HomeMy WebLinkAboutApplicationre Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
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BUILDING PERMIT
APPLICATION
TYPE
OF CONSTRUCTION
ME
Commercial/Multi-Family
I ODemolition
Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
I • Reroof
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Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner: Gail Diaz
Mailing Address: 67 Shotgun Dr
Phone: (970 ) 309-3562
Email Address: diazgm0721@gmail.com
Contractor: Affordable Roofing & Restoration Phone: (970 )207-0000
Mailing Address: 6530 S College Ave
Email Address: gus@affordableroofinginc.com
Architect: Phone:
Mailing Address:
Email Address:
Engineer:
Mailing Address:
Email Address:
Phone:
Manufactured Home Installer: Phone:
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: Remove and replace 21.07 squares of asphalt shingles
with Owens Corning Storm
Job Address: 67 Shotgun Dr
Assessor's Parcel Number:
Sub. Lot Block
Owner's Valuation of Work: $5594.53 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: Height: # of Floors:
Class of Work: 1New []Remodel/Alteration []Addition
Garage: Attached II JJ I ' Detached
PROJECT DETAILS
CONTINUED
}]OWTS
�f❑Il
❑Community
Septic:
Type of Heat:
Natural Gas ❑ Propane
❑ Electric ❑ Other
Driveway
Permit:
Exempt
Permit #:
BP No:
NOTICE
ROOF -06-20-6309
Authority. This application
for a Building Permit must be signed by the
If the signature below is not that of the Owner,
be provided with this Application.
Permit cannot be issued without proof of legal
by the Building Division.
separate permits may be required: (1) State
required for use on the property identified above,
Discharge Permit.
Permit becomes null and void if the work authorized
and if work is suspended or abandoned for a period
Owner of the property, described above,
a separate letter of authority, signed by
and adequate access to the property for
Electrical Permit, (2) County OWTS Permit,
e.g. State or County Highway/ Road Access
is not commenced within 180 days
of 180 days after commencement.
or an authorized agent.
the Owner, must
Legal Access. A Building
purposes of inspections
Other Permits. Multiple
(3) another permit
or a State Wastewater
Void Permit. A Building
of the date of issuance
CERTIFICATION
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
data submitted by me or on my behalf (submittals), based upon my certification
completeness of the submittals and approval of this Application, a Building
permission to me, as Owner, to construct the structure(s) and facilities
the Building Division. In consideration of the issuance of the Building
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 the
of the structure(s) and facility(ies), described above, are not in compliance
other applicable law.
I hereby grant permission to the Building Division to enter the property,
further acknowledge that the issuance of the Building Permit does not
requiring the correction of errors in the submittals, if any, discovered
construction or use of the structure(s) or facility(ies) if such is in violation
applicable law. Review of this Application, including submittals, and inspections
Division do not constitute an acceptance of responsibility or liability by
discrepancies. As the Owner, I acknowledge that responsibility for compliance
and County Regulations rest with me and my authorized agents, including
designer, engineer and/ or builder.
contained above is true and correct. I
the plans and specifications and other
as to accuracy. Assuming
Permit will be issued granting
detailed on the submittals reviewed by
Permit, I agree that I and my agents will
work and the Garfield County Building
Regulation(s)). I acknowledge that the
County, if the location, construction or use
with County Regulation(s) or any
described above, to inspect the work. I
prevent the Building Official from: (1)
after issuance; or (2) stopping
of County Regulation(s) or any other
of the work by the Building
the County of errors, omissions or
with federal, state and local laws
without limitation my architect
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the req information which is correct and accurate to the best of my knowledge.
6
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Date
Property Owner P nt a
Sign
OFFICIAL USE ONt.
Special Conditions:/
Adjusted Valuation:
Plan Check Fee:
Permit Fee:
100.00
Manu. Home Fee:
Misc. Fees:
Total Fees:
Fees Paid:
$100.00
Balance Due:
$0.00
BP No:
OWTS No:
ROOF -06-20-6309
Setbacks:
OCC Group:
Const Type:
Zoning: R/U
BUILDING / PLANNING
DIVISION :
Signed Approval Date
PD. $100.00, CC, 6/5/2020