr lhc Applleatlon, alonl wlth thc plrnr and spcdflcationr and othcr drla
rubrnlttcd by mc or on my bchall lsubmlttelll, brsed upon my cmtllicstion a3 to accur.cy. Assurnlry complctcncs
ol thc rubmittalr and approvalof thir Appllcrtlon, a Bulldinl Permlt will bc bcucdgnntlng pcrmlsloo to me, at
Owmr, to construct th. structura(tl end hcllitics dctrllcd on thc rubmlttols revlaved by thc Euildlng Divi;ion. ln
consldcration of the lsrurnce of tht Bulldlng Permlt, I agrcc that I rnd nry agcnts will comply wittr provlrlons of any
fedcrtl,statc, or loal lrw regubting thc worh rnd thc Grrfield County Bulldlng CdG, OWIS ragulrUons and
appllcablc land usc rcaulatlons (Countv ReSulrtion(r)l. All County dcttlopmcnt rcquhlng r pcrmit, cxccpt for
rcridentlrl use!,8rc rubjcct to Artlcl: 7 of the Lrnd Usc rnd Oevalopment Code.I rcknowlcdgt that the Eullding
Pcrmlt mey bc suspendcd or tcvokcd. upon notitc from thc County,lf the locatlon, constructlon or ura of thl
structurc(tl rnd frcllltY(lerl, descrlbed above, .re not in complirncc wlth County Regulrtlon(cl or any other
applicablc law.
I hercby grrnt pcrmlsion to the tulldln6 Divirion to ent.r tha propcrty, dercribcd above, to lnsprct the work' I
lurther acknowlcdgc thrt thr lsuancc of thc Buildlng Femlt doct not prar€nt thc Bulldlng oflichl from; (U rtqulrlng
the conectlon of crrors in thc rubmlttdl, if any, dllcovered rfter lssurnct; or {2t stopplng conrtructlon or ult of thc
,tructurc(s) or fecillty(lesf rt ructr ls ln vlolrtion ol county Rcaulation{sl or any otha applkablc lrw' Rcvicw of thir
Appllcatlon, including submittals, rnd inspectlon: of thc wort by thc Bulldln8 DMslon do not eonttltt'tc an
raeptance of rcsgondbllltY or llablllty b,Y lhc county ol Grrort, omit3loni' or discrcpancles' Ag the owner' I
aclnowlcdgc that rcsponrlbllitv for compliancc wtth iedcrrl, ttatc and local laws rnd county Rctulatlons rc3t wldl
mc and mv.uthorirad agcnts, includlnB wlthout llmltadon my archltcct dc3l8ncr, englneer rndl or bulldcr'
I htrby rctnonrhd3r thrt I hrw
proYHrd thr nqulrcd lnlormrtlon
Kevin Burk
Froprrty Ornrr Prht end sfn
nrd rnit un&rilrnd ihr l{olkr rnd Grrdllcrdon rbol' lc sll rs, hrut
lr conrct rnd rcrrrtalr to tfia brrt olmv knolhdfc.
3t19t25
Btr
sp.dtlCondltlonr:
Mrnu. Homr Frr:oPbn(trelFlr:Adlurlcd Vrlurdon:
'Onll-ilr:
fllbs Frr*
qlrbm Dm:tuFrrrPrld:
\ 0r1 ?v_Frm:oo
occScibrclr:
3ullolilG / PtAtl{lilc Dl\ll9lo]{ :
Slfnd lpOrovrl 0il.