HomeMy WebLinkAboutApplication- Permit.pdfGarfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601-Phone: (970)945-8212 Fax: (970)384-3470 Project Address 001058100 COUNTY RD CARBONDALE,
CO OWner Information IRMW, LLC Parcel No. Subdivision 239335400056 Address PO Box 1252 Carbondale CO 81623 Section Township Range Phone Cell 970-379-4909 Contractor(s ) Phone Primary
Contractor Required Inspections: Proposed Construction I Details Re-roof FEES DUE Fee Re-Roofing Permit Fee Total: Friday, July 31, 2009 Amount $100.00 $100.00 Valuation: Total Sq Feet:
FEES PAID Inv # ROOF-7-09-19629 $ 100.00 Check # 4437 $ 20,000_00 67 $100.00 $ 0.00 Fo"",p"tlo", "II, 1 (970)384-5003 Inspection IVR See Permit Record Building Department Copy 2
2 5 6 7 GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8'h Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212/Fax: 970-384-3470/Inspection Line: 970-384-5003 www.2:arfield-coul1ty.com
: (this information is available at the assessors office 970-945-9134) Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or all authorized agent. If the signature below is not that of the OWner, a separate Jetter of authority, signed by the Owner, must be provided witll this Application. Legal Access.
A Building Permit cannot be issued without proof of Jegal and adequate access to the property for purposes of inspections by the Building Department. Other Permits. MultipJe separate
permits may be required: (J) State Electrical Permit, (2) County ISDS Permit, (3) another permit require.d for use on the property identified above, e.g. Stale or County Highwayl Road
Access or a Stale 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 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above
is true and correct. I understand that the Building Department accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (subminals),
based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner,
to construc! the slrUcture{s) and facilities detailed on the submhtals reviewed by the Building Department. In consideration of the issuance of the Building Pennl~ I agree th<\t I and
my agents will comply willi provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS regulations and applicable Jand use regulations
(County Regulation(s». I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the stTucture{s) and facility(les),
described above, are not in compliance with COUnty Regulation(s) or any other applicable law. I hereby grant permission to the Building Department to enter the property, described above,
to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building OfficiaJ from: (1) requiring the correction of errors in the submittals,
jf any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Department do not constitute an acceptance of responsibility or liability by the County
of errors, omissions or discrepanCies. As the Owner, I 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 andl or builder. ! HEREBY THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFiCATION ABOVE: STAFF USE ONLY Special
Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu h(J;ee: MiscFee~ -(j; I 00. ()<~ ISDS Fee: Total Fees: Fees Paid: Balance Due: BP No & Issue Date: ISDS No & Issued Date:
-IC(), co -G --IIW Setbacks: OCCGroup: ConstType: Zoning: BLI:lG.DEe.T: f. PLNGDEPT: !f {\-\, (U((9.~1V\ 7,31.DC) A~OVA J DATE APPROVAL DATE '-./