HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Sanitation Department
108 8`" Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address gS� L9Ati Pty /Let �/6
Nature of Work Building Permit
Use of Building €A212,- 07021 4
Owner 412)4A- CCD•
Contractor //
Amount of Permit $ Mb. Date
NO. 94 9N
[3, a6t_c:
•
Permit No:
GARFIELD COUNTY BUILDING PERMITAPPLICATION
108 8"' Street, Suite 201. Glenwood 6pringc. CO 81601
Phone: 970-945-8212 / Fax: 970-984-9470 / Inspection Line: 970-384-5003
2_
Parcel/Schedule No:
Job Ad l /
�7 �t1, �a+FLcrni yr Prygk.nt4 fCruin,'v'6"
1 Lot No: Block No: Subd ' / Exemption:
2
caner:
LSOtkli 1.CmC1.7 rnCAA co
dress
ICs. (MC arrtie
P
."i-2g-s;9/7q
Wk Ph:
3
peraetArAss:
Ph: Yom- _�1 20Llc.
No.
4
Architect/Engineer:
Address:
Ph:
Lie. No.
5
Sq. Ft ruillc g:
Sq. FY. of Lot.:
Height:
No. of Floors:
6
Use offBullding: _ torvvvr5
7
k!t�1RI'tr'c%1
Describe Wor :
Pran r ry S',1 C -i -F'
8
Class of Work: New ❑ Alteration o Remove
❑ Addition 7 Move
9
10
Garage: ❑ Single
❑ Double
Carport: ❑ Single
❑ Double
o Driveway Penult 0 On -Site Sewage
Disposal
❑ Site Plan
11
Valuation of Work: $7-1—g000Adjusted
Valuations: 5
12
Special Conditions:
A SEPARATE
ISSUED
THIS
AUTHORIZED
CONSTRUCTION
PERIOD
1 HEREBY
APPLICATION
PROVISIONS
COMPLETED
GRANTING
TO VI
• w
O
NOTICE
ELECTRICAL PERMIT IS REQUIRED AND
IT
BY THE STATE OF COLORADO.
PERMIT BECOMES NULL AND VOID IFWORK OR
IS NOT COMMENCED WITHLN 180 DAYS.
OR WORK IS SUSPENDED OR ABANDONED
OF 180 DAYS AT ANY TIME AFTER WORK IS
CERTIFY THAT 1 HAVE READ AND EXAMINED
AND KNOW THE SAME TO BE TRUE AND
OF LAWS GOVERNING THIS TYPE OF WORK
WYTHIN WHETHER SPECIFIED HEREIN
OF A PERMIT DOES NOT PRESUME TO GIVE
• % OR CANCEL % PROVISIONS OF ANY OTHER
W - ULATI • CONSTR CTION OR THE
n-- •N.
//'�/1",±1Manu.
MUST BE
CONSTRUCTION
OR IF
FOR A
COMMENCED.
111I5
CORRECT. ALL
WILL BE
OR NOT. THE
AUTHORITY
STATE OR
PERFO CE
Plan Check Fee:
Permit e:
Cl t/
7c et
Total Fee:
/iST1 ($1
!/ OD•(/ v
Dated Permit Issued:
�✓/r 3/ o
Ti/
OCC Group:
Const. Type:
Zoning:
Setbacks:
c
Home:
RSDS No. & Fee:
S OF OWNER DATE
BLDG DEPT. PLNG. DEPT.
APPROVAL/DATE APPROVAL/DATE
AGREEMENT
PERMISSION I5 HEREBY GRANTED TO THE APPLICANT AS OWNER. CONTRACTOR AND/OR THE AGET OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT. THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND
USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN LN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES
THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH TN THE LCOATION, ERECTION. CONSTRUCTION. AND USE OF THE
ABOVE DESCRIBED STRUCTURE. THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME
NULL AND VOID. THE ISSUANCE OF A PERMT BASED UPON PIANS SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL
FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING
BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF
THIS JURISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE
AN ACCEPTANCE OF ANY RESPONSIBILRIES OR LIABTIf1ES BY GARFIELD COUNTY FOR ERRORS. OMISSIONS OR DISCREPENCIES. THE RESPONSE
BILIT' FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT. DESIGNER. BUILDER.
AND OWNER COMMENTS ARE INTENDED TD BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garfom.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL):
IS
No 6145d--
Job
l4>d--
Job Address
Owner P��'''''. ''� co • Address �3 ‘ Si tizn �I 171
Contractor l L, Y � �rtc�r Address 6 J 6ff/ScC
Setbacks: Front Rear RH LH
Assessor's Parcel No
BUILEPERMIT CARD
Date
4( 5/ OS
/1 -
Phone # 01S-7/ 74
Phone #ge - 7530
Zoning
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping
-Iq os P,dOka
INSPECTIONS
NOTE
Weatherproofing
Mechanical
Electrical Rough (State)
Electric I F' al tate)
Final /Checklist Completed')
Certificate Occupancy #
Date
Septic System # I)ft4
Date
Final
Other
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