Loading...
HomeMy WebLinkAboutApplication- Permit7 Garfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601 - Phone: (970)945-8212 Fax: (970)384-3470 Protect Address 1058 CR 100 RD CARBONDALE, CO Owner Information Parcel No. Issue Date: 12/21/2010 Expires: 06/19/2011 Subdivision Section Township Range 239335400056 Address Phone Cell IRMW, LLC PO Box 1252 Carbondale CO 81623 970-379-4909 i Contractor(s) Phone Primary Contractor Proposed Construction l Details Add gas rooftop heater/ gas line (all Extended work) FEES DUE Fee Amount Commercial Building Fee $100.00 Plan Check Fee $0.00 Total: $100.00 Valuation: Total Sq Feet: $ 4,000.00 0 FEES PAID Inv Total Paytype Amt Paid Amt Due Inv # BLCO-12-10-20751 $ 100.00 Check # 151 $100.00 $ 0.00 Required Inspections: For Inspections call : 1(888)868-5306 nspectlon IVR See Permit Record Building Department Copy Tuesday, December 21, 2010 2 yp.:'RIT/,LLc GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8'h Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 888-868-5306 www,garlicld-county.com 1 Parcel No' (this' formation is available at the assessors office 970-945-9134) '&9'63S 4000,x, 2 Job Address: (if an address has not been assigned, please provide Cr, 1 Iwy or Street Name & City) or and legal description Cte'ry Ad. (t'?,°,7z 7-Reeek dodifP /1f , 3 Lot No: Block No: Subd./ Exemption: 4 Owner: (property owner) 0111.-?' fL/cam Ma Ing Address: Pet All)(' / 2. 6-27,.. eh-Ja r Ph: 79- '9e Alt Ph' 6 3 --go0 i' 5 Cont et r: f<YA'Ai �0A n/ Mailing Address: 2.7/ /eta✓ 1-.A4l c/MO. Ph:,, /- Alt Ph: 6 Architect / Engineer: Mailing Address: Ph: Alt Ph: 7 SetJtiJ �1� Sq. Ft. or Acres of Lot: (14 V c23 Height: No. of Flnors:0 8 Use of Building: y ,� SN6>1''sToi 6 9 Describe Work: � 6 �, ©? fricATER /I 6/1-. twve 64-a_ 6Yer, 1/1/0K) 10 Class of Work: o New o Alteration o Addition 11 Garage: ❑ Attached o Detached Septic: o ISDS o Community 12 Driveway Permit: Owners valuation of Work: $ Authority, This application for a Building Permit must be signed by letter of authority, signed by the Owner, must be provided A Building Permit cannot be issued without proof of legal NOTICE the Owner of the property, de cribed above, or an authorized agent. If the signature below is not that of the Owner, a separate with this Application. and adequate access to the property for purposes of inspections by the Building Department. Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or Discharge Permit. is not commenced within 180 days of the date of issuance and ifwork is suspended or abandoned for a period of 180 CERTIFICATION contained above is true and correct. 1 understand that the Building Department accepts the Application, along with the plans based upon my certification as to accuracy. a Building Pet mit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, are not in compliance with County Regulation(s) or any other applicable law. described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the if any, discovered after issuance; or (2) stopping construction or use of the struelure(s) or facility(ies) if such is in violation work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions compliance with federal, state and local taws and County Regulations rest with me and my authorized agents, including without THE NOTICE & CERTIFICATION ABOVE: /.z -2( .,/d 1.esal Access. Other Permits. Multiple separate permits may be required: (1) State County I lighwayl Road Access or a State Wastewater Void Permit, A Building Pemtit becomes null and void if the work authorized 1 hereby certify and specifications Assuming the submittals In consideration Code, ISDS construction I hereby grant Building Official of County Review of or discrepancies. limitation I HEREBY OWN days afer commencement. that i have read this Application and that the information and other data submitted by me or on my behalf (submittals), completeness of the submittals and approval of this Application, reviewed by the Building Department. of the issuance of the Building Permi€, i agree that 1 regulations and applicable land use regulations (County Regulation(s)) or use of the structure(s) and facility(ies), described above, permission to the Building Department to enter the property, from: (1) requiring the correction of errors in the submittals, Regulation(s) or any other applicable law. this Application, including submittals, and inspections of the As the Owner, I acknowledge that responsibility for my architect designer, engineer and/ or builder. ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND f '_ / •' r SIG 'ATE E DATE STAFF USE ONLY Special Conditions: -/i.-5 plow; 1 i.451 11r1 7 , J�Ssa/e 1- iT ef,(/ //e.? !�// f i'i''/ Adjusted Valuation: Plan Cheek Fee: Permit Fee: 06 )0 0 , Manu home Fee: Mise Fees: rte_ 1 iSDS Fee: ---- Total Fees: )00.oe Fees Paid: )00.00 Balance Due: 7' BP No & Issue Date: ISDS No & Issued Date: Setbacks: OCC Group: Const Type:Zoning: 0 BLDG DEPT: . PLNNjG DEPT- AP4LDATh/ APPROVAL DATE