HomeMy WebLinkAboutApplication-PermitGarfield County
Building & Sanitation Department
108 8th Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address )7 1 L U,� (C -c33 --s
NO. CI
Nature of Work Buildin Permit 5 M
Use of Building P it00—(Th
OwnerO'LS.
Contractor De)
Amount of Permit $
Date �(YD
Clerk
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8" Street, Suite 201, Glenwood Springs, CO 81601
Phone: 970-945-8212 / Fac: 970-384-3470 / Inspection Line: 970-384-5003
Permit No: ciS5-1
Job Address:
)I (� 4ie.
Parcel/Schedule No: �l Q �? [�( — [�()
Lot No: :lock No: Subd, / Exemption:
2����
Address
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Ph:
P
in
Cs , :
Ov G '4 4
ress:
i fi 7 ri iti LLk uta
-3 9c)--- j 6)-5— I3 2_
Lig. No.
Archit ct/Engineer:
Address:
Lic. No.
Sq. Ft. of Building:
•1401
Sq. Ft. of Lot:
No. 1 Floors:
Use of Building:
Describe Work: _ E' `P i L ' % ?-3-- . \ ec� �'
,'77
Class of Work: 0 New 0 Alteration o Remove
CI Addition 0 Move '
ci
10
Garage: 0 Single
0 Double
Carport: Cl Single
L] Double
• o Driveway Permit 0 On -Site Sewage
Disposal
s�
Valuation of Wor $ —
Adjusted Valuations: S
Special Conditions:
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE
ISSUED BY THE STATE OF COLORADO.
THIS PERMIT BECOMES NULL AND VOID IF WORTS OR CONSTRUCTION.
AUTHORIZED IS NOT COMMENCED WITHLN 180 DAYS, OR, IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A----
PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL 55
COMPLETED WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE
OF CONSTRUCTION.
,- _ // /
`,.
Plan Check Fee:
--- "-"
Permit Fee:
-----
Total Fee:
i! �� -
Dated Permit Issued:
p
'.
[
OCC Group:
Const. Type:
Zoning:
Setbacks:
Manu. 1 -Ionic:
ISDS No. & Fee:
0yr1 DATE
a D " /". PLNG. DEFT.
APPROVAL/DATE APPROVAL/DATE
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER,CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONS'T'RUCT
TFIE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE 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 LN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES
THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND 085 OF THE
ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY 55 REVOKED BY NOTICE FROM TFIE COUNTY AND THAT THEN AND THERE IT SHALL BECOME
NULL AND VOID. THE ISSUANCE OF A PERMT 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 THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF
THIS JURISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE
AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSI
BILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIF1CIALLY WITH THE ART1CTECT, DESIGNER, BUILDER,
AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS LNTEREST.
Garfom.003
/ I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE #INITIAL):
Job Address )7 t
Owner
Contractor i o.ac
J
Setbacks:
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping
Fron
Assessor's Parcel No.
BUILDIN PERMIT CARD
Address0134 4 CC2f +
Address)61-it-
Rear `" RH LH
INSPECTIONS
NOTES
Date T�
ne #-�
Phone
Zoning
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical Final (State)
Final f9- e9?1Checklist Completed?
Certificate Occupancy # r
Date
Septic System #
Date
Final
Other
(continue on back)
STOP WORK ORDER -INSPECTOR'S PORTION
DATE
17e,e(„4"
/14 4 9 -
PERMIT NO.
DATE INVOICE NO. DESCRIPTION
INVOICE AMOUNT
DEDUCTION
U44b0
BALANCE
.3-24-06 44587 Permit - Wilson Buil
100.00
.00
100.00
CHECK
DATE
3-24-06
CHECK
NUMBER
445
8iOTALS I•
100.00
.00
100,00
PLEASE DETACH THIS PORTION AND RETAIN FOR YOUR RECORDS
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DOUGLASS ROOFING CO.
7281 EAST 54TH PLACE
DOUGLASS COMMERCE CITY, CO 80022
(303)288-2635
BET.m YOU AND TH£ fkEMENis
Pay;
PAY
TO THE
ORDER
OF
Oban .
Aspen, Colorado 87050
24 -Hour Banking 1-801)-672-355S
82-164/1021
044587
March 24, 2006 44587 $********100.00
********************************* AT******One huncredKdollars anG�nNO o cents
Garfield County Clerk
109 8th Street
Suite 200
Glenwood Springs, CO 81601
,,u,,,,t;. ttk°r«v.4w.?n,er r_a :arrr�sem'0 SEC FE.it`;iS
EARL F. DOUGLASS ROOFING CO.
AUTHORIZED SIGNATURE
11104458711■. 1:102 LOLE4Si: 12E,4000 3 59 2 20