HomeMy WebLinkAboutApplication- PermitT
Garfield County
Building & Sanitation Department
108 8"' Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003 A
Job Address fig �� �G, KIN/ ij h?C
NO. 957 O
Nature of Work Building Permit
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Use of Building "T1 J� ^?'es- 1�
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Owner C LX -�/1 l� 11 ()in S
Contractor
Amount of Permit $
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Date
i
buiait
Permit No- ..
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 IF" Street Bone 201, Oleet oed BPMp. CO 81601
new 970.946-1212 / Pee: 070.3849470 / Innate* Lime: 870384-8003
0.7_� ., X Pantl/Schrdnlr No. 15-I O1— 111— 0 L cln�j
M7uf: FMENT
P130M6.410N LS nJ0A11 GRANTED 11.1111E AVIAJCANf AS OW711a1, CUNLRALTTTM1 AND/1)11111E AGENT IIP THE C(1NTILACTIA4 OR OWNER 10 C(NiSO1UCT
THF STRIe;T RIE AS niciAiLF.T UN TLANS ANn SPKCIFI(AnoNS SUBMITTED TO ANII REVIEWED BY THE HI IRDIN(. DEPARTMENT
IN IX)N$ UERAIR)N OF THE IHRSTIANI:6 (1F THUS PERMIT, THE MINER KrAis3V AOIO;E$'R) COMPLY WITH ALL HUIWIM: CODES AND LAND
U5C RZG'JI.A DONSADlWIED UY IARPIEID COUNTS 1tI1LSUANT'IO AUTIIUROT',MYR 1 N 30 25.201 (It% AS AM RII1i I). TNR SIGNER FDIOHFJ1 A(:11ElUS
17 LAX » PILIN ADWI .Mo (IMINWINCLCIMIL Nur UI ILLY 1R14/ TEND Willi IN DIE UOAIIUN, EiWCtlLIN. EON Y111UmiuN AID 11"3 (1F'111K
ABOVE DESCRIBED STRUCTURE_ THE PERMIT MAY BE REVOKED BY NOTICE PROM THE COUNTY AXP THAT TXP,N AND TFIEBE )r SPIAL[. DECOME
NI ILI. AND VOID. 1718 I:Y;UANCE OF A PERMS OARED I1i'11N PLANS, :;PECII(;YIlON:, AND 1 rri IIAI'A IdNLL Nae DiCYI:N1' Pip DUU.UING OFFICIAL
MOM flDW :N'RYt RDQTAWNO TIM MRIllir ON OP ERRORS 1N RAID PIANtS, FFPEFTFW:AT111NS AND OTHER DMA 0H FROM F4iEVENT1N1:
NUILUINC 0112tAI JUN L(L'JNU LAIUUKL11.111 IIILIILUNtICH wl2N IN VWJIAIttIN VF nit LIAR. OH ANY witiR V110 'MANCE ON RtJ:'UTAl1ON 4.1F
Twig .nTRlsnIr n NV TRF R4VIFW DF CI'RNrTFn PIANS ANn cPFFR1rAllnrlS ANT) INNFECTIONS CONTE 1111.11110111. -RR IW )1 S NI IT 1'nNsiTrl ITr
AN MtKPI'ANCE Of ANY H1 SP(INSINII.I'RlS OR LIABLIDES 10R C.AIITTF.IJ) COUNTY FOR ERRORS. OMISSIONS OR OISCREPENCIFS. THE RESPONSI
6RJTY FORTR.r. MAIN AND TMFI.TtMENTATIIMY nlluint: t:(Newit Ir now RESTS .11'GCIIICi ALLY Willi THS ARTICtECT, DLSIONEN. oinuicN.
AND OWNER WIOIENIS ARE INTENDED '11.) HF ECWSENVATIVE AND IN S1IPI UM OF' THE ONTO:RS 1.117 EMEST
Gerfm1003
I ITERI:HY ACNNDWLLrx,: THAT 1 NAYF. RrAD ANR oNDERS SAND 1141: AGREEMENT AHOVE IINITIALI' . - ,.
Job Address 1 .-
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Arch-11CatGng1ntr.
Address.
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Uc. No
Sq. FO. t Pudding!
l 1 �� 1\
Sq Ft. of Lot'
Height
No of liners -
Use of8u11diUR--`r \x1m4
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lxaa be work'
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N
(lass of Wort: New
D Addition
Alteration
J Mavc
Carport
o Remove
9
10
Garage O Single --.
0 Double
0 S1n&)e
D Double
n Driveway Prnntt 0 On -Site Sewage
UL.pota1
Cl Site Plan
Il
Valuation lTWork: $ \ Jam'
Adjusted valuations 5
12
Special CJmdltlom:
NOTICE
A SEPARATE PLS (at. PERMIT I5 RE(1IIIRED AND
ISSUED RV THE STATE OF COLORADO.
INA IYA1p1 H1Y2)MES 141n2. ANTI VOD IP WORE On
A1TDNDRImilLSNor COMM(JICEDwow" IM) OATS.
