HomeMy WebLinkAboutApplicationGarfield Coanty
BUILDING PERMIT
APPLICATIONCommunity Development Department
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(97O) 94s-8212
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f-l Demolitionn Commercial/Multi-Family
I Manufactured Home {Sinele or Multi-Level)
ReroofE Residential (SF, DuplexorTownhome)
379 Mineral Springs Circle Parachute, CO 81635
Email Address:
250-9364
Property owner: Robert & Rita Chiapa
Mailing Address:
phorr.= (970
PO Box2371 Glenwood Springs, CO 81602
Phone:Contractor:Colorado Roofi ng Consultants
Mailing Address;
Email Address:info@ColoradoRoofingConsultants.com
p7o f7s-745s
Phone: ()
Mailing Address:
Email Address:
erch¡tea: N/A
EmailAddress:
Phone:Engineer:N/A
Mailing Address:
Tear off I Layer of 3 Tab Shingles / lnstall Laminated Shingles
379 Mineral Springs Circle Parachute, CO 81635
Owens Corning Oakridge Style
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N/A
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Height:
Describe Work:
Job Address:
Assessoy's Parcel Numb .r, 2U O QJ-l n
Phone; ( )Manufactured Home lnstaller:
Property Size (Sq. Ft. or Acres):
# of Floors:
Owne/s Valuation of Work:
Sq. Ft. of Building:
su¡Ifâcvnc\xK
Mailing Address:
Email Address:
Move/RelocationClass of Work:New I Aheration Lled¿it¡on Repair
DetachedGarage:Attached
PROJECJDETÀIU'
1
I
L
Septic:
Type of Heat:
Driveway Permit: ,
. t.
ìtoTtcE
Community
Electric noiúa
Permit #: _
OWTS
Natural Gas
Exempt
Authoriw. This application for a Building Permit must be
or an authorized agent. lf the signature below is not that
signed by the Owner of the property, described above,
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 property identified above, e.g. State or County Highwayl Road Access
or a State Wastewater Discharge Permit.
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-
I CERTIFICATION
I hereby cert¡fy 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 facilities detailed on the submittals reviewed by
the Building Division. ln considcration 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 afller 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 th¡s Application, including submittals, and inspections of the work by the Bu¡lding
Divjsion do not const¡tute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsib¡lity for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
and/ or builder
I hereby acknowledge that I have read and underctand the Notice and Certification above, as well as, have
the required information which is correct and accurate to the best of my knowledge
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Owner Print and Sign Date
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Special Conditions:
Manu home Fee:
l.,\ lÞ MiscPermit Fee:
$ /nø. ooPlan Check Fee:
$ù,nAdjusted Valuation:
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Balance Due:Fees Þaid:r . /îraìÞ,rYl .""Total Fdes:
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Const Tvoe:TÏ20Setbacks:\\/i+OCC Grouo:alzl,
BUITDING / PTANNING DIVISION :
Siened Aooroval Date