HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
1OB 8th Street, Suite 401
Glenwood Springs, CO 81601
(97Ols4s-82t2
www.ga rfi eld-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCNON
Commercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
x Residential (SF, Duplex or Townhome)I Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
¡NVOLVED PARTIES
Property Owner:
Mailing Address:
Eric Vensel Phone:239 777 -0437
195 Mahoqany Drive NaP les, FL 34108
Email Address:evensel@gmai1 . com
Contractor:Storm King Roofing phone:t 970 I 31,9-2484
Mailing Address:
Email Address:
PO Box 436 New Castle, CO 81-647
tom@stormkingroof com
Architectr N/A Phone: (_)
Mailing Address:
Email Address:
Engineer:N/A Phone: ( I
Mailing Address:
Email Address:
Manufactured Home lnstaller: N/A Phone
Mailing Address:
Email Address:
PROJECT DETAITS
Describel¡¡6¡¡t Remove existing cedar shakes and flashings. fnstall
new Davinci Synt.hetic Shakes. Metal Roofing to remain.
Job Address:79 Wind river Road Carbondale, CO 81'623
Assessor's Parcel Number:
Sub.
239128300228
Lot 3 Block
Owner's Va luation of Work: S 94 , 7 92 ' 0O Property Size (Sq. Ft. or Acres):
5q. Ft. of Building:Heightr # of Floors:
Class of Work:New x Remodel/Alteration dition
Garage Attached Detached
PROJECT DETAITS CONTINUED
Permit #:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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. 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 andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
I 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 Permìt, 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 compliancewith County Regulation(s) orany
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 npplication, 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 rest with me and my authorized agents, including without limitation my architect
d er,r and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Thomas lce
Dig¡blly signed by Thomas læ
DNr C=US, E=tom@stomkingroof.øm, O=Storm K¡ng
RoolÌng LLC, CN=ftomas læ
D€le: 2021.1 1.01 09:00136-06'00
November 1, 2O2I
CWTS CommunitySeptic:
Electric OtherType of Heat:Natural Gas Propane
LDriveway
Permit:
Property Owner Print and Sign Date
oFFTCTALUSEONTY ?¿. f loo. ôô c.C. f I
Special Conditions:
Adjusted Valuation Plan Check Fee:Permit Fee:Manu. Home Fee:
N/^
Misc. Fees:
Total Fees:Fees Paid:
f too.oo
Balance Due:
i16
BP No:
F.oa€ - 1L21
OWTS No:
¡-t /*
Setbacks:OCC Group:
l. fè.¿Const. Type:t.P.L.Zoning:
'&uRAl-
tþlzozl
Date
BUILDING / PLANNING DIVIS
Sign