HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(9701 94s-82t2
www.garfieldcountyco.gov
WPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Family
I Gas PipinsManufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Emai! Address:
Brian Gammill Phone:713 724 3377
567 Saddleback Drive, Carbondale, CO 81623
brian. gammill@transwestern.com
Contractor:JPM Mechanical Phone: (970 )456 9513
Mailing Address:4726 County Road 335, New Castle, CO 81623
Email Address:ipmmechanicall@qmail.com
PROJECT DETAITS
Describe work: Providing Gas to outddor fire feature. Supply from house to fire feature location
is underground
Job Address:567 Saddleback Drive, Carbondale, CO 81623
Assessor's parcel Numbe r' 239513407004
516. Aspen Glen FLG B t-ot 54 Block
Gas Pipe Length/ Diameter:40'1314"
Appliances Serviced By Gas Line (list all, include BTU):fire feature 80k
Class of Work:Alteration Addition
Type of Heat:fZ*..,,..I Gas Propane
NONCE
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.
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.
OlhglPelnits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
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or a State Wastewater Discharge Permit.
V_SjUlgmi!-A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date o[ issuarrce arrd if work is suspended or abandoned for a perlod 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 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 Applieation, a BLrild!ng 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 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 enterthe 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
Divlsion 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
artd County Regulatioris test wiLlr rrre arrd rrry autlrurized agerrts, inuludirrg witlruul. lirrritaLiurr rrry arulrileuI
designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as,
rmation which is correct and accurate to the best of my knowledge.
1- 16- 7o ?-S
Property Owner Print and Sign Date
OFFICIAL UsE ONIY I L (-
Special Conditions:
Adjusted Valuation:
N/A
PiHBe'oc,Misc. Fees:
Total Fees:
IOO oo Fees Paid:
l.. oo &Balance Due:n ffiaqK Zonine:D;O
3 -/?,1<-I r() 4_)
Date
BUiLDiNG i PLANNiNG DIV|S|O
Signed Approval