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HomeMy WebLinkAboutApplicationGarfuld County h/. [:!:: i unity Development Department 108 8th Street, Suite 401 , i, Glenwood Springs, CO 81601'\,' . (929)s4s-8212 ' wwr,uBaifi eld-cou nty.com BUILDING PERM¡T APPLICATION WPE OF CONSTRUCTION Commercial ulti-Fami Demolit¡on Manufactured Home or Multi-T Gas Piping I Residential (SF, Duplex or Townhome)Reroof Accesso Dwell Unit - MAXIMUM SIZE OF FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: Jim & Sheila Estes p¡ron".¡970 )618-6688 0510 CR 321 Rifle, CO 81650 Contractor:Storm King Mechanical Phone:f 970 ì 625-8551 Mailing Address:2970 Airport Rd Ste A Rifle, CO 81650 Email Address PROJECÍ DETAITS Describe Work:Replace oil furnace M natural gas furnace, and set meter Job Address:0510 CR 321 Rifle, CO 81650 Assessor's Parcel Number: Sub.Lot Block Gas Pipe tength/ Diameter:4', -3 I 4" BlP, 20', - 1 I 2" BIP Appliances Serviced By Gas Line (list all, include BTU): 100,000 BTU input furnacq Class of Work:lZlltt"tation Addition Type of Heat:Natural Gas Propane NOTICE Authority. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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 Build ing Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Olhef Pefm¡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. V-stC-Peûnj!.4 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 180 days after commencement. CEBTIFICAIIQN 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 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, construction 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 thc Building Division to cnter 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 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. Asthe Owner, lackrrowledge that responsibility t<lrconrpliance 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. Marc Caìdwell 9l2BlZ3 Property Owner Print and Sign Date OFFICIAL USE ONLY q Special Conditions: Misc, Fees:Adjusted Valuation tr¡r/A '"i"',Tä.oo Tö5EO Fees Paid:Balance Due:cp Ët*.ß3{1 zonR ?.ffi.93BUTLDING / PLANNTNG DrVtStON Signed Approval Date