HomeMy WebLinkAboutApplicationGarfield County I
Community Development Department
1088° Street, Suite 401
Glenwood Springs, CO 81601
(970)945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
a Coaaunerciaa%Multi-Family
❑ Manufactured Home (SF or Duplex)
® Residential (SF, Duplex, orTownhorne) 2 Reroof
I
BUILDING PERMIT
APPLICATION
0 Demolition
tiiOOtVED PARAS
Property Owner: Geyer, Dane Phone: ( 985 )773-4174
mowing Address: WALKING STICK COURT, COV'INGTON, LA. 70433
Coil: do Horne Roa g, LLC 970 X633-6372
contractor:- --- - phone:
ManingAddress: 2536 Rimrock Ave Ste 400-174 Grand Junction, CO 81505
Architect: N/A
Phone:(
Mailing Address:
Engineer: NIA
P 011E
Mailing Address:
Manufactured Home Installer: N/A Phone: I 1
Malang Address:
PROJECT NAME ANO LOCATION
Describe Work: Rip & Re -Roof
Jab Address: 46 Cdadn twi'e LA Parnca u ie„ W
Assessor's Parcel Number: 240718413004 Sub. Monument Creek Village Lot 4 Block 14
Owner's Valuation of Wok: $ 5000 Property Size ISq. Ft or Acres):
.54.E of Ing: Height # r Floors:
Class of World
0 New
0 Alteration 0 Addition
Garage:
Septic
❑ Attached
❑ ISDS..
❑ Repair IT] Move/Relocation
❑ Detached
❑ Community
Type of Heat:
0 Natural Gas
0 Propane 0 Electric
Driveway Permit: 0 Exempt
0 Permit #:
0 Other
r --
ream
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 bellow is not that ,c f the Owner, .a separate hatter of authority, signed by the
Owner, must be provided \with this A Linn.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Bairki@rag i3;r� asoora•.
Other Permits. adulauiitliple separate permits may be required: (I.) State Fecrtricad l er-rnii, (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 1D -s n:arge Perrin.
Void Perini.. A Budding Permit becomes null and void iftlhe work autihorizer is not commenced within 1&) days of
the date of issuance. and, if work( is, suspended or abandoned for a period, of 1211 days after commencement..
CERTIF CATION
hereby certify that a gnaw read this App ilcahioo and that the iofnrrrralkw conta4fred above is true and correct.
aamrderstand that -the &&g 01. -_it ra acceps the along w , • the Allan s and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
cornpleieaaess of the sabr: «. rials and apprcrral of this ApOricatirion, a id Perini veiN be issued granting
permission to me as Owner, to construct the strut -hogs) and facilities detailed on the submittals reviewed by the
Building Division_ Jn co.nsideration of the issuance of the Building Permit, I agree that 1 and my agents will comply
wrrtlt ormisn;: s of any r _,;t state or r• l law regulating the work and the Garfield County Begg Code, 115DS
regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit
atey be suspended or revoked, un notke from the Comp, idr the location, mora or use (fr tthe ,ctome s))
and fa:Ail- flies), described above, are not in compliance with County s ty gal : nm(s) or any Other appricablie
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. 1
fun her acknowledge that the issuance of the Buill&i g Permit does not prev,ient the s ; ding Official from: (;t)
requiring the correction of errors' in the subinittals, 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 Reg,ulation(s) or any other applicable law.
Review of this Application, in cilW emag submittals, and inspections ,r.' the Fav by trine B., :cing Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, ! acknowledge t responsibay r contoManoe with fedesall ode anthlora, ,aws and Co gut ' Regutations
rest with: me and innyar.othorized agents, lailiciluding vi.theaut Ilirarl:Laai>aun ring ardnitert
builder. �� and/ or
I hereby acknowledge that 1 have read and understand the Notice and Certification above as well as
have ` •'- , - • the required :.., , which is correct and accurate to the best of mknowledge.
Owner Prim and Sign
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
Tout Fees
Setbacks:
Plan Check Fee:
Fees Palk
}fRv
OCC Group:
BUILDING / PLANNING DIVISION
Permit Fee:
16»
Mance num
Manu home Fee:
Const Type:
Signe v • pp
PD. Ioo.ov, 114-2.1,g1) `i1301l1-
Misc Fees:
EMS !MK
Zoning:
P
Date