HomeMy WebLinkAboutROOF-05-22-7537 Permit ApplicationGarfuId County Building permit application
Application
A valid email address is required in order to submit an application form online.
Âlofe; This application is OIVLYfoT projects located in Unincorporated Garfield County,
outside Gity limits.
Application Ðate
Parcel Number
Permit Type*
Proiect Address*
city*
Block
Lot
Section-Towns hip-Range
Subdivision
Zoning
Applicant / Owner*
Mailing Address same as project
address?*
owner Phone*
Email Address*
Email Permits*
Contractor*
Contractor's Phone*
Representative (Arch, Eng, etc.)
General Description *
0511912022
2409241100't5
Roofing
414 Mineral Springs Cir.
Parachute
Block 10
Lot 15
Enter ¡n the following format: #4-##-##
24-07-96
Tamarisk Amd. Plat, Flg.2
PUD - Planned Unit
Development
CO Roofing Consultants I Leroy Ðavis
ç Yes No
970-433-4867
info@coloradoroof¡ngconsultant
s.com
I would ¡¡ke the permit documents emãiled to me.
* Yes
No
CO Roofing Consultants
9703797459
Please be as detailed as possible.
Tear Off one layer shingles. lnstall Owens Corning
Oakridge Laminated Shigles.
NA
Permit fees
Roofing Permit Fee $ 100.00
Acknowledge and Signature
Notice and certification:
Cl¡ck on arrow to riqht to expand Notice and Certif¡cât¡on
Authority. This appl¡cation for a Building Permit must be signed by the Owner of the property, described
above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority,
signed by 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.
Othêr Perm¡ts. 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.
Void Permit, A Building Permit becomes null and void if the work authorized is nol commenced within 180
days of the date of issuance and if work is suspended or abandoned for a period of 180 days after
I hereby certify that I have read this Application and that the
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 Applicalion, 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, 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, construclion or use of the structure(s) and facility(ies), 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 Offìcial
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 Application, 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 respons¡b¡lity for compliance with federal,
state and local laws and County Regulations rest with me and my authorized agents, including without
information contained above is true and correcl.
limitation architect andl or builder
. iì.1 it i
*I hereby acknowledge that I have read, understand and
will abide by the requirements of the Notice and
Certification listed above, as well as, have provided the
required information which is correct and accurate to the
best of my knowledge.
,fur¿¿Ør&¿ad*
Acknowlegement:
Signature:*
Payment Portal
Submission Gomplete?*
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, I will not be
able to complete my submission withoul entering the
'lransactron Nunrber fronì Lhe payrnent po*al. I agree not
to submit the payment unt¡l I am ready to submit this form
I am not ready to submit this form. (Please choose Save
as Draft)
Please cl¡ck on the link belowla enter an online payment. Once you have received the
transaction number from the payment portal complete and submit this form.
RETURN TO THIS FORM AND E,\'TER THE
TRAruSACTION NUMBER IN THE FIELD BELOW TO
PROCEED WITH YOUR APPLICATION.
Click here to oæn_QnlinelPay$ed_Pefta!
Transaction Number:*HCOSSGSNLAl
Please enter the transaction number from the online payment.
Gonfirm Transaction Number:*HCOSSGSNLAl
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