HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701s4s-82t2
www.ga rf ieldcou ntvco. gov
INVOLVED PARTIES
Karen Flamand Phone: ( 970
)
274-4451Property Owner:
Mailing Address:102 Fairway Lane
Email Address:ka renflama nd @comcast. net
BUITDING PERMIT
APPLICATION
WPE OF CONSTRUCTION Asphalt Shingle Reroof
Commercial/Multi-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
I Residential (SF, Du lex or I Reroof
Accessory Dwelling Unit (ADU)- MAXTMUM S|ZE OF 1,200 SQUARE FEET
phone: ( 970 t4854367contractor: High Profile Roofing
PO BOX 2313 Glenwood Springs, Co 81602
Emait Addresr. eli@highprofileroofing.com
Mailing Address
Email Address:
Phone: ( )Architect:
Mailing Address
Phone:Engineer:
Mailing Address:
Email Address:
Mailing Address:
Phone:
Email Address
Manufactured Home lnstaller:
tear off and remove old roof from jobsite supply and install ice and water shield as underlayment
supply and install GAF Timberline shingles to roof install 249 metal to drip valley and wall flashing install penetration flashing
Owner's Valuation of Work: S 49,390.59-
PROJECT DETAITS
Job Address: 102 Fairway Lane
icres;
Height:
Describe Work:
Lot _ Block
Assessor's Parcel Number:
Sub.
Property Size (Sq. Ft. or
1 *otsq.?t?ffbuilding:
{Remodel/Alteration AdditionClass of Work:
Reroof
New
Attached DetachedGarage:
Septic:
Type of Heat:
Driveway
Permit:
Natural Gas
pt
Propane
Community
Electric
Permit #
Other
Authoritv. lhisapplicationforauuildingPcrmrtmustbcsrgncdbythcUwncroftheproperty,describcdabove,
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 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.
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
Owner, to construct the structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln
consideration of the issuance of the Building Permit, lagreethat land myagentswill complywith 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
rnnlinrhlo lrrr,
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 ofthe
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.
PROJECT DETAITS CONTINUED
NOTICE
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.
Karnn F/amarz"/.sl23E5
Property Owner Print Date
OFFICIAT USE ONLY
Special Conditions:
Adjusted Valuation:Plan Check Fee:
TiIiT"'crcY
Manu, Home Fee:Misc. Fees:
Total FeesVn Fees Paid:lao Balance Due:ft ff.,Prlqq -OWTS No:
/--
Setbacks:OCC Grouo:+f)(t Const. Tvoe:a-o fi t",u
f;gIAsBUILDING / PLANNING DIV
)rBneo Approvar Lrate