HomeMy WebLinkAboutApplication- Permit` Garfield County
Building & Sanitation Department
108 8`h Street, Suite #20I Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address /(i
Nature of Work Building Permit
Use of Building E (floc.
Owner Lo(
Contractor 1�C L Q
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KNr Ain H A n� C-' � Ws(
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Amount of Permit $ i
Date
Clerk
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8" Sweet. Nolte 201. Oland Springs. CO 81601
Plume: 9704140-1212 / Pow 970-3843470 / Imputes Line: 070-384-5003
Permit No. . (O _ 1 _ I _ ..
XPar11d/Schrdolr No
ALHOIEHENT
PPDTHIS4l]N IS HVJ(LHY CHANTED TO DIE AEIIJCANI AS (M7lt t. CUWIRM,1011 AND/ ORME. AGENT CIF THE CAIMRACIN4 OR OWNER 10 coNCnIUCT
THE $TRENT! rut AS DKTAILFTI ON PLAI{S AND SPFIEF1(An Nb SLINMTTTlI) TI) AND HEva1V'FJ) BY THE NI IIIDINC. DEPARTMENT
IN I))NOULHATIIN OF n4: IHSSTIANCe (1F THIN PERMIT. THE SIGNER HEIHEY MIIEE.HIX) COMPLY WITH ALL HUIWINU CQOk:S AND LAND
USO REGULATILNCSAIRWIEI DY GAPYULD CDU; Y rUItWNCT TO AUTHURDT OVEN I.N3026.20)(16 AS AM FNISCI) TIM SIGNER FI MINE? AGIIVALS
TILE MENU :aim IN:UI1NNlW;10(E NUT ItiLLY''1M11/LIC11 WnM1 IN nue. U.Y)A'l1UN. EIW.CDON CIN]I'Itllr_IIUN Aral Hsi U 'till
ABOVE DESCR BEC; STRUCTURE_ THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY MID THAT THEN AND TNER I! it SHALL BECOME
NULL ANTI VOID, THE I:Cit1ANC33 OF A ',Emir Ii ON WAN:.. SPECIFICATION:: AND 4)T1Wlt INI'A ;;INCL Nur ITLWI241' 1111; IIUIWING (}MINA.
FROM THERFA17PJ1 RDQI.IIRFNO TI ID C0RMC"IICN OP moons IN SAM MANN. 7:I7IIFICATIONF AND OTHER DATA UH FROM INEVEN71NO
NULLOINU LU'UJNI'IUN U1.1116 LNOOILI LIN'i118111VNiLit wHUJ IN YLILAIILN Ot mt. LEER. Ow ANT !4tUR 0r1111NANCF UN RkC;ULATVN ! IY
TIOS.HIRIATIFTION THF REVIEW nr STIR in -Fen PI ANC AND CPFCTCATrNC AND INSPFYnK INS(-INn1NT1]) llIIatl•AI TR I10E4 WIT 1'1)NSTrT1117
AN Al 1:IW1'ANCE OF ANY KESPONSIHILITIKS OR LIABLmES HT CJHaItI.D ( ()UNIT FOR ERRORS OMISSIONS OR DLSCREPENCIES. THE RESPONSE
Ba.m' FOR THEW: IT.MN AND IMFIF.MF.NTATI N DISHED CI'NR1ll11CIT1tN RESTS 41'LCIEIUTAJSY WFIH 1I1 ART1CTECT. DESIGNl1I. HUILDett.
AND OWNED VVAOtEWr$ ARE INTENDED 'Iv Hr' CUNSIINA:IIVI: AND N SUfvNI OF JHE OWNERS (.NI ENEST
Carlon 003
1 IIERI7TY AGENOWI.F.f$IE THAT i HAVE. RrAll AND LINT/Fats TAND'1 HE AGHEEMCNI ABOVE (ENII1ALr - ..-
Job M' -
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Block No. Sulr) / E cmptlon'
Jl
ilarr
Lat No:
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Ad , _
Mdre(�t 4'Z'La��JEavSt7Y_. C—rest
(.{. G7. ,7,154aa
Ph:
4i0 - a4 1--15 30
Wk Ph
Ix. No.
X.3
Contractor _.-��jJ C�
}C RLL ?keit lcoOtl na, inc..
4
�y$
/ _
A}CMLcM/Englncer.
Andreae'
Ph:
Uc. No
Sq. Ft. P`ung: "7� '` 1��
L
SO Ft. of Lot'
Height _-.
Nu n( llinnrc
Use of Ina'
• \ `,t\ .ma
Work:
wo cY -C LK�L1vCTC-New ` )h\ \ 1nLI
Clan of Work: ❑ New
0 AHdWUOn
U Alteration
O Move
Carylut
o Remove
N
O
10
Garage -- -- ❑ Singh
3 Double
❑ Sln&ie
U Dnnhlr
n Driveway PIITTOR 0 On -Site Sewage
Ddpnat
J Stle Pan
K.
Valuation of Woh: t '� ,
-30_)
Adjusted Valuations 5
12
%prem! Cnndtbone:
NOTICE
A SM•AHATE IOJITRI(AI. PISRMTT i5 REQUIRED AND
ISSUED JW THE STATE OF COLORADO.
