HomeMy WebLinkAboutApplication.pdfRECEl Garfield County Community Development Department OCT 2 2. 1013 108 8th Street, Suite 401 Glenwood Springs, CO 81601 GARFIELD COUN I Y (970) 945.8212 )MMUNiTY DEVF.LOPIA[ NT www.garfield.county.
com I TYPE OF CONSTRUcTION ~--.--------Property Owner: Battlement Plaza Town Center LLC Phone: L_~~.J,_2_8_5'_97_4_0_ __l--l INVOLVED PAR::.TI::E:~S __________ . ______ , Mailing Address:
P.O. Box 6000, Parachute, Colorado 81636 I L ___ . ______________________________ ._~ I Contractor: Reliant Roofing, Inc. Phone: L~~.J 523-1425 I I Mailing Address: 554 25 Road, Suite
#5, Grand Junction, Colorado 81505 I ~ --1 I Architect: nla Phone: (--) I I Mailing Address: i I I I Engineer: nla Phone: (--) I I Malli~gAddres~____ -__________ ~ I Manufactured Home
Installer: ~ Phone: (_ _) I; Mailing Addrces:s~: ========================= === I i-P-R-O-JE-cr-NAME AND LO'-C-A-T-IO-N------.. -~ Describe Work: Roof over existing EPDM membrane roofing.
I ! i Job Address: 0071 Sipprelie Drive, Battlement Mesa, Co. 81636 , Assessor's Parcel Number: Sub, Lot Block Owner's Valuation of Work: $ 171,070.00 Property Size (Sq.Ft or Acres):
___ _ --I 22' 1 Sq.Ft of 8Uilding:.:;;;;:==;::;;;;===.:H:e~ig~h~t.:~===:;::;;;;::~#~0~f :FI;oo~r~s~: ========_ Class of Work: _I 0 New_I 0 Alterati0:j 0 A~dition I 0 Repair I 0 _ Mo~e/Relocai;;;-"'=J
Garage: ! 0 Attached fooetached I ) , i SePt·-ic-:----jDlsDs-----------toc~,;;~y-------· ..... _.J ~ype of Heat: lD Natural Gas l~~~opane __ ~ T ~_Ele~riC ___ C __ ~~r_._J I Driveway
Permit: I 0 Exempt : 0 Permit #: ! I , .. ________ .J _____._ . ____________ .. ____._ .. ... .. _ __. _ .. .. .1
f"NoTlce------.----:-------.. --------.. --.-------.-.-~---.-----... -~ -----.-... --....J I Authority. This application for a Building Permit must be signed by the Owner of the property,
described above, or I I an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the i I O. ..v ner, must be provided with th is
Appl ication. ! I 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. Multip le separate permits may be required : (1) State Electrical Permit, (2) County 1505 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. I 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. __ "_J CERTIFICA'I'ION i I hereby certify that I have read this Application
and that the information contained above is true and correct. 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 i with provisions of any federal, state or loca l law regulating the work and the Garfield County Building Code, 15DS I
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) I 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 Officia
l from : (1) 'I' requiring the correction of errors in the submittals, jf 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 submitta ls, and inspections of the work by the Building Division do not
'11 constitute an acceptance of responsibility or li ability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge t hat responsibility for compliance with
federal, state and local laws and County Regulations I rest with me and my authorized agents, including without limitation my architect deSigner, engineer and/or I 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. ~~ /6.-"Z.'Z.-1:S P operty Owner Pnnt and Sign Date OFFICIAL USE ONLY " , Special Conditions: Adjusted Valuation: Plan Check Fee: ~~~ Manu home Fee: to/n 0 /A ~¢o.lio~'O
Total Fees:~ l?;;2~ s;},"6S!i-BP No: ~: ~~O . <::Loof.-~.·;t \0/f.l Setbacks: OCC Group: Const Type: Zoning: T\(C "rRc... "POD BUILDING I PLANNING DIVISION: '-I311J1~ W~ , J O · ~~ .
I ~ Signed Approval \ Date -iJrui la. ~~ .I '3 )