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HomeMy WebLinkAboutApplicationFilla— Garfield 'o ff 1 Building permit application Application A valid email address is required in order to submit an application form online. Application Date 02/16/2021 Parcel Number 2391 1300026 Permit Type* Demolition Project Address* 2621 County Road 100 city* Carbondale Block Lot Section -Township -Range Enter in the following format: gra` tt11-## Subdivision Ries Subdivision Exemption Zoning R- Rural Applicant I Owner* Lawrence and Lisa Singer Mailing Address same as project Yes No address? * Owner Phone* (720)220-8400 Email Address* Lssinger co cast -net Email Permits * I would like the permit documents emailed to roe. t Yes No Representative (Arch, Eng, etc.) Lawrence Singer - Owner General Description* Please be as Oekailed as pvssible. On January 2, 2021 our Garage and Greenhouse building had a fire and was destroyed. Akso inside the garage was an RV that burned completely. We would like to have approval to demolish the building and remove the debris. Permit fees: Demolition Permit Fee $ 25.00 Acknowledge and Signature Notice andcertification: arrow to fight to expand Notice and Certification, NOTICE Authq tty. This application for a Building Permit must be signed by the Owner of the property, described above. or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application- LegAccess- A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Pther Pprrnits. 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. .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 tiie structure(s) and facilities detailed on the submittals reviewed by the Building Division. In 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 lend 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, 1 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 Officiar from (1) requiring the correction of errors in the submittals, if any. discovered after issuance: or (2) stopping construction or use of the structures) 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 riot constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, 1 acknowredge 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 designer, engineer and/ or builder Acknowlegement: * Signature: * I hereby acknowledge that I have read, understand and will abide by the requirements of the Notice and Certification listed above: as welt as, have provided the required information which is correct and accurate to the best of my knowledge „elit r��t Payment Portal Submission Complete?* Online payment portal: I hereby acknowledge that I understand payment is collected at the time of this form submission. The section below includes a link to the Payment Portal. [ will not be able to complete my submission without entering the Transaction Number from the payment portal. I agree not to submit the payment until [ am ready to submit this form. I am not ready to submit this form. (Please choose Save as Craft) Please click on the link below to enter an online payment_ Once you receive the transaction number from the portal, please enter it in the field below to proceed with your applic-ation. Cli0,_here to open On['pe PayrnkoLportal Transaction Number:* OSFMV49MMA2 Please inter the transactiun number from the online payment. Confirm Transaction Number:* OSFMV49M1v1A2 P:case re-enter the transaction nurnbur from the online payment_ Community Development - Transaction Receipt Response Success Amount $25.60 Pay To Community Development Billing Address 2621 County Road 100. Carbondale, CO 81623 Account Type MasterCard Card Number (7 - X- X -3724 Name Lawrence Singer Billing Address 2621 County Road 1OOarbondale, CO81623 Email Address Lssinger a. orncast.net Reference Number QSFMV49MIVIA2 Authorization Agreement I, Lawrence Singer. authorize Dornmunity Development to electronically charge my credit card the amount indicated above, My entry of the information above and the checking of my acceptance of this agreement .shall be to execute this transaction_ account for my signature