HomeMy WebLinkAboutApplicationGarfield Coanty
BUILDING PERMIT
APPLICATIONCommunity Development Department
tO8 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 94s-8212
www.garfield-counW.com
E Commercial/Multi-Family Demolition
E Manufactured Home (sinele or Multi-Level)
¡E Residential (SF, DuplexorTownhome)Reroof
Address:36 Cactus Gourt Parachute, CO 81635
Steve Fisk
Email Address:
Maillng
pLon", P7o )285-9436Property Owner:
Address: PO Box 2371 Glenwood Springs, CO 81602
Emait Address. I nfo@ColoradoROofingConsultants.c,om
Gont¡actor: Colorado Roofi ng Consultants
Mailing
p¡on"- ¡970 t379'7459
Email Address:
Phone:NAArch¡tect:
MailingAddress:
NA Phone: ( IEngineer:
MailingAddress:
Email Address:
Tear off 2 Layers of 3-Tab and lnstall OC Oakridge Lainated 40 Year Shingles.
Sq. Ft. of Building: _ Height: _
36 Cactus Court Parachute, CO 81635
Descrlbe Work;
Owne/s Valuation of Work:(
Phone: f )
Job Address:
Assessol's Parcel Number:
Sub.
Prcperty Size (Sq. Ft. or Acresl:
#of
lot _ Block
Manufactured Home lnstalt"r, NA
Mailing Address:
Email Address:
Gl¡a¡of Wotlc Itrtew l_lelterauon Lltdd¡tion [ñepair [_f Move/Refocation
Garage:!Attached ! Detached
PROJECT DETAII,S COr{NilU Ef }
Septic:OWTS
ñaturala"i I n
I
Community
Electric Other
Permit #:
Type of Heat:
¡ Driveway Permit:Exempt
Propane
AuthoriW. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Lesal 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 perm¡ts may be required: (1) State Electrical Perm¡t, (2) County OWTS Permit,
(3) another permit required for use on the propefi identified abovg 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 Ís 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.
CERTIFICATIOÍ{
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 facilíties detailed on the submittals reviewed by
the Building Division. ln 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, OWTS 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 (21stopping
construct¡on or use of the structure(s) or faciliÇ(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 w¡th federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
er e r and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
information which is correct and accurate to the best of my knowledge.
(Ì- ìL{ -l I
Property Owner Print and Sign Date
OFFICIIII USE ONLY
Special Conditions:
Adjusted Valuation:Plan Check Fee:Permit Fee:Manu home Fee:Misc Fees:
Total Fees:ac Fees Paid:Balance Due:OWTS No:
Setbacks:OCC Group:Const Type:
BUttDtNG / PTANNTNG DtVtStON
To Local Building Department:
I give permission to Colorado Consultants to a for a re-roof
project on my house located at
Please Call if any questions or concerns. Phone: a1O 'f 85 -1 q 3 e
Sincerely,
,ô æ
.r
+
Date