THOS PERMIT SECS/MILS M.n1- AND VOID IF WORK OR
AI1TII(IRDIM IS MIT COMMENCED WTTHLN ISO OIAYS.
C0NSTISICTIiN 011 W(IIAt IS SLISTAFDFJI OR ABANRIWTIT)
PERIOD OF NIU DAYS AT ANT DME Arrnit wow LS
1 HFlWRIIY CFx11FY THAT 1 IIAVE READ ANT) FEAT/HIM
APIaIC:ATON AN11 O/IN' ME MME WIRE TRI I4: man
PROVPh1ONS or LAWS GOVERNING MS TYPE OF WORM
COMPLETED WITHIN WHF,TIIER SPECIFIED HEREIN
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
LOCA'.. W RECUT ATINO CONS N OR THE
OF - •1N IR
At a1N
`' N w
Mt1ST BE
WNSIRIICIOR
OR. IF
FOR A
COMMI•NCEn
TRS
(1)RRF.CF AL
WILL BE
OR NOT THE
MTTHORITY
STATE OR
PERFORMAM.E
N
J _/j-t-__Tmo
WIIE
Plan Check Fee.
Told{ -Ore e.:
Permit Fcc.
Dated Permit
ISBued•
OCC Gruup;
Cunst. Type
?Doing:
Setbacks
u. Home:
_______
ISIS No. h Fee:
_____.
• OFOWNER
-
BLDG
AIPPoVO6}/DO'f6
DEPT. PONE DEFT.
APPROVAL/DATE
ALHOIEHENT
PPDTHIS4l]N IS HVJ(LHY CHANTED TO DIE AEIIJCANI AS (M7lt t. CUWIRM,1011 AND/ ORME. AGENT CIF THE CAIMRACIN4 OR OWNER 10 coNCnIUCT
THE $TRENT! rut AS DKTAILFTI ON PLAI{S AND SPFIEF1(An Nb SLINMTTTlI) TI) AND HEva1V'FJ) BY THE NI IIIDINC. DEPARTMENT
IN I))NOULHATIIN OF n4: IHSSTIANCe (1F THIN PERMIT. THE SIGNER HEIHEY MIIEE.HIX) COMPLY WITH ALL HUIWINU CQOk:S AND LAND
USO REGULATILNCSAIRWIEI DY GAPYULD CDU; Y rUItWNCT TO AUTHURDT OVEN I.N3026.20)(16 AS AM FNISCI) TIM SIGNER FI MINE? AGIIVALS
TILE MENU :aim IN:UI1NNlW;10(E NUT ItiLLY''1M11/LIC11 WnM1 IN nue. U.Y)A'l1UN. EIW.CDON CIN]I'Itllr_IIUN Aral Hsi U 'till
ABOVE DESCR BEC; STRUCTURE_ THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY MID THAT THEN AND TNER I! it SHALL BECOME
NULL ANTI VOID, THE I:Cit1ANC33 OF A ',Emir Ii ON WAN:.. SPECIFICATION:: AND 4)T1Wlt INI'A ;;INCL Nur ITLWI241' 1111; IIUIWING (}MINA.
FROM THERFA17PJ1 RDQI.IIRFNO TI ID C0RMC"IICN OP moons IN SAM MANN. 7:I7IIFICATIONF AND OTHER DATA UH FROM INEVEN71NO
NULLOINU LU'UJNI'IUN U1.1116 LNOOILI LIN'i118111VNiLit wHUJ IN YLILAIILN Ot mt. LEER. Ow ANT !4tUR 0r1111NANCF UN RkC;ULATVN ! IY
TIOS.HIRIATIFTION THF REVIEW nr STIR in -Fen PI ANC AND CPFCTCATrNC AND INSPFYnK INS(-INn1NT1]) llIIatl•AI TR I10E4 WIT 1'1)NSTrT1117
AN Al 1:IW1'ANCE OF ANY KESPONSIHILITIKS OR LIABLmES HT CJHaItI.D ( ()UNIT FOR ERRORS OMISSIONS OR DLSCREPENCIES. THE RESPONSE
Ba.m' FOR THEW: IT.MN AND IMFIF.MF.NTATI N DISHED CI'NR1ll11CIT1tN RESTS 41'LCIEIUTAJSY WFIH 1I1 ART1CTECT. DESIGNl1I. HUILDett.
AND OWNED VVAOtEWr$ ARE INTENDED 'Iv Hr' CUNSIINA:IIVI: AND N SUfvNI OF JHE OWNERS (.NI ENEST
Carlon 003
1 IIERI7TY AGENOWI.F.f$IE THAT i HAVE. RrAll AND LINT/Fats TAND'1 HE AGHEEMCNI ABOVE (ENII1ALr - ..-
No H t t
Job Address
Owner • SS,
Assessor's Parcel No r�
Date -7"
G PERMIT ARD--)
E`jr
Phone 4
��-0-c'�� (s�����oi3j
Phone
LH Zoning
Contractor tll� �:y `fio £-A_4 Address
/etbacks: Front Rear RH
area _Pr7)(t)n INSPECTIONS
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping
NOTES
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical Final (State)
Final l0-13 (VCheckiist Completed?
Certificate Occupancy #
Date
Septic System #
Date
Final
Other
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