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Home My WebLink About5777 -Si BUILDING PERMIT APPLICATION GARFIELD COUNTY, COLORAbO As .licant to com•lete numbered s•aces on! . • ERMIT NO. s77 PARCEUSCHED NO. _ Joe ADDRESS �� , / !I __�_� ( G ' I/' / ' - 1 LEGAL LOT N•. BLOCK SUBDAASION DESCR. ,,,�----...�!!!�y�qqr 2 OWNER �d ADDRESS Z S l, i fi x . Di _ PH, WK. PH. • 3 CONTRACTOR 1 YV „ F' /// q � r , ADDRESS 25�e, e i3O # 1„„ d 4)4 PH,.fl 299 R. LICENSE NO.�9(no 34 4 ARCHITECT OR DEESIG , //,... _ ADDRESS� l YJI &,,Q ado J PH..t e ��[ yay LICENSE NO. 5 ENGINEER Y � " ADDRESS PH. I LICENSE NO. , '�' /�`� 6 S.F OF BUILDING _ 5 7 [ ` /Fitt- S.F OE LOT HEIGHT NO. OF FLOORS 7 USE OF BUILDING Y�hili !lull 8 • Cuss OF woNK: y. oNEW o ADDITION '� o ALTERATION °REPAIR oMOVEE oRREE /� ,/ L`„Q (gyp - 9 DESCRIBE WORK: /IlwN5 ! J �/ �mrI! / a4-it ///�/��/_, r{(-'�s - at e� t 6�� - 10 GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE . DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN ,( //�,L5p 11 VALUATION OF WORK: $ ADJUSTED VAL.$ PLAN CHECK FEE � 1 //3 PERMIT E 7.9, . 'a1 v SPECIAL CONDITIONS /GOK 77 / X i % 3 a _ l 1/ '7 % Q SCHOOL IMPACT FEE W � N ` O. OF BUILDINGS ON USE OF BUILDINGS NOW ON (0J 66 / V r / '7 :J 7 �h U f PARCEL PARCEL TOTAL 417 ? 3 OCC. GR. CONSST. TYPE NOTICE WATER SUPPLY DATE PERMIT ISSUED / J �/ //6 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. SPECUL APPROVALS REQUIRED RECEIVED NOT REQUIRED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS ZONING !/ ._/ NOT COMMENCED WITHIN 180 DAYS. OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. HEALTH DEPT. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES FIRE DEPT. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF SETBACKS CON , j // /a.Chac (Oa �(� (� r FLOOD HAZARD Signature of Ow to Contractor or authorized agent havin. t . " 0 . D • Fla : ahoy- 2. P �” , �_,i 9"26 MANDF. HOME — — Building ep Ent Approyaldate • lanning Department Ap.: .!dale 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 LINITIAL 1 ed /-/9.- y 386,. Y3 • 19. Have two (2) complete sets of constructions drawings been submitted with the application? Yes _l� No (u Not necessary for this project (2) 20. Is this an application for the placement of a manufactured home? Yes No If yes, have you specified the size of the unit (min. 20ft x 20ft); live roof load (min.40 #); wind design (min. wind speed of 80 mph & 15 lb. wind load); foundation design; method of anchoring? Yes No ( I ) Not necessary for this project 1 2) 21. Have you designed or had this plan designed while considering building and other construction code requirements? Yes No (3) 22. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield Building Department? Yes r/ No (3) 23. Do you understand that approval for design and /or construction change are required prior to the application of these changes? Yes No (3) 24. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "School impact" or "Septic system " fees required, at the time you pick up your building permit? Yes No (3) 25. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection_p_rior to receiving a Certificate of Occupancy and occupancy of the building? Yes i• No (3) 26. Are you aware that the person signing the Permit Application whether the "Owner ", "Agent of the Owner ", "General Contractor ", "Contractor" or otherwise, signing the application is the party responsible for the project complying with the Uniform Codes ". Yes / No (3) (CONTINUED ON NEXT PAGE) 4 . I hereby acknowledge that I have read, understand and answered these questions accurately to the best of my ability. A40igi—t4A1 /7/7 signature date Phone: MC -292 f (days); S8w! /= (evenings) Project Name: Project Address: '7.3 --Ss Hc Qd- do - — Notes: (1) If you have answered No on any of these questions you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected. Work may not proceed without the issuance of the permit_ (2) If you have answered "Not necessary for this project" on any of the questions and it is determined by the Building Official That the information is necessary to review the application and plans to determine minimum compliance with the adopted codes, please expect the following: A. The application may he placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application • rotates again to first position for review. B. Delay in Issuance of the permit. Delay in proceeding with construction. (3) If you answered "No" to This question the circumstances described in Me question could result in a "Stop Work Order" being issued or a "Certificate of Occupancy not being Issued. PerApp02.95 Effective August 15, 1995 5