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HomeMy WebLinkAboutApplication.pdf1ity Development Department OQ 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945 -8212 www.garfield- countv.com Garfield County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION O Commercial /Multi - Family ❑ Demolition • Residential (SF, Duplex, orTownhome) J$ Reroof in Manufactured Home (SF or Duplex) • Grading (locate all utilities prior to grading) INVOLVED PARTIES Property Owner: v�iv/ .J<�rl,le 41( -� Phone: (7 ) 7c- 6-'94 Mailing Address: 6/ 531 G'G ,� 33 / . Z f Contractor: d' /� / /��ye c.c.s — y Phone: (9 Mailing Address: ,,577/ G/ // iige /00 Architect: •4 A - Phone: ( ) Mailing Address: Engineer: /t// Mailing Address: Phone: ( Manufactured Home Installer: Phone:{ Mailing Address: PROJECT NAME AND LOCATION Describe Work: %C ✓.• a rs rs• ro/�Lr r/ 1', r,,-i7 /AI — 4757.- Job Address: 75-3 Z C` . =r ieea 33 / J '/ �p • Assessor's Parcel Number: Sub. Owner's Valuation of Work: $ Sq.Ft of Building: Height: # of Floors: Lot Property Size (Sq.Ft or Acres): Class_ofinG k: LGa •p T_ype-6FHeat: grivaway Permit: 4 ❑ New '❑ Alteration ❑ Addition ❑ Repair i .a Detached ❑ Attached ❑ ISDS ❑ Natural Gas ❑ Exempt Block ❑ Move /Relocation ❑ Community ❑ Propane Square Feet of Earthwork ID Electric ❑ Permit #: ❑ Other Cubic Yards of Earthwork 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 ISDS 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, 1 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, 1505 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 hereby acknowledge that I have read and understand the Notice and Certification above as well as have prov'd = the required information which is correct and accurate to the best of my knowledge. roperty Owner Print and SiF Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Mist Fees: Total Fees: Fees Paid: Balance Due: BP No: ISDS No: Setbacks: OCC Group: Const Type: Zoning: BUILDING /PLANNING DIVISION : r or ,� C Sign proval I Date chi "�`hnailf � (No Su Folders Inbox 17 POP Junk 7 Drafts 1 Sent Deleted 10 4- corners Barclays Barclay D. M. Neuman dahlgren D EX Doug Williams Fowler Peth GAF Gotobed Gowen Gray g reg Hazen Terra Nova Jack Wilke Jarvis, Dan LiII,ABC Mall Metal Tools 1 :eject) Julie Allmon (jallmon@live.com) To: gmullenax55 @msn.com I Julie Allmon and my Mullenax Construction house and the garage. Silt, Co 81652. Thank you, Julie Allmon Add to contacts 5 /28/13 Actions husband, Warren Allmon authorize and Roofing to put a new roof on the The address is 6532 County Road 331 © 2013 Microsoft Terms Privacy Developers English (United States)