HomeMy WebLinkAboutApplicationGørJùeld County
BUILDING PERMIT
APPLICATIONCommunity Development Department
RECEIVED 108 8'h street, Suite ¿101
sEP rt ?ot$
ct"n*ffiä?ï'r::816o1
G ARF I E LD 6 g g ¡lywww.earfield-counW.com
COMMUNITY DEVELOPMENT
Demolitionfl Commercial/Multi-Family
E Manufactured Home (Sinele or Multi-Level)
Il--l Residential (SF, DuplexorTownhome)Reroof
433-0329
)Property owner: Doug Ayers
Mailing Address:26 Aspen Way Parachute, CO 81635
Email Address:Ayers. Doug @ I cloud. com
pt on", 1970
Address: PO Box 2371 Glenwood Springs, CO 81602
379-7459contracror: Colorado Roofing Consultants Phone:
Mailing
EmailAddress:I nfo@ColoradoRoofingConsultants.com
Email Address:
Phone: I IArch¡tect:N/A
Mailing Address:
Phone:N/AEngineer:
MailingAddress:
Email Address:
Describewor¡. Tear off 1 Layer 3-Tab Shingles and lnstall Owens Corning
Phone: (
Laminated Shingles
I k'0'
ì
Block
0 Height:
lob Address:
#of
26 Aspen Way Parachute, CO 81635
Owne/s Valuation of Work:Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:
Email Address:
Assesso¡'s Parcel Number:
Manufastured Home lnstallen N/A
Mailing Address:
Sub. lot
I Repair [_J Move/RelocationAdditionAlterationClass of Work:
Garage:
New
Attached Detached
Type of Heat:
r Driveway Permit:Exempt
Natural Gas I eropane
-n Community
I u"arii f]ott"'
Permit #:
l
NONCE
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.
Legal 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. Multip¡e separate permits may be required: (1) State Electrical Permit (2) County OWTS Permit,
(3) another permit required for use on the propefi identified above, 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 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.
CERTIFICATION
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 facilities deta¡led on the submiRals reviewed by
the Building Division. ln consideration of the issuance of the Bu¡lding Perm¡t, 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 (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 this Application, including submittals, and inspections of the work by the Building
Division do not const¡tute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility 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 acknowtedge that t have read and understand the Notice and Certification above, as well as, have
provided required information which is correct and accurate to the best of my knowledge.
'ì-i 3 *tg
Owner Pr¡nt and S¡gn Date
o q/rc/rF
t\a 3 It t û\r*-L +I oo,ooOFFICIAT USE ONIY
Special Conditions:
Perm¡t Fee:
(.dJoø.op
Manu home Fee:
NIA
*rt"r""t'p
/AAdiusted Valuation:' tqk Fee:Plan Check
N/ 4
NIA
OWTS No:Balance Due:
ô
BP No:
4-ap f. 5Yu1
Total Fees:
6.lotôD
Fees Paid:
SJO//'ot)
zonin5:?lLùocc Group: Tp-(constrvngï_* tSetbacks: ^Ntk
BUTLDING / PLANNING DIVISION :
Siened Date