CONSTRUCTION 011 W( IRK IS 505F47LDLT7 OR AIIANIN)NRI
PERIOD 1W 10TH DAYS pa ANY :ME AFTER WINE 1:4l'J1e1Mr.Nurn
I HEIIPJO CERTIFY THAI 1 HAVE READ AND FYAfNFJ)TfMS
APPLICATION AND 10,KO RHE SAME TO HE 7R1 IR AND
PROVISIONS or LAWS GOVERN/NO 71115 TYPE Of WORK
COMPLETED WITHIN WHETHER SPECIFIED HEREIN
GRANTING OF A PERMIT ODES Noor PRESUME TO CrVE
TO VIOLATE 011 CANCEL THE PROVISIONS OF ANY OTHER
LOCAL LAW AFOUL ATTNK; CONSTRUCDON (NC 174E
DF/1) T eel
�/�4G2
MUST RE
CONnTAjTCIION
OR W
FOR A
(1 IRHFJT, ALL
WILL nE
OR NOT THE
AITIIIORITY
STATE OR
� � Orma131.1.
_
Plan Check Fce.
Total Fee•
Pcrinil Fcc.
Dated Permit
isaued•—
OCC Group:
Const. Type
Zoning
Setbacks
Home:
___
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ISDS No. & Pee-
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9 pWl�7;
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APPRR11�AL/RAMIE
APPROVAL/DATE
DEPT WT.
✓A
M7uf: FMENT
P130M6.410N LS nJ0A11 GRANTED 11.1111E AVIAJCANf AS OW711a1, CUNLRALTTTM1 AND/1)11111E AGENT IIP THE C(1NTILACTIA4 OR OWNER 10 C(NiSO1UCT
THF STRIe;T RIE AS niciAiLF.T UN TLANS ANn SPKCIFI(AnoNS SUBMITTED TO ANII REVIEWED BY THE HI IRDIN(. DEPARTMENT
IN IX)N$ UERAIR)N OF THE IHRSTIANI:6 (1F THUS PERMIT, THE MINER KrAis3V AOIO;E$'R) COMPLY WITH ALL HUIWIM: CODES AND LAND
U5C RZG'JI.A DONSADlWIED UY IARPIEID COUNTS 1tI1LSUANT'IO AUTIIUROT',MYR 1 N 30 25.201 (It% AS AM RII1i I). TNR SIGNER FDIOHFJ1 A(:11ElUS
17 LAX » PILIN ADWI .Mo (IMINWINCLCIMIL Nur UI ILLY 1R14/ TEND Willi IN DIE UOAIIUN, EiWCtlLIN. EON Y111UmiuN AID 11"3 (1F'111K
ABOVE DESCRIBED STRUCTURE_ THE PERMIT MAY BE REVOKED BY NOTICE PROM THE COUNTY AXP THAT TXP,N AND TFIEBE )r SPIAL[. DECOME
NI ILI. AND VOID. 1718 I:Y;UANCE OF A PERMS OARED I1i'11N PLANS, :;PECII(;YIlON:, AND 1 rri IIAI'A IdNLL Nae DiCYI:N1' Pip DUU.UING OFFICIAL
MOM flDW :N'RYt RDQTAWNO TIM MRIllir ON OP ERRORS 1N RAID PIANtS, FFPEFTFW:AT111NS AND OTHER DMA 0H FROM F4iEVENT1N1:
NUILUINC 0112tAI JUN L(L'JNU LAIUUKL11.111 IIILIILUNtICH wl2N IN VWJIAIttIN VF nit LIAR. OH ANY witiR V110 'MANCE ON RtJ:'UTAl1ON 4.1F
Twig .nTRlsnIr n NV TRF R4VIFW DF CI'RNrTFn PIANS ANn cPFFR1rAllnrlS ANT) INNFECTIONS CONTE 1111.11110111. -RR IW )1 S NI IT 1'nNsiTrl ITr
AN MtKPI'ANCE Of ANY H1 SP(INSINII.I'RlS OR LIABLIDES 10R C.AIITTF.IJ) COUNTY FOR ERRORS. OMISSIONS OR OISCREPENCIFS. THE RESPONSI
6RJTY FORTR.r. MAIN AND TMFI.TtMENTATIIMY nlluint: t:(Newit Ir now RESTS .11'GCIIICi ALLY Willi THS ARTICtECT, DLSIONEN. oinuicN.
AND OWNER WIOIENIS ARE INTENDED '11.) HF ECWSENVATIVE AND IN S1IPI UM OF' THE ONTO:RS 1.117 EMEST
Gerfm1003
I ITERI:HY ACNNDWLLrx,: THAT 1 NAYF. RrAD ANR oNDERS SAND 1141: AGREEMENT AHOVE IINITIALI' . - ,.
No -7 LC
1
Assessor's Parcel No. 240 I -/ 7/-02 -t 5
Date —7-
Job Addres
Owner
Contractor i)t 9' �!
Setbacks: Front Rear
Address
RH LH
-(cb-Pi7 C l tat C�$p INSPECTIONS
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping
NOTES
Phone #,-3,-,S`r"i6JrJ
Phone #?4 I -753C
Zoning
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical Final State)
Final Checklist Completed?
Certificate Occupancy #
Date
Septic System #
Date
Final
Other
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