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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 3 ; a Glenwood Springs, CO 81601 (970) 945-8212 risks "E D �U«'�°i�l�.�ww garfieldcountyco.gov f;OM�,tUi•.lif'r rl'. rl nPKhEN TYPE OF CONSTRUCTION 0 Commercial/Multi-Family Q Manufactured Home (Single or Multi -Level) 0 Residential (SF, Duplex or Townhome) 0 Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQL = Demolition Gas Piping Re roof FEET INVOLVED PARTIES Property Owner: Karen Elizabeth Walden Phone:(512 )8208391 Mailing Address: 1563 CR 326, Silt, CO 81652 Email Address: ewalden1 @gmail.com, scottyeldell@gmail.com Contractor: Boiler Creek Design + Build Phone: (970 )6183461 Mailing Address: 1248 Rimrock Dr, Silt, CO 81652 Email Address: trevor@boilercreek.com PROJECT DETAILS Describe Work: Add 1000 gallon propane tank behind (north) of existing detached garage and run propane line to range and water heater for remodel currently under building permit 9821 Job Address: 1563 CR 326, Silt, CO 81652 Assessor's Parcel Number: 217935100315 Sub. Section: 35, Township: 6, Range 92NWNE Lot Block Gas Pipe Length/ Diameter: 125', V Appliances Serviced By Gas Line (list all, include BTU): Range: 80,000 BTU, Propar Class of Work: nNew IF Alteration Addition Type of Heat: IFINatural Gas IO Propane NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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 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 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. In 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 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 I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the requir d infor tion which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date OFFICIAL USE ONLY e �/ Special Conditions: Adjusted Valuation: N/A Permit Fee: 'J Misc. Fe s: T al Fees- llJJii �a Fees Paid: � Fees Balince u� BP No: _ Y� ZOO-9: 1 BUILDING / PLANNING DIVISION Signed Approval Da e