HomeMy WebLinkAboutApplication- Permit' Garfield County
Building & Sanitation Department
108 8"` Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address 58/ 3 Cg oZ 1p
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Nature of Work Building Permit
Use of Building
Owner
1 F Dusailir
CoReen 5t
k Co -7
Peg IC
Contractor (L)cxj iQ
v
Amount of Permit $ Y
Date 3 -01 -1 -os
Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8'0 Street, Suite 201, Glenwood Springs, CO 81601
Pho: 970-9454212 / Fax: 970-384-3470 / Inspection Line: 970-3845003
kids
Parcel/Schedule No:& 81-0523-00 -05-3
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT 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 IN 30.28301 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT
IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN 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 PLANS, 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 RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
ifze320
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL)'
Job Address: 5ceTh n.g . .J4 Mao C LQ co $164 -
t�
1 Lot No: Block No: Subd. / Exemption:
2
Owner:
HYpi15E C LLeEN + 1PLN
Address
5Is13 ea 7...114
Ph:
e .l1%. D5'S0
Wk Ph:
'14S -6S46
3
,
Contractor: 9 z,ye ]t7
`Je-F 4- moue PWOETG50u
Address:
Ph:
Lic. No.
4
Architect/Engineer:
Address:
Ph:
Lic. No.
5
Sq. Ft. of Building:
I1.400 a. K.
Sq. Ft. of Lot:
5.22 At
Height:
No. of Floors:
6
Use of Building:
7
Describe Work: l
RE-QoDF: Relrovi5 warn Ii11�1.E5+3+ U4UI�tt`O Pitfwri r) *o•Pii3tL
8
Class of Work: I<��Q 7 o New o Alteration 0 Remove
o Addition o Move
9
10
o Single
Garage: Pik ❑ Double
Carport: ❑ Single
❑ Double
o Driveway Permit o On -Site Sewage Disposal o Site Plan
14l11/4 (Septic)
11
Valuation of Work: SWNK.36/iA�N Ji i5 Il ?
`/./J `
Adjusted Valuations: $ 3�n
0 w
12
Special Conditions:
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE
ISSUED BY THE STATE OF COLORADO.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR, IF
CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FOR A
PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE
COMPLETED WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW' 4,„ CONSTRUCTION OR THE PERFORMANCE
OFCONSTRU• ,1
3 .21 .01 j
Plan Check Fee:
Permit Fee:
�r n
45 /00
Total Fee: Dated Permit Issued:
/ 00 , dD
OCC Group: Coast. Type:
Zoning:
Setbacks:
Manu. Home: ISDS No. & Fee:
ii�ilifo / DATE
1
B , -'P PLNG. DEPT.
APPRO - ID APPROVAL/DATE
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT 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 IN 30.28301 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT
IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN 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 PLANS, 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 RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
ifze320
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL)'
a
No I��S
Assessor's Parcel Noan -0.9-W
Date 3 -21-0 5 -
BUILDING
BUILDING PERMIT CARD
Job Addres SDI 3 CR d/
Owner use- C criLcedcJ
Contractor &u)neK
Setbacks. Front
Rear
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping
Address
Address
RH
INSPECTIONS
5,571 3 C.X 2/ 9' Phone #tiTN+0530
Soma- /4-5 Aseve Phone 479n9,-- 1 iq
LH Zoning
NOTES
Weatherproofing
Mechanical
Electrical Rough (State)
Electric F al State)
Final hecklist Completed?
Certifi ate Occupancy #
Date
Septic System #
Date
Final
Other
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