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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. a z Property Owner Print a Date Þ OFFICIAT USE ONTY I I 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