HomeMy WebLinkAboutApplicationGarfuld County
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unity Development Department
108 8th Street, Suite 401
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Glenwood Springs, CO 81601'\,' . (929)s4s-8212
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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
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Fees Paid:Balance Due:cp Ët*.ß3{1 zonR
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Signed Approval Date