HomeMy WebLinkAboutApplicationGarrteld Countyt-zl¡l
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(970194s-82L2
www.garfield-countv.com
Jþ NÜT A ÊOOF-" Ttìts rs Fg *t1oowPEOF GONSTRUCT.ION ,rl
Commercial/Multi-F.amily,ion
Manufactured.Hg¡ne (Single or Multi-Level)
Residential (SF, Dup!e¡ or Townh-ome)Reroof
Accesso ryDwelling Unit (ADU) - MAXIMUM SIZE OF r,000 SqUARE FEET
Property Owner Tom and Michelle Zancanella Phone: ( 970
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379-2926 - ìl-or^
Mailing Address PO BOX 1908, Glenwood Springs, CO 81602 ,Ø lØ
Emait Addres r. awz@za-en g i neerin g.com
contractor: Top Gun Plumbing & Heating lnc Phone 970 379-5781
Mailing Address PO BOX 1197 , Glenwood Springs, CO 81602
Email Address:juliann@topgu nplu mbinginc.com Master lic: 1 86259 Contractor lic:855
Phone: (_)
Mailing Address
Email Address:
: Engineer:Phone: I )
, Mailing Address:
.
Email Address:
' Manufactured Home lnstaller:Phone:
Mailing Address:
' Email Address:
PROJECT DETAII.S
Describe Work:lnstallation of 1 inch natural gas line to shop and studio from meter
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INVOTVTÐ P'ARTIES
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Arch¡tect:
BUILDING PERMIT
APPLICATION
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Job Address:1465 Donegan Road, Glenwood Springs, Colorado 81601
Assessor's Parcel Number: 218505100104
516. Gobbler's Knob Exemption tot 1 Block
owner,sValuationofWork:s-PfopertySize(Sq'Ft.orAcres)5 acres
: Sq. Ft. of Building:Height:# of Floors: 2
Class of Work:Addition
Garage Attached
Remodel/Alteration
Detached
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PROJECT DETAI tS CONTINU ED
Type of Heat:
Septic Community
El ectric
Permit #:
Natural Gas
Exempt
Propane Other
Driveway
Permit:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
LeÊal 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.
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 Applicatlon, 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, lagree that land 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(íes), 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 (21 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
' D¡vision 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
, designer, engineer 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.
Anthony W¡lliam Zancanella 1212212021
Property Owner Print and Sign Date
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Special Conditions:
Adjusted Valuation:Plan Check Fee Permit Fee Manu. Home Fee
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Misc. Fees
Total Fees:Fees Paid:
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Balance Due:4ú BP No:
åaoF -1311
OWTS No:-- ¡t7¡
Setbacks:OCC Group:l. R,. c,
Const. Type:
1.tr-c.
Zoning:
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Date
BUILDING / PLANNING DIVISIO