HomeMy WebLinkAboutApplicationGar-fîefd Co¿¿n
108 ïth Street, Suite 401, Glenwood Springs, CO 81601
P h : 97 0-9 4 5 -82 1 2 Fx : 9 7 0- 3 84- 3 44 0 Inspe ction Líne : 888-868-5 3 0 6
www. garfield-countv. com
BI J I I,I)IN(; PERMIT APPLICATION
I ParcelNo: (lhis inl^ormation is æailable at the ¿ssessors'm4-7ÁZ-ú-olq olJice 9 /ù-945-9I 34'¡Lot No: Block No: Subd./ Exemption:
2 Job Address: (/an address has not been CR" HW or Street Name & City) 01 and legal descriptionaW ¡tL *-4-, .7,.,s
J Owner: þropertyowner)
1)t- .-ço-, r'\
Mailing Address: (e-þulnþ, n,
ëL+¿ '¿-b.&^ fu*- Á1-Ph:7þ.r¿a -/.íiL AItPh:
4 Cpnhactor: / -,Pl.. tl-.^-- t--o4 .i K-lL Mailins Address: -{ty'}l)v ,4"-/;>¿. zo iJtzs-o
Ph:
q"h2 -th-z¿fg AItPh:
?.1¡> -12 í- f¡sf
5 Mailing Address:Ph:Lic#
6 Architect: . /tJ tû Mailing Add¡ess:Ph:AItPh:
7 IF,nstneer:" Ut&Mailing Address:Ph:AItPh:
Sq. Ft. of Búilding:Sq. Ft. or Acres oflot:Height:No. of Floors
9 Use of Building:
Etf"r¡¿entiut ECommercial lother
Class of Work:
EINew EAlteration EAddition lDemo EMove
l0 Work:
.5C¿ eYl - r¿¿#r'lE¿S ,r f
Garage:Septic
trISDS ENat. Gas EElectric Eother
ll
12 Driveway Permit:valuation of Work:
e¿2
letter of authority, signed by the Owner, must be provided with this Application'
Lwal Accçs. A nuilding pimiì cmát be issued without prcof of legal md adequate access to the p{operty for purposes of inspections by the Building Departrnent.
Comt Highway/ Road Access or a State Wastewater Discharge Pemit'
voidpermil aguihingpemiibecomesnullmdvoidiftheworkauthoriædisnotcomencedwithinlS0daysofthedateofissumcemdifworkissuspendedorabmdonedforaperiodof 180
-
duy. after ıomencement.
CERTIF'ICATION
md specificati,ons md other data submitted by me or on my behalf (submittals), base d upon my certification ß to accuacy.
the subnittals reviewed by the Building Department.
constroction or use of the structue(s) md facilþ(ies), described above, æ not in complimce with Comty Regulation(s) or any other applicable law-
of Comty Regulation(s)or my other law.
by the Couty ofenom,Review ofthis Application,md inspections ofthe work by the Building DeparÍnent do not constitute acceptmce of responsibility or liability omsslons
discrepmcies.that responsibility for complimce with federal,state and local laws md Comty Regulations rost with and my authorized agents,including withoutor
limitation my mgineer or builder
HEREBY THA T HAVE READ AND THE NOTICE &CERTIFICA TION ABOVE:
- ztr
STAFF USE ONLY
Special Conditions:
Misc Fees:Manu home Fee:Permit Fee:oi)rccPlan Check Fee:.A.djusted Valuation:
N A
ISDS No & Issued Date:[þ & Issue Date
L
Balance Due:oo'ï'Öb.Total Fees:
I C(r. o"
Zoning:Const Type:OCC Group:Setbacks:
ll
DATEDÀTE
BLDG
FRTI'I : JERUIS PI-UI,IBING
Daniel R,
February 27,2011
Daniel R. Jervis
0276 Wooden Deer Road
Carbondale, CO 81623
To whom it maY concçrn
RespectfullY,
PHoNE N0. : 9?ø9Ë31534 Feb. !7 eøll 1ø:?6ÊN Pl
Thisletteristoinformthatl,Dan|elR.Jervishaveenteredintoacontract
dff#ri;ili'-r,'."n'.JrFffi
'J'îffi
.':yuxî'::i:'lï::if"ï*.**"
carþondate, co;äı iåpiâä" the shingles with new materials. Job to be in
;or"plñ; witft C"*ield County regulations and specifications