HomeMy WebLinkAboutApplicationGurfield County
BUILDING PERMIT
APPLICATION
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.ga rfi eld-countv.com
TYPE OF CONSTRUCTION
Commercia Demolition
Manufactured Home (Single or Multi-Level)
T¡ReroofResidential (SF, Duplex or Townhome)
SQUARE FEETDwellUnit- MAXIMUM SIZE OFAccesso
INVOTVED PARTIES
Property Owner:
Mailing Address:
William Bartel/Lori Nelson Phone:970 3091837
9580 CR 335, New Castle, Co 81647
Email Address:moosefred 1 837@gmail.com
Contractor:William Bartel Phone 970 3091837
Mailing Address:9580 CR 335, New Castle, CO 81647
Email Address . moosefred 1 837@gmail.com
Architect: Phone:I
Mailing Address:
Email Address:
Engineer: Phone:
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone: I ì
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:Roof repair from wind damage
Job Address:9580 CR 335, New Castle, CO 81647
Assessor's Parcel Number:212334402003
Sub.Riverbend l-ot 3 slock2
Owner's Valuation of Work:1 5000 Property Size (Sq. Ft. or Acres):19602
Sq. Ft. of Building:1584 Height:S of Floors:2
Class of Work:New Remodel/Alteration dition
Garage:Attached Detached
PROJECT DETAI [S CONTINU ED
Septic:Community
Type of Heatl Natural Gas Propane Electric
pt
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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.
Other Permits. 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 not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 davs after commencement.
CERTIFICATION
I hereby certify that I have read th¡s 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 facìlities detailed on the submittals reviewed by the Building Division. ln
consideration of the issuance of the Building Perm¡t, 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)), All County development requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. 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(les), 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) 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 const¡tute an
acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, I
acknowledge that responsibility for compliance 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.
William J Bartel 11il21123
Driveway
Permit:
Perrrrit #:
Other
Property Owner Print and Sign Date
OFFICIAT USE ONIY
Special Conditions:
Adjusted Valuation Plan Check Fee:
-æ 'Tö5',oc/Manu. Home Fee:Misc. Fees
-i'åä cvc2 Fees Paid:
\ ocl æ-Bala BP No:
W)V8¿lS+
OWTS No:
Setbacks:OCC Group:Const. Type:'"üf,r,r.
It-pre;
Dete \-BUtLDTNG / PLANNTNG
Signed Approval