HomeMy WebLinkAboutApplication- PermitProject Address
Garfield County
Building & Planning Department
108 Sth Street Suite 401
G'enwood Springs, CO 81601 -
Phone: (970)945-8212 Fax (970)384-3470
Parcel No.
Permit NO. ROOF -10-10-1783
Permit Type: Re Roofing Permit
Work Classification: New
Permit Status: Active
Issue Date: Not Issued
Expires: 01/01/2999
Subdivision
Section
Township
Range
0280 INGERSOLL LN
SILT, CO
Owner Information
Paul Schoeppiner
212530300035
Address
Phone
Cell
CO
876-2859
Contractor(s)
Phone
Primary Contractor
James Van Meter Construction (970)876-2665
Yes
Proposed Construction 1 Details
re rolling
FEES DUE
Fee
Amount
Re -Roofing Permit Fee S100 00
Total: $100.00
Monday, October 4, 2010
Valuation:
Total Sq Feet:
$ 7,000.00
0
FEES PAID
Inv Total Paytype
Inv # ROOF -10-10-20564
S 100 00 Cash
Amt Paid Amt Due
5100 00
$ 0.00
Required Inspections:
For Inspections call: 1(888)868-5306
nspectlon
IVR
See Permit Record
Building Department
Copy
2
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-34701 Inspection Line: 970-384-5003
www.earfield-countv.com
1Parcel
x
No: (this information is available at the assessors
212_5-3o3-00-035
office 970-945-9134)
please provide Cr, Hwy or Street Name & City) or and legal description
'c Si 6T
No: Subd./ Exemption:
NY
2 Y
X
Job Address: (if an address has not been assigned,
Z d dr
..[ fl e. ^" // /
Lot No: Block
3 ` ,
A
-4,,
Owner: (property owner)
?ul Scivo9i,d'
Mailing Address:
SAµa
Ph: n
criG-2-859
Alt Ph:
cv-is-`,i3‘
5
ntractvr\ism
lin Addr ss:
P
Alt Ph:
6
Architect / Engineer:
Mailing Address: J
Ph:
Alt Ph:
7
Sq. Ft. of Building:
Sq. R. or Acres of Lot:
Height:
No. of Floors:
8
.3...O�
Use of Building: ,
Q-5\ c):QJNCZ__
9
( a I
Describe Work: 1 k% D r e k e- 1 S t i 1V l 1,1A1 `01 b 0 R. r) 1 '(i14)s tD134..
L• V
10
Class of Work:
o New l,4 Alteration o Addition
11
Garage:
,Attached ❑ Detached
Septic:/
�[ o ISDS o Community
12
Driveway Permit: ' f IA
l�
Owners valuation of Work: $ 7666.06
f
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
NOTICE
the Owner of the pmperty, de cribed above, or an authorized agent. If the signature below is not that of the Owner, a separate
with this Application.
legal 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.
authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180
CERTIFICATION
contained above is true and correct. I understand that the Building Department accepy the Application, along with the plans
based upon my cenificati s to accuracy
a Building Permit will be issued to mc, as Owner, to -construct the structure(s) and facilities detailed on
- -
my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Regulation(s)) 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 docs not prevent the
if any, discovered after issuance. or (2) stopping construction or use of the structure(s) or facthty(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 laws and County Regulations rest with me and my authorized agents, including without
THE NOTICE & CERTIFICATION ABOVE
fOAE//0
Legal Access,
Other Permits. Multiple separate permits may be required: (1) State
County Highway/ Road Access or a State Wastewater
Void Permit. A Building Permit becomes null and void if the work
days after commencement.
I hereby certify that 1 have mad this Application and that the information
and specifications and other data submitted by me or on my behalf (submittals),
Assuming completeness of the submittals and approval of this Application,
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit, 1 agree that land
Code. ISDS regulations and applicable land use regulations (County
construction or use of the structure(s) and facility(ies), described above.
I hereby grant permission to the Building Department to enter the properly.
Building Official from (1) requiring the correction of errors in the submittals,
of County Regulations s) or any other applicable law.
Review of this Application, including submittals. and inspections of the
or discrepancies As the Owner, I acknowledge that responsibility far
limitation my architect designer, engineer and! or builder.
I HEREBY ACKNOWLEDGE THAT] HAV READ AND UNDERSTAND
>4 / /I
r OWNERS SIG. URE / DATE
3P) -1O
Cu31-1 IS100•—
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Permit
Fee:
Manu home Fee:
Misc Fees:
ISDS Fee:
Total Fees:
1.O
Fees Paid:
Jt1pa.—
Balance Due:
BP No & Issue Duly:
ISDS No & issued Date:
—fl 3
Setbacks:
OCC Group:
Const Type:
Zoning:
R
BLDG
D
/'
) 0-- q- °
PLNG DEPT:
APPROVAL DATE
AP OVA
...)
DATE