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HomeMy WebLinkAboutApplication. Garfield County mmunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www,garfield-cou nty.corn BUILDING PERMIT APPLICATION • e70045111� ' is :.l:titi':9,e.lIN,:• �... yl,�,�Clfi1'", •'T.yy:rF•ill!''i-e ".. •'I.ii..'.=:?' ....r_,._... NZL Commercial/Multi-Family Demolition fifiii Manufactured Home (Single or Multi -Level) lllQ Residential (SF, Duplex or Townhome) rig Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET - i . • s_. % !.8 ; f A�. � ' ��'_' .� A'iti • k � �i`• �°`, �� FFEEFACi;�i�MVia� :.w� .--- Y angg '';•, .,. ..:, erty Owner: Monique Derouen Phone: (337 ) 66'0-8557 .;. .l E ling Address: 648 CR 126 Glenwood Springs Co 81601 -iiAddress: moniquederouen79@gmail.com C E CMG Phone; (970 )625-4050 :tractor: ding Address: PO Box 152 Rifle Co 81650 :ll Address: john©cmgus.com Itect• Phone: ( ) A 0 E ling Address: : II Address: E . E ineer: Phone: ( ) ling Address: :t ll Address: Home Installer: Phone; ( l M • E nufactured fling Address: % it Address: t a N y,,,': uuY tr�s' ,p.. a�.g �. s•}Y..•--;�•.4 .:� �i•:. W. b•a }u2 '..• ' i' a,`- ir°. r. ��s ••�.��. r. r'��-� r1,i::•5.'vYJ:�, �{ �. ,.'t',l �r�i o Work: Remove shake shingles, install tamko 30 year laminates. .cribe .1 '; A S • 1 S. Address: Same essor's Parcel Number: . Lot Block _ ner's Valuation of Work: $21 ,216,30 Property Size (Sq. Ft. or Acres): Ft. of Building: Height: # of Floors: C • :ss of Work: [tiew Llj �l Remodel/Alteration [ Addition •, Cx. age: Attached Detached OZ:I 0ZOZ/P0 Z0/Z0 3Jtd 3DN' N31NIvW OQtoe1010D 060175Z90LBI sSS. v5 �.r. { :r•�;- •,.F yf47- 3 ; .� . �•iY:kxr'; .' 4M1 1 ( .i7: °.'•.1�_.r Fh,. � •.''ti. L3.•'' ?!f� ,. j;�{•I': '/:�'L `,l i l i='.1.�-'lr' :.'f'.'.• �•, .inn. s•�::{•.�.. i.•:' ' .3;•,.;;`;�� .5.:.. . �.:.i i .� � i i.vN J L,..i. , _(�.+' � ,t': '�•i : :��yy• �. ci ...,. E-'. ��_•;.: i•:.fa:r -'`s i. �S"s,,:y �n}.,va�:'.: `��-Y: .. ,.y" w,{:::,u.G ��✓ : -- '�s:�a�' �,r:1.•.,T.-'r:''::.:.:;;. g'u':=: ..y,•.,,r _rig:-: � -r-• S'Mc: DWTS r Community ie of Heat: ❑Natural Gas ❑ Propane II Electric Li Other way mit: Exempt Permit #: - ■ `--.t! , . r. ny .. -..L'.•::d-.fr�,G�.s` T.,�"..-5' G ..^.- in'r ' 14s hority. This application for a Building Permit must be signed by the Owner of the property, described above, o t L = n authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by _ Owner, must be provided with this Application. el Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for p 0, poses of inspections by the Building Division. er Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, () o V% another permit required for use on the property Identified above, e.g. State or County Highway/ Road Access State Wastewater Discharge Permit. d Permit, A Building Permit becomes null and void if the work authorized Is not commenced within 180 days o'F he date of Issuance and if work is suspended or abandoned for a period of 180 days after commencement. ._.;i:+°.' rr:Y. 2P"y " �yz..:�.. -,pry ..her[,^ :a,� yYy,, fee, �.F� ....yJ{ Y` '.t R_ Ro! :� CJ;��E�6�F� � . �.' rS-'�r,;ra'r N't�' f. •�`,�.`•.: ei-5f' ibil'ILL:— + ey-• 8' t 7Ei`•LES y, ._ r :.'J,:6 �^➢ . •Yal �. rzst;'Y'}'iiYh�.,:.,R _:. •.�;.�;:....: r :a'._. 4 �, i '.�• . A fig, ,. `s .;'h;:�'.; .;,,.. -: ':::i vs':'. I u d c ' p'• t I ceply CS•de, B o otbier I feather 09uiring construction ap D ►1sion d swrepancies. and d c,igner, sreby certify that I have read this Application and that the information contained above is true and correct. I erstand that the Building Division accepts the Application, along with the plans and specifications and other. ca submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming jnpleteness of the submittals and approval of this Application, a Building Permit will be issued granting 'mission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by Building Division. In consideration of the issuance of the Building Permit, I agree that I. and' my agents will with provisions of any federal, state or local law regulating the work and the Garfield County Building OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the lding Permit may be suspended or revoked, upon notice from the County, if the location, construction or use :he structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any applicable law. reby grant permission to the Building Division to enter the property, described above, to inspect the work. I acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) the correction of errors In the submittals, if any, discovered after issuance; or (2) stopping or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other ilcable law. Review of this Application, including submittals, and inspections of the work by the Building do not constitute an acceptance of responsibility or liability by the County of errors, omissions or As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws County Regulations rest with me and my authorized agents, including without limitation my architect engineer and/or builder. Ih eby acknowledge that I have read and understand the Notice and Certification above, as well as, have pro ided the required information which Is correct and accurate to the best of my knowledge. Prc arty Owner Print and Sign Sp ' cial Conditions: usted Valuation: To al Fees: $100.00 Se (backs: Plan Check Fee: Fees Paid: $100.00 OCC Group: Permit Fee: $100.00 Balance Due: $0.00 IRC Date Menu. Home Fee: BP No: ROOF-08-20-6432 Const. Type: IRC Misc. Fees: OWTS No: Zoning: RURAL WING J PLANNING DIVISION : Signed Approval Date Z0/Z0 3EVd 30NVN3INIG'W alVe10100 960ti5Z90LBT OZ:ZZ OZOZ/170/e0