HomeMy WebLinkAbout5864 BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Appli &ant to c ompleten �� umbered s aces onl . PERMIT NO. orTY! b'' 7 PARCEL/SCHED NO.
Jon /Norm 02 uu 5 STAGECOACH ,DpiVE / C i,1 DAL e - - -�
1 LEGAL LOT NO. 2 0 BLOCK SUR SIO
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4 r 0A-Q \ iCi C, PO R
DESCR.
02-43 S-1 'F9 eoAC
2 DWNERC ld#[L1E 1-koLLOWP"1 ADDRESS 6kR SONDA Leg PH. 3 WK. PH. SI-F — 1ks9
3 CONTRACTOR ADDRESS PH. LICENSE NO. '
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4 ARCHITECT OR ESIGNER TROY ELLsy ADDRESS 142 E IQTN ST QI,F LC PH J 4Q S LICENSE NO.
5 ENGINEER j� ADDRESS PI-1. J LICENSE NO.
6 S.F OF BUILDING 396 T I . S.F OF LOT HEIGHT l3 -6 NO. or FLOORS 1, •
7 USE OF BUILDING G aR' 4 ..c ' •
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8 CLASS Or WORK: nNEW (DDITION °ALTERATION pi REPAIR pi MOVE °REMOVE
9 DESCIIInEwonK: 4 IN IT10N OF1Pj< 22 Ans.cw&b V° EL t5TIT —C. 642AEsE
W41. C4 15 ATTACHED TO OUSE LOr.1 /e IVELA+4`/- 1 W4LYWA ' QEPL:ACE SH IN GL.EC c61
10 GARAGE (SINGLE) DOUBLE CARPORT SINGLE DOUBLE a b$ TING NOU SE
DRIVEWAY PGRMfT ON SITF_SEWAGE DISPOSAL PERMIT 91TE PLAN '�q
11 VALUATION OF WORK:: 33 ADJUSTED VAL3 4 1 d G SSty G PLAN CHECK FEE . 7 3 V PERMIT FEE I rr / r 7 C
SPECIAL CONDITIONS' 39( .�y V ' `,-Jt 9 = * + SCHOOL IMPACT FEE //4 NO. PARCEL BUILDINGS ON USE OF BUILDINGS NOW ON
4 TOTAL F 07 I_ OCC. GR. J�_ U CONST T. . TYPE
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NOTICE ■ WATER SUPPLY DATE PERMIT ISSUED
YY '(/ i[.( /7/ /c
SEPARATE PERMITS N REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. SPECIAL APPROVAL S REnuinco 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 IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK I5
COMMENCED. I IEALTI I 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
f IEREIN 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
CaNSTRUCT °N.i
, 7 I �EV 1 stood mike a..ve FLOOD HAZARD
Signature of Owner, Contractor or Ilhorized age Vln. 1 .
it K /,(�[�� /, e ' MANUF. HOME
Building Department Approva Me77� Planning Departm.- pp i lrldal.
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 11
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. p �/
Garform.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (I[{IS,l�1G` (,� Ate. 1
�d aa73y sz-3 9,4
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• 19. Have two (2) complete sets of constructions drawings been submitted
with itt application?
Yes �/ No (u Not necessary for this project (2)
20. Is this an applicatior>,for the placement of a manufactured home?
Yes No v'
If yes, have you specified the size of the unit (min. 20ft x 20ft); live
roof load (tnin.40ll); wind design (min. wind speed of 80 mph & 15 lb.
wind load); foundation design; method of anchoring?
Yes No (u Not necessary for this project (2)
2 1. Have you designed or had this plan designed while considering
buildipg and other construction code requirements?
Yes v No („
22. Does the plan accurately indicate what you intend to construct and
what will receive a final inspection by the Garfield Building
Departjnent?
Yes ✓ No ,)
23. Do you understand that approval for design and /or construction
changes are required prior to the application of these changes?
Yes V 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 prior to receiving a Certificate of Occupancy and
occupy icy of the building?
Yes 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)
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