HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol94s-8212
www .com
INVOTVED PARTIES
Property Owner:Nick Ketpura Phone:970 343-9205
Mailing Address:208 Dakota Meadows Drive, Carbondale, Colorado 81623
Email Addresr. ketpura@gmail.com
Contractor:Sveagle Plumbing Heating Cooling Phone,l970 )366-2071
Mailing Address:2806 N Speer Blvd, Denver, Colorado 80211
Email Addres' mk@sveagle.com
PROJE T DETAITS
Describe Work:Gas line extension from existing meter to backyard of the duplex.
BUILDING PERMIT
APPL¡CATION
TYPE OF CONSTRUCÍION
Commercia Iti-Fam Demolition
Manufactured Home (Single or Multi-Level)I Gas Piping
I Residential (SF, Du or Townhom Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
Job Address:208 Dakota Meadows Drive, Carbondale, Colorado 81623
Assessol's Parcel Number
Sub.
2391 3320301 3
Block
Gas Pipe Length/ Diameter:
Appliances Serviced By Gas Line (list all, include BTU):
Gas Fireplace, Gas.RangÊi
Lot
[Tlnlæration
tr+['- ]ZltÄtoi,ion.Class of Work: .wevú ; 1" 'i",,.
Natural Gas PropaneType of Heat:
13
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lfthe signature below is not that ofthe Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
purposes of inspections by the Building Division.
O.ther Perm¡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.
Vcid.eemil-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 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information conta¡ned above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specificatlons 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 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 inspcctions 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 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 is correct and accurate to the best of my knowledge.
Nid Keþu6 121il2023
Property Owner Print and Sign Date
OFFICIAL USE ONtY
Special Conditions:
Ad¡usted Valuation:
N/A r'öö:æ Misc. Fees:
,læTotal Fees:
\Õo aoFees Paid:\cn Zoning:
Drt
Balance Due:
BUttDtNG / PTANNTNG DTVTSTON :tã-lB'å3
Signed Approval Date