HomeMy WebLinkAboutApplication.pdfGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILDING PERMIT.
APPLICATION
TYPE OF CONSTRUCTION
Property Owner: Battlement mesa company Phone: ( 970 ) 285-9740
Mailing Address: po box 6000 battlement mesa co 81632
o
Commercial/Multi-Family
■
Demolition
•
Manufactured Home (SF or Duplex)
•
Residential (SF, Duplex, orTownhome)
D
Reroof
INVOLVED PARTIES
Property Owner: Battlement mesa company Phone: ( 970 ) 285-9740
Mailing Address: po box 6000 battlement mesa co 81632
Contractor: Colorado Maintenance Group
Phone:
( 970 ) 625 4050
Mailing Address: PO BOX 152 RIFLE CO 81650
Architect:
Phone:
( )
Mailing Address:
Engineer:
Phone:
( )
Mailing Address:
Manufactured Home Installer:
Mailing Address:
Phone:
( )
PROJECT NAME AND LOCATION
Describe Work: remove existing roof, install new 30 year laminate shingles with new underlayment and di
edge.
Job Address: 854 west battlement parkway bldg K
Assessor's Parcel Number:
Owner's Valuation
Sq.Ft of Building:
Sub. Lot Block
of Work: $
20265.00 Property
Size (Sq.Ft or Acres):
# of Floors: 2
Height:
Class of Work:
• New
• Alteration
• Addition
0
Repair
Detached
• Move/Relocation
Garage:
• Attached
•
Septic:
• ISDS
•
Community
Type of Heat:
• Natural
Gas
• Propane
• Electric
• Other
Driveway Permit:
• Exempt
•
Permit #:
Battlement Mesa Company
970-285-9886 p.2
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Authority. This application fora 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.
Leeat AtCtSs,A Building Permit cannot be issued without proof of Legal and adequate access to the property for
purposes of inspections by the Building Division.
OtherPermit Multiple separate permits may be required; (i) 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,
Yak! Permit. A Building Perrnit becomes nuU and void if the work authorized is not commenced within 180 days of
the date of Issuance and if work is suspender) or abandoned for a period of 180 days after commencement.
I hereby terrify that I have read this Application and that theInformationcontained above is true and correct. 1
understand that the Building Division accepts the Application, along with the pians 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 ofothis Application, a Bullding Permit will be issued granting
permission to me, as Owner, to construct the structures) and facilities detailed on the submittals reviewed by the
Building Division. in consideration of the issuance of the flu;lding Permit, I agree that i and my agents will comply
with provisions of any federal, state or local law regulating the work and the Biarfield County Building Code, ISDS
regulations and applicable /and use regulations (County Regulation(s)). I acknowledge that the Building,Permit
may be suspended or revoked, upon notice from the County, if the )option, construction or use of the structure(s)
and facility(ies). described above, are not in compliance with County Regulations) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. 1
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 facilfty(ies) if such is in violation of County Regulation(s) or any other applicable taw.
Review of this Application, including submittals, and inspections of the work by the Building Division do not
constitutean acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, r acknowledge that responsibility for compliance with federal. state and local laws and County Regulations
restwith me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder,
I hereby gcknowwedge that I ha `- • d and understand the Notice and Certification above as well as
haKe P be required irrf
hich is correct and accurate to the best of knowledge.
PropertyOwner Print and Sign
Date
Atrilested valuation:
Plan Check Fee:
Total Feer~
Pees Paid:
100 Cly)
Permit Fee:
f0000
Balance Due;
Menu hone Fee;
Misc Fees:
Setbacks
OCC Group:
en No: iSD3 No:
Baur 320
Conn Type
BtaLDINS / PLANNING DIVISION :
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