HomeMy WebLinkAboutApplication- PermitNo, 5967
GARFIELD COUNTY
BUILDING, SANMTA ZION and PLANNING DEPARTMENT
109 lith Street Suite 303
Glenwood SpringR, Colorado R11)01
(303) 345-8212
Job Addrems n/a
Building Permit
Nature of Work
Use; of Building. Move Building
owner Ray Seelbinder
Contractor Owner
Amount of Permit $ 34 sh5 Datc July 8, 1996
Permit: 21.00
Plan : 13.65
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces onl . PERMIT NO, 596 7 PARCEUSCHED NO.
Joe ADDRESS
1
1
LEGAL
DESCR.
LOT NO.
BLOCK
I
SUBOMSION "e"7/1n�O?l Zit 1J1 P,a 1
2
C �J
OWNER ?A' .5E 6/„. iDEie
ADDRESS
6Q. x F970
f l be.d %D
q
PH795. 1421
WK. PH. 715.55 3
3
CONTRACTOR
ADDRESS
PI -L
LICENSE NO.
4
ARCHITECT OR DESIGNER
ADDRESS
PH.
LICENSE NO.
5
ENGINEER
ADDRESS
PH.
LICENSE NO.
6
S.F OF BUILDING 7.....e2
5.F OF LOT
HEIGHT
NO. OF FLOORS
7
USE OF BUILDING 151C2)k/191d /
8
CLASS OF WORK: ❑ ALTERATION% a REPAIR )(MOVE
a//JJADDITION
REMOVE
9
IN��EW
f❑
DESCRIBE won: in eR 4O6 l �/U/J7 TiF)/%� eCii/C/2/%I�/
J:
) / % �' 7 I [%/}
G/� ° CLQ Oli Gv0I�L,C ! s5
10
GARAGE SINGLE DOUBLE CARPORT SINGLE
DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT
SITE PLAN
1'1
VALUATION OF WORK: $ ADJUSTEDVAL.$
PLAN CHECK FEE "19 f
PERMIT FEE r� ey Q
SPECIAL CONDITIONS: D� � 4la '��go
00
Y'
SCHOOL IMPACT FEE .4.
//�
NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
r7
TOTAL FEE12.9 Yi 4.
OCC. GR.
CONST. TYPE
SEPARATE PERMITS
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES
NOT COMMENCED WITHIN
OR ABANDONED FOR
COMMENCED.
I HEREBY CERTIFY THAT
THE SAME TO BE TRUE
GOVERNING THIS TYPE
HEREIN OR NOT. THE
AUTHORITY TO VIOLATE
LOCAL LAW GULATING
CONSTRUCT/
NOTICE
ARE REQUIRED FOR ELECTRICAL PLUMBING, HEATING,
NULL AND VOID IF WORK CR CONSTRUCTION AUTHORIZED
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED
A PERIOD OF 180 DAYS AT ANY TAME AFTER WORK
I HAVE READ AND EXAMINED THIS APPLICATION AND
AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
GRANTING OF A PERMIT DOES NOT PRESUME
OR CANCEL THE PROVISIONS OF ANY OTHER STATE
CONSTRUCTION OR THE PERFORMANCE
(Date) 7-0*'" 9G
or authorized agent having read and understood notice
Q
WATER SUPPLY
_
DATE PERMIT ISSUED 7--F 9 ..
SPECIAL APPROVALS
REQUIRED
RECEIVED
NOT REOUrREO
I5
ZONING
IS
HEALTH DEPT,
KNOW
FIRE DEPT,
TO GIVE
SOIL REPORT
OR
OF
SETBACKS
FLOOD HAZARD
ignature at Owner, Contractor
above.
MANUF. HOME
Building partmentApprove/de �/ Planning DepartmentApprovalldate
'
OTHER
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 ISSUANCE 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 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER
AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF
THE ABOVE DESCRIBED STRUCTURE. THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT
SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMIT 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 THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS
JURISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE
RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER,
BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garform.003 1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE aNITIAL49---7