HomeMy WebLinkAboutApplication- PermitGarrield County
Building & Planning Department
108 8th Street Suite 401
Glenwood Springs, CO 81501 -
Phone: (970)945.8212 Fax: (970)384-3470
Project Address Parcel No,
109 327 COUNTY RD 240123300081
,CO
Information
Address
Subdivision
Permit Ivo. ROOF -8-10-1686
Permit Type: Re Roofing Permit
Work Classification: New
Permit Status: Actiive
Issue Date: 8/11/2010 Expires: 02/0712011
Section Township Ran
Phone Cell
Todd Hubbard 1009 CR 327 970-875-0982
Silt CO 81652
ractor 5 Phone Primary Contractor
Proposed Construction) Details
FEES DUE
Fee Amount
Re -Roofing Permit Fee S100.00
Total: $100.00
Required Inspections:
For Inspections call; 1(888)868-5306
Inspection IVR
Valuation: $ 3,000.00
Total Sq Feet: 1280
FEES PAID
Inv Total Paytype Amt Paid Amt Due
Inv # ROOF -8-10-20440
S100.00 Cash 5100.00
$ 0.00
See Permit Record
Building Department
Copy
Wednesday, August 11, 2010 2
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8h Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 888-868-5306
www.iiarf-ield-countv.com
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Special Conditions:
Parcel No: (this inforinffiion is available at the assessors office 970.945.9134) �q74�D 1-233 00
2
Job Address: (if an address has not n ass. ed, plcaie provide Cr, Hwy or Street Nqm & City) oI and legal de's7tion
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Lot No: Block No: Subd./ Exemption:
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MailingAddress--32�o
Fees Paid:
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BP No & Issue Date: ISDS No & Issued Date:
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5
Contrqgor: w
Mallin Address:-
Ph:
Alt P
DATE --L
APP OVAL DATE
6
Architect / Engineer:
Mailing Address:
Ph:
Alt Ph:
7
Sq. Ft. of Building,
Sq. Ft. or A es of ot:Height:
No. of F Dors:
8
Use of -Building:
f-�Z7f�1G
9
Describe Work: (�
7-
10
Class of Work:
❑ New ❑ Alteration o Addition
11
Garage: 1
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Septic: p
/V
N o Attached a Detached
l� Q ISDS ❑ Cnmmtuti
12
Driveway Permit:
0,Amers valuation of Work: S
NOTICE
uthority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate
letter of authority, signed by the Owner, must be provided with this Application.
ids, A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department.
Other Permits, Multiple separate permits may be required (1) State Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, a g. State or
County Highway/ Road Access or a State Wastewater Discharge Permit.
Void Permit, A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of ISO
days after commencement.
CERTIFICATION
1 hereby certify that 1 have read this Application and that the information contained above is true and correct I understand that the Building Departrnent accepts the Application, along with the plans
and specifications and other data submitted by me or on my behalf(submittals), based upon my certification as to accuracy.
Assuming completeness ofthe submittals and approval ofthis Applicatian, a Building Permit will be issued granting permission to me, as Owner, in construct the structures) and facilities detailed on
the submittals reviewed by the Building Department-
epartmentIn
Inconsideration of clic issuance of the Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code ,ISDS regulations and applicable land use regulations (County Regulation(s)), [ acknowledge that the Building Permit may be suspended or revoked upon notice from the County. if the location
construction or use of the structure(s) and faciliglies), described above, are not in compliance with County Regulatian(s) or any other applicable law.
1 hereby grant permission to the Building Department to enter the property, described above, to itsspret the work. I further acknowledge that the issuance of the Building Permit does not prevent the
Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered atter issuance, or (2) stopping construction or use of the stnrcttuc(s) or faeility(ies) if such is in violation
of County Regulation(s) or any tuber applicable law.
Review ofthis Application, including submittals, and inspections ofthe work by the Building Department do not constitute an acceptance ofresponsubility or liability by the County oferrars, omissions
or discrepancies. As the Owner, f acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
limitation my architect designer, engineer and/ or builder.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
41
OWNERS SIGNATURE DATE
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Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Permit Fee:
Manu home Fee:
Misc Fe s
ISDS Fee:
N A
Total Fees:
Fees Paid:
/L �o
Balance Due:
BP No & Issue Date: ISDS No & Issued Date:
-
Setbac :
OCC Group:
Const Type:
Zoning:
BLD DEPT:
PLN DEPT:
/ 0
APPR AL
DATE --L
APP OVAL DATE