HomeMy WebLinkAboutApplication- Permit4 Garfield County
Building & Sanitation Department
108 8th Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address
NO. q 7
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Nature of Work
Use of Building
Owner
Building Permit
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Contractor
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Amount of Permit $
Clerk
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8'" Street, Suite 201, Glenwood Springs. CO 81801
Phone: 970-946-8212 / Fax 970-384-3470 / Inspection Line: 970-384-5003
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Permit No: LL] !
Joh Address: QAjt/ —
06220 f
Parcel/Schedule No: I;395---030Z–Col — (y p (
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' F.- Lot No: / Block No: Subdneirl�fo.I''
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Address
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Contractor: i'
Suf / r &' // //"T f -,..M4. -F
Address: L ,_
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Lic. No.
4
Architect/Engineer: J
Address:
' • • _
Lic. No.
5
Sq. Ft. of Building _ ,-
_..15--7,c) if I
Sq. Ft. of Lot: 1 ,J
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Height:
No. of Floors:
f
Uee of Building: i-
rr'Mr
7
Describe Work. z
fi
? Y. l
8
Class of Work: ❑ New ❑ Alteration o Rerneire
U Addition 1 Move
9
10
Garage: ❑ Single
❑ Double
Carport: ❑ Single
Li Double
a Driveway Permit ❑ On -Site Sewage
Disposal
J Site Plan
11
Valuation of Work: S
Adjusted Valuations: S
12
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 WORK OR CONSTRUCTION
AUTHORIZED 15 NOT COMMENCED WITHLN 180 DAYS. OR IF
CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FOR A
PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 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 BE
COMPLETED WITHIN WH ER SPECIFIED HEREIN OR NOT. THE
GRANTING OF A PE NOT PRESUME TO GIVE AUTHORITY
TO 1 TE OR CANC r THE ' •OVIS!ONS OF ANY OTHER STATE OR
W ' , U G CO STRUCTION 0 THE PERFORMANCE
Plan Check Fee:
Permit Fee:
Total Fee:
Dated Permit Issued:
OCC Group:
Const. Type:
Zoning:
Setbacks:
Manu. Home:
ISDS No. & Fee:
/
BLDG
APPROVAL/DATE
i PLNG. DEFT.
APPROVAL/DATE
AGREEM ENT
PERMISSION f5 HEREBY GRANTED TO THE APPLICANT AS OWNER CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAILED ON PIANS AND SPECIFICATIONS SUBMrrTED 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 USE OF THE
ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME
N1JLI. AND VOID. THE ISSUANCE OF A FERMI 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 VIOIATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF
THIS JURISDICTION. THE REVIEW OF SUBMITTED PIANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE
AN ACCEPTANCE OF ANY RESPONSIBILmES OR LIABL ITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES THE RESPONSI
BILTIY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT DESIGNER, BUILDER.
AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garfom.003 ��°°
1 HEREBY ACKNOWLEDGE THAT f HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INmAU: ^ l .'
No q c4
Assessor's Parcel No
Date
BUILDIN PERMIT CARD
Job Addr ss C ