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GARFIELD COlThll' BUILDING PERMIT APPLICATION
108 gch Street. Suite 401. Glenwood Sptings. Co 81601
Phone : 970-945-8212 /Fax: 970-384-3470 /Inspection Linc : 970-384-5003
\\"\\W.!!jlrficld-count\ .com 2181-054-00-158
I Parcel No: (lhu mfr-rrnation is available at the assessors office 970-!145·91341
2181-054-00-158
2 Job Address: (if lllt address has not been as~cgned, r lcase provide Cr. Hw\' or Street Nnmc &. Cit)') or and le~-al desmpuon T 6S,R 91W -West o: the Town of New Castle on County Road 335
3 Lot No: K/A Block No: Sub<l./ Exemption:
.. <B'11er: <trorm· o\\11cn lbt::> .1:1 roaaway, s uite 2uu0, Ph : 303-595-3030 ~~:h : rio nergy Partners Denver Co. 80202 . "~-:].BO o
5 Contractor: Watertronics 5 25 E lnnusi:nal 0:::-Ph: (262) 367-5000 Alt Ph:
Hart: land, WI 53029
6 Architect I Engineer: Watertronics Mailing Address : Same as above Ph : Alt Ph :
7 Sq. Ft. ofBuilding: 240 Sq . Ft. or Acres of Lot: 7 ac Height: 8' 10" No . of Floors: 1
8 Use of Buildin~: To house pump equipment
'"9 Describe Work: Factory built structures (CDOH certified) will be installed on 10" concrete foundation.
JO Class of Work~
XNc:w o Alteration c Additio 11
II Garage: N/A Septic :
o Attached c Detached a lSDS o Communit,·
'') ·-Driveway Pennit: Approved via GARCO R&B Owners valuation of Work: s 10,000
~OTICE
Authorll\'. This apphcarion for a Buildinl,! Permit must bes !1lcd by the 0.-ner of the propcrt), dcscnbed allo,·c , or an authorized •Fent If the Sll,!nature below is nol that of the Owner, a •cpar.dc
lener ofoud1onl), Sl~cd by the O"nc:r, must be f'l'OVlckd witb thii Applicauon
Lrg1I Acctt" A Buildmi; Pcnrul cannot be iuued "ilhout proo f or lei.:al and adequate acccn to the property for purposes or mspc1;1i on s by the Bu1ldlni.: lkp:inmcn t.
Olhcr Pcrmlr.. Mulnple separ.te permits may be required: (I) State Electrical Permit j ~) County !SOS Pemut (3) another pcnnit required for use on the property identified abo\'c, c.i;. State or
County H1gh,.·a~v Road Aeccss or• Seate WBS1ewaccr Dischnrse Permit
\'pld Prrml!, A Bui ldi ni; Permit becomes null and \'Oid if the work outhoriu:d i1 not commenced "1thm I IW da)'S of the dale ofi.suancc and 1f wo1l 1S suspended or abandoned for a pcnod of I BO
days after conuncn ccmcnt.
CERTinCATIOS
I hereby certify that I have read this Apphca ci on and thac the information contained above IS true and conec1 I understand that the Bu1ldmi.: Dqi:inment accepts the Arrhca1ion. along ,.;th the plans
and specilicanons and other data submined by me or on RI}' behalf ( Nbmitutls). based upon my certification as 10 accuracy
Auumini; complC1cness of the submittal s l111d approval of this Application. a Buildmi; Pmnit will be issued i;ranttni; pcnruss1on ID me , as 0..11 cr, to constnu:t lhe structwc(s) nnd facilities detailed on
the subnunals TC\iewcd by the Buildcng lkpanmcnt.
