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HomeMy WebLinkAboutApplicationGcx 144' Co u rz (, JeHrl?r' 108 8th Street, Suite 401, Glenwood Springs, CO 81601 J%t I Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 www.garfield-countv.com l!F C 2 3 2011 BUILDING PERMIT APPLICATION GARP f El_C CO[ ll\I rY 1 Parcel No: (this information is available at the assessors office 970-945-9134) 217711100359 Lot No: Block No: Subd.l ExenINAIDpNG & PLANNING NIA 2 Job Address: (if an address has not been assigned 28730 Highway 6 & 24 Rifle, CO please provide CR, Hlf'Y or Street Name & City) or and legal description 81650 Section: 11 Township: 6 Range: 93 A TR IN THE SENE SEC 11 3 Owner: (property owner) Bayou Well Services LLC Mailing Address: same as above Ph: 970-625-0552 Alt Ph: 4 Contractor: PNCI Construction Mailing Address: 553 25 1/2 Road, Grand Junction CO970-242-3548 Ph: Alt Ph: 5 Manufactured home installer: Mailing Address: Ph: Lic #: 6 Architect: Johnson Carter Architects, PC Mailing Address: 136 E 3rd, St. Rifle, CO 81650 Ph: 970-625-0580 Ph: 3i -e,.;5-- ail Alt Ph: Alt Ph: (kick 7 En 'neer:ry�r ,,,,�.k I `ckav \A t5 Mailing A dress: t©w At��k`�-. 9 + 9-06-5,A0 8 Sq. Ft. of Building: S,aob _ Sq. Ft. or Acres of Lot: 13.26 Acres Height: 1 23 , ZS No. of Floors: one 9 Use of Building: DResidential IECommercial DOther Class of Work: New DAlteration ❑Addition DRepair ❑Demo ❑Move 10 Describe Work: I 1 Garage: DAttached ❑Detached Septic: N/A ? ❑ISDS DCommunity Type of Heat: N/A DNat. Gas DPropanc ❑Electric DOther 12 Driveway Permit: N/A Owners valuation of Work:s _ (1 r � � A 1 Cc:a- NOTICE This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate fetter of authority, signed by the Owner, must be provided with this Application. Leval Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department. Other Permits. Multiple separate permits may be required: (I) State Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Vold 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 150 days after commencement. 1 hereby certify that 1 have read this Application and specifications and other data submitted Assuming completeness of the submittals the submittals reviewed by the Building In consideration of the issuance of the Code, ISDS regulations and applicable construction or use of the structure(s) I hereby grant permission to the Building Building Official from: (1) requiring the of County Regulation(s) or any other Review of this Application, including or discrepancies. As the Owner, I acknowledge limitation my architect designer, engineer I HEREBY ACKNOWLEDGE TH CERTIFICATION and that the information contained above is true and correct. 1 understand that the Building Department accepts the Application, along with the plans by me or on my behalf (submittals), based upon my certification as to accuracy. and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on Department. Building Permit, 1 agree that 1 and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building land use regulations (County Regulation(s)). 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. Department to enter the property, described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation applicable law. 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 that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without and/ or builder. 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: til 11 If) -1 OWNERS SIGNICTUR t DATE - pd l.b'n lta f1LI ec STAFF USE ONLY Special Conditions: Adjusted Valuation: 15750. Plan Check Fee: Ig9,7( Permit Fee: 5O7 Z$ Manu home Fee: Misc Fees: Jetoi Fee 3©7.25 _____. Total Fees: 8lq•2 I Fees Paid: 0101). ' Balance Due: -7/ 4l. a ll BP No & Issue Dale: ISDS No & Issued Date: '- Setbacks: �_Sotg?/, 5/0,- OCC Group. 5 ! Const Type: 'I✓ Zoning: a ,, B DE /2740 /�'2C,,,,,-,-/--";vt,� /7 �7f /i APPROVAL DATi? APPROVAL DATE