HomeMy WebLinkAboutApplicationGadreld Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(97Ols4s-8212
www.ga rfield-cou ntv.com
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
DemolitionCommercial/M ulti-Family
Manufactured Home (Single or Multi-Level)
I ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
Property Owner:Outpost Properties, LLC Phone: (928 )925-5543
Mailing Address:453 Lions Ridge Rd. Carbondale, CO 81623
Email Address:isaac@outpoststud i oco. com
contractor: Umbrella Roofing, Inc phone, (970 )704-9130
Mailing Address:PO Box 1717 Carbondale, CO 81623
Email Address:office@u m brella-roofi n g. com
Architect:Phone
Mailing Address:
Email Address:
Engineer:Phone: ( )
Mailing Address
Email Address
Manufactured Home lnstaller:Phone: ( )
Mailing Address
Email Address:
PROJECT DETAILS
Describe Work:Remove existing Asphalt shingles. lnstall new ice and water shield
and Malarkey Vista Asphalt Shingle Roof System
Job Address 12694 Hwy 82 Carbondale, CO 81623
Assessor's Parcel Number:
Sub.Iot Block
owner's Valuation of work: S42'600 Property size (sq. Ft. or Acres);
Sq. Ft. of Building:Height:# of Floors
Class of Work:New Remodel/Alteration Addition
Garage:Attached Detached
PROJECT DETAILS CONTINUED
Septic:
Type of Heat
l_i3wrs
Natural Gas
Community
E lectric Other
Driveway
Permit:
Exempt Permit #:
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 bv 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
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 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
Uwner, to construct the structure(s) and tacilities 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)). 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(ies), described above, are not in compliance with County Regulation(s) or any other
applicable law.
i irer-eby gi'ant pertnission io ihe tsuiiciing Division to enier the properiy, ciescribeci above, to inspeci 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. 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 which is correet and aeeurate to the best of my knowledge.
\l|E=-- s/s/24
Property Owner Print and Sign Date
OFFICIA! USE ONtY ,fJ \( t
Special Conditions:
Adjusted Valuation Plan Check Fee ["d5"":.ro Manu. Home Fee:Misc. Fees:
Total Fees:c)o\@.Fees Paid @\oo Balance Due:o-BP No:OWTS No:
l
Setbacks:ZonilgiIAOCC Grouo:art,r Const. Type:a:0i -
BUILDTNG / PLANNTNG DtVtStON 5-/o.^{
Signed Approval Date