HomeMy WebLinkAboutApplicationGurfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ols4s-82t2
www. garfield-cou nty.com
TYPE
PÀRTTTS
BUILDING PERMIT
APPLICATION
Commercial/Multi-Familv Demolition
TManufactured Home (Sinele or Multi-Level)Gas Piping
Residential (SF, Duplex or Townhome)Reroof
Accessorv Dwellins Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Contractor:Genesis Plumbing & Hydronics
Email Address:genesisphyd ro@outlook.com
phone, (970 t773-0541
Mailing Address:1870 J 6/10 Road Fruita, CO. 81521
Property owner: Tiffany Axtel plrone, (970 )948-1076
Mailing Address:1973 County Road 210 Rifle, CO.81650
Email Addresr. tbaxtell@gmail.com
PROJE TDETil$
Describe Work:we need to run a L.P. steel gas l¡ne f¡om entry into bu¡lding to a gas generâtor (provided by others). Total distance ¡s less lhan 10'
JobAddress: 1973 County Road 210 Rifle, CO
Assessor's Parcel Number:
Sub.Iot Block
Gas Pipe tength/ Diameter:314" dia. for less than 10'
Appliances Serviced By Gas Line (list all, include BTU):
boiler @ g7K btuh, Gene ratw*.â A¿{ ß SI
Class of Work:i[*"*./Alteration Addition
Type of Heat:atural Gas 1/Propane
NOTICE
Authority. 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.
O_lbeflefmits. 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.
VgtCleün!!-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 L80 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 the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. ln consideration of the issuanceof the Building Permit, lagreethat land myagentswill
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, construct¡on 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 Official from: (1)
requiringthe 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 responsibility for compliance w¡th 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 províded the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print a Date
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OFFICIAT USE ONTY I
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Special Conditions:
Adjusted Valuation:
N/A iö,{loo Misc. Fees:
'*iöö.oo Fees Paid:\oo.oo Balance Due:+ffiie-8â\\'oi'{'
BUILDf NG / PLANNING DIVISION
Signed Approval Date