HomeMy WebLinkAboutApplicationGarfteld CountJ'
Community Development Department
108 8rh Street, Suite 401
Glenwood Springs, CO 91601
l970l94s-8212
www, ga rf ieldcou ntvco.gov
TYP.E'Of gor{flnucnolt
-"-."I lCornmerciai/Multira
Manufactured Hcnre {Sing{e or Mu}ti-LevelJ
Residential (SF, Duplex or Townhome)
Accessory Dwelting Un'r {AOU} - MAXIMUM S|ZE OF 1,200 SeUAgF FEET
t
Demolition
Gas Piping
Reroof
Property Owner:
Mailing Address: 1047 Willow Circle, Long co 80503
Ernail Address:
Contractor Pro Gas. LLC
970 s18-0043
Phone;rg70 r858- 1001
Mailing Address: PO Box 44, Lonra, CA 81SZA
Ernait Address. office@progas.l00 j. con"l
i !!S!S,W!S{ ...r:r.::: -,,i;.:.:.
Describe vvorlt: Run new exterior gas lines lo convert property from Natural Gas to propanc
Job Address: J 945 CR 309. Parachute, CO 81635
Assessor,s parcel Numbe. 240704100091
5ub.Lot Block
cae pipe Length/ Diameter: BSft, 1/2" CTS
Serviced By 6as Line {list all,BTUI:
\
Class of Work:Alteration AddIion
Natural Gas j r'I ype ol lleat:Propane
ctRilrrcAnoN
I herebV rerti{V thal i have reatl thr: /rpplication anrJ that the informatiotr cotltainecl above is true and corre(.i l
lrn,Jtt!"stnrlfJ that lhe iluilrling t)ivision accept.t the Applir:atiorr, along,wit-h thr: pi'ins ancl 5pecrfifations and r:ther
.!.)ta submitte(i Lry m+: or on mv trehalf {subrlrttals). basrlci r.lpon mv cerlification as to ilccuracv' A'ssuming
conrIletr:,rrr,.s.< oi th.-: strbmittals afld approval of this Apfrliralion. a tluilding Permit will be issur:d granting
pe|ni{,:,rrrn !o rr.lc, ile (Jvvncr, tc ronSrrll|^l thr strtlcture(s} anel facilities detnile(J otr lhc 5ubltlittals reviewed bv
g,r1. glrlcling 0ivr:irr)ii .rr co,rrridrLltion of ttre rssrrdnLe tlf tht: SuililinG {tern\it, lagree that l;Jnd lnv agt'rrts will
,.ro'ril!v ,.\,itli ij!-ovr-sion! i:f any {er}eral. sii}te or loc;.ri li-"w, regr:lating the work l;nd the Gar{ir-'ld County flurlding
(.or.ir, gwIS rogulatrorl5 anrl appiicable l,rrrrj use regulations lcountY Regrrlationls)). lacknowled5;e that the
iJirikling Permit nray br: :,itspendci'i or revoked, l.tp()tr n01i{-e from the [:otjnly il thc l<:r'ation' (:onstructi()n or tjs(]
r:,i.!hc strr.rctr-rrets) and facility(ies), describecl abovc. art: not irl (.otnpliance with c-ounty Rr:gulation(s) or any
tOTl1$ .,, ., .'. .., '., ': . . . ''.', -,'"1','r'-'i ":*,."-;ot:;t"'li.ii!--'':,
Authoriry. lhis applicatioil for a Building Permit nrust bc sig,nt'd by the'owrrcr of thP Irr{)peltY, describetl above'
r.rr an ailf hrlriierl agent lf the signature below il not that of the Owne'r, a sepatate letter tlf authority, sign{: d by
thp Own€r, m!51 be prt>vidt:d u'ith tlris Applii:arion'
*gg!_sgl_r. A Burltlinll perfirit cannot be issued without prnof of kigal and adeqttate ac{"ess to the property f<'tr
ilrrrpose,c o{ inspeitions by the l}uilding Divi5ion
O!-he.r-.Pjfmits. N4ulriple separate permits may btt required: t1.) State [lectrir-al Permit, {2} County OWIS P€rmit'
i:l) arotht:r perfl'rit requifcrl for rrse on lhe propcrly itltrnliiied above' c g State or C-or,lnty llighwaV/ Road Access
r:r'a Stale VJasiewat(.'r Discharge frermit
Vqjd P_qrmit.A tSuilctinS Pelmit hc{]olnr,l ntill ;:nci voici l{ the |vcrk autho!.11t]d i5 not tottrmenced within 180 days
of tnr: Catl nf issi.ranct: ancl if work is.suspr:nrlceJ or abanricncd lor a perind of 1tiO days alter conrtnencem(lr]l
c t ';r: r .,ri;i:lica Dit ;a
"r'
I jr(.,rcbv (rant pc!'nrirston tc thrr llurldirlg Division to enter the property, rlescribed above' to irtsp€lci ihe wtlrk l
furil:er;rlknc-.ylFXlue !i::rt t5e: r:,st.ranr.r: of tirr: BuikJrng Petinji doils rlot ilreverlt the ttuilding Official from: tl)
rrqLrrrinp. lhe corrcction rll srr4rrs rrr !hr: subrrrittals if any, dist:overed afler rssuance; or (2)stopping
r0nslrur,ti)n Or trse cf the 5lrtrct\jreiS) or fac.ility(ies) i{ surh is rrr vioiatiOn Of ('or"rnty ReBuiAtiOn(sl or arly otht't
lirfrtir.altl. la,.v Re,view or this Appiicrltion, inclrlriing srrbmltt;ls, anri inspectiOns of the work trv thr: Hurldrng
1)i,/!SrOi r,!O n,:): eon-<1-!ttjt\t an icat:ptan(i-- of t()ipot)sibility or liabiiity i:y thc (-ottnty of errOts OtniSsiOnS Or
rji:tir',!r.rlrt:ic5. As lltc owttcr, litcltnr:lvlcrlgc tl]Jt reliponsibiliryior r:rrrnpiiarlr:e tvitlt fr:deral, st;rte;)nd ir]cai lawc
;,ncl t-olrnly Regulatrols rllsl wrth me: and nry i:uthori:erl agents, rnciuCing lvithout linlitatrorr my ar(-ilileci
!l{-}srpne |. enp,incrr ,lnfl/ or burlc,cr.
I hereby acknowledge that I have read understand the Notice and Certification above, as well as,
have provided the required inform ls accurate to the best of mV knowledge
;alp /h,o/U
Property Owner Prir{ and Sign
[,, ,/,.a_<
Date
, Special Conditions:
Misc. Fees' Adiustei r.r/n
j r9t3l Fees:n ^',q{Q8;-
d Valuation
rrSE
{
BUILDING / PI.ANNING DIVISION
Signed APProval Oate