HomeMy WebLinkAboutApplicationGørfield County
BUILDING PERMIT
APPLICATIONCommunlty Development Department
RECEIVED 1OB 8th Street, Suite 401
Glenwood Springs, CO 81601
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TYPE OF CONSTRUCTION
INVOTVED PARTIES
BO BLODGETT
PO BOX 493 NEW CASTLE CO 81647
! Demolition
ptron"' r303 t8o8-0221Property Owner:
Mailing Address:
Email Address:Bo. blodgett@gmail.com
contractor: A2Z ROOFING LLC Phone (970 )
876-4129
PO BOX 364 S|LT CO 81652Mailing Address:
Email Address:A2ZROOF r N G LLC@OUTLOOK. COM
l--'l Commercial/Multi-Family
E Manufactured Home (Single or Multi-Level)
I ReroofI Residential (SF, Duplex orTownhome)
nrch¡tect: N /A Phone:
N/AMailing Address:
Email Address:N/A
TEAR OFF EXISTING ROOF AND DRY IN. RE ROOF WITH
GAF TIMBERLINE HD SHINGLES - CLASS A FIRE RATED
6500 HWY 82 GLENWOOD SPRINGS CO 81601
Phone
N/A
Lot
Height:
Owner's Valuation of Work: S 11475.00
Phone: ( )
Block
Describe Work:
Job Address:
Engineer:N/A
PROJECT DETAITS
N/A
5q. Ft. of Building:2000
EmailAddress' N / A
Mailing Address:N/A
Manufactured Home lnstaller:
Mailing Address:N/A
Property Size (Sq. Ft. or Acres)
# of Floors
Email Address:
Assessor's Parcel Number:
Sub.
Move/RelocationAlterationLladdit¡on ! RepairClass of Work:! ruew
DetachedIRttact'eoGarage:
Drlveway Pêtmlt!
I hereby cert¡fy that I have read this Application and that the
understand that the Building Division accepts the Application, along wfth
data submitted by me or on my behalf (submittals), based upon my
completeness of the subm¡ttals and approval of this Application, a
permission to me, as Owner, to construct the structure(s) and facilities
the Building Division. ln consideration of the issuance of the Bu¡ld¡ng
comply with provisions of any federal, state or local law regulating the
Code, OWTS regulations and applicable land use regulations (County
Building Permit may be suspended or revoked, upon notice from
of the structure(s) and facility(ies), described above, are not in
other applicable law.
I hereby grant permission to the Building Division to enter the
Permît
constíuüicn s;' use of the structure(s) or facility(les)
, a ? rt, t t. ¡.\:;l ;: i ;ç- - l:i, r ew of this Application,
l,..li!;:"r ilr itt acnstitute an acceptance of
r:-:-.i.:tj,:!Ì{,*':. sls the owngr, I
'ì.; ¡ ...¡ìì., i{,.:guiãliong rest with me and
or builder,
i :tt1.1,¡:.'.,,,;rr,àn¡rwledgç that I hevg
çrt\vitj*d tk*
Bo
Propcrty
f[,Corrhp,!$ffiOWTSn
LlElectrlc! Propanelype of Heatl
Septlc:
I Natural Gas
Exempt
Author¡tv. This application for a Building Perm¡t must be signed by the Owner
or an author¡zed agent. lf the signature below is not that of the owner, a separ€te
the Owner, must be provided with th¡s Application.
Leqal Access. A Building Permit cannot be issued without proof of legal and
purposes of ¡nspections by the Building Division,
Other Perm¡ts. Multiple separate permits may be required: (t) State
(3) another permit required for use on the property identified above,
or â State Wastewater Discharge Permit'
Void Permit. A Building Permit becomes null and void if the work
of the date of issuance and if work is suspended or abandoned for a
of
PROJECT DETAITS CONTINUED
Septic:OWTS ! Community
Other
Driveway Perm¡tl Exempt Permit #:
NOTICE
Authoritv, This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelow¡snotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
legal Accesi. 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 Perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
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 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 (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 constitute 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 restwith me and my authorized agents, including without limitation my architect
e rneer an or builder
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Property Owner Print and Date
Natural Gas
ll
Propane ll Electric LType of Heat:
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:\\IA Plan Check Feelß,4 'S7,iil''Manu home Fee:ttln ruTÄ"''
Total Feés:
$lnn, oo Feés Paidr
ülóó.00
Balance Due:66.6 BP Nó:ffiT-litq owis r¡o:nlA
Setbacks:r\ lÈ,
OCC Group:æ0.
I Const Typerrc(-zoniix
I
&zas.þLlt ),BUtLDtNG / P|-ANNtNG DIVISION
Signed Approval r/:?/as