HomeMy WebLinkAboutApplication.pdfSCANki
Garfield County
Community Development Department
108 Bch Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.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)
4050
Mailing Address: PO BOX 152 RIFLE CO 81650
•
Residential (SF, Duplex, or Townhome)
0
Reroof
( )
INVOLVED PARTIES
Property Owner: Battlement mesa company Phone: ( 970 ) 285-9740
Mailing Address: po box 6000 battlement mesa co 81632
Maintenance Group
Phone: ( 970 } 625
Contractor: Colorado
4050
Mailing Address: PO BOX 152 RIFLE CO 81650
Phone:
Architect:
( )
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 L
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
• Move/Relocation
• Detached
Garage:
• Attached
Septic:
• ISDS
■ Community
Type of Heat:
• Natural
Gas
• Propane • Electric
• Other
1
Driveway Permit:
• Exempt
• Permit #:
Battlement Mesa Company
970-285-9886 p.2
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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.
Lena! 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 Permi's, 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.
Vokf Permit. A Building Permit becomes null and void If the work authori zed is not commenced within 180 days of
the date of issuance and if work is suspended or abandoned for a period of Igo days after commencement -
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I hereby certify that I have read this Application and that the information contained above is true and correct. 1
understand that the Building Division accepts the Application, along with the plans and specifications a nd other
data sunniltted 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, ISDS
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 faality(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. f
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 facllity(ies) if such is in viclation 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
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
owner, r acknowledge that responsibility for compile nce 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
builcer.
I hereby 'Bcknow/edge that 1 ha -ad and understand the Notice and Certification above as well as
have p he r : uired infti• hich is correct and accurate to the best of my knowledge.
Date
Property Owner Print and Sign
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Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Permit Fee:
(00.00
Menu hone Fee:
Misc Fees:
Total Fees:
Fees Paid'.
/00 00
Balance Due;
BP No:
ISOS No:
00E- .3K
Setbacks:
OCC Group: I const Type:
Zoning:
BUILDING / PLANNING DIVISION: A,
Stgned
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Approva / Date
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