Jn consideration ofthe muance ofd1e Building Pcnnit. I ai;rcc thot I and rny ai;cnts will comply with pto\is1ons of any federal. state or local law rcgulacini; th e work and the G:irlield Count) Building
Code. !SOS t"!'ulotio1n and •pplicable land use regulation s (Count)' Regulation(s)) I acknowlcdi;e that the Buildini; Pcnmt may be suspcmlcd or rC\·okcd. upon norice fro m the Count), if the locati on.
consuu1;1ion or use of the stl'llctutc(s) l111d facility( res), desc ibcd abo\'e. are not in comphance \\ith Count)' Rc~ulauon(s) or any other applicable law
I hereby [!fl111t pcnnission 10 the Buildcng Dcpanment ID on cer the propcny. described above, to inspc1:1 the "'Ori• I further uckno,.1cdpe that the isNancc of the Buildini; Permit docs not J!fe\'cnt the
Building Official from: (I) requiring the corrc1;11on of errors in the s ubmittals. if 1111~·. discnvcrcd alicr i.su:mce , or (ZJ stopping constnicrion or use of the suucture(s) or f1dlil)~1cs) 1f such 1s m \1olat1on
o r Count)• Rci:ulation(s) or an)' other applicable law
Re\'iew of dtis Application. including submictals. and inspections of the work by the B uilding Department do not constitute an acceptance or respon sib ility or liability hr the County of errors. ommions or discrcp311cies . As the 0\loner. I acknowledge thac rcsponsibilil)' for comphnncc .. ;th federal . stale and local laws nnd County Rcgulariocu rest "'i th me and my authonzed ogcnts, including with out
limitation my nrchitcet dcsi(!Sler , engineer l111dl or builder
I HEREBY ACKNO'W1.EOGE THAT I HA VE READ A1''0 UNDERSTAND rnE NOTICt &. CERTIFICA no:-; ABOVE
~~ ~ OWNERSSiGNATU--
-
DATE
e>/z.~lc~ r-
.•f" Pl on -. ·10
STAFF USE ONLY
Special Conditions: Cttt4<. wtM ~a, {iASCLt::.y 41 ~ ~~ r-~r
Adjusted Valuation: Plan Cheek Fee: Permit Fee: Manu home Fee: Misc Fees:
/~l/46. 4tJ I 7:Z. 'II 26.5'.Z-5 Z 65, Z){im.1Jitj
ISDS Fee: Total Fees: Fees Paid: l 4';;~~;=, ~ &: Issue Date: JSDS No & Issued Date:
70Z. 91 , 11:. :l-=n, --~~~
Setbacks: OCCCroup: Const Type: Zoning: , " / Fl Ee ~ r:2 5~ JZ 2-5,, SI o
BLDG DEPT : PLNGDEPT:
4d'~~ 6/2.s& LP.-~'~ 6/;t.fd_d
APPROVAL " DATE APPROVAL DATE '
\
The fo11owing items are required bv Garfield Count\1 for a final Inspection:
1) A final Electrical Inspection from the Colorado State Electrical Inspector.
2) Permanent address assigned by Garfield County Building Department and posted at the
structure and where readily visible from access road.
3) A finished roof: a lockable building: completed exterior siding; exterior doors and windows
installed; a complete kitchen with cabinets. sink with hot & cold running water, non-absorbent
kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all
necessary plumbing.
4) All bathrooms must be complete. with washbowl, tub or shower, toilet, hot and cold running
water, non-absorbent floors, walls finished, and privacy door.
5) Steps over three (3) risers. outside or inside must be must have handrails. Balconies and decks
over 30'. high must be constructed to all IBC and IRC requirements including guardrails.
6) Outside grading completed so that water slopes away from the building;
7) Exceptions to the outside steps , decks, grading may be made upon the demonstration of
extenuating circumstances., i.e. weather. Under such circumstances A Certificate of
Occupancy may be issued conditionally.
8) A final inspection sign otfby the Garfield County Road & Bridge Department for driveway
installation, where applicable; as well as any final sign off by the Fire District. and /or State
Agencies where applicable.
A CERTIFICATE OF OCCUPANCY (C.0.) WILL NOT BE ISSUED UNTIL ALL THE
ABOVE ITEMS HA VE BEEN COMPLETED.
A C.O. MA. Y TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED.
OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED.
OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN
ILLEGAL OCCUPANCY Al'll> MAY BE GROUNDS FOR VA CA TING PREMISES
UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use and the issuance of a
C.O. for the building identified in the Building Permit.
O\VNERS SIGNATURE
Bapplicationdeccmber2007
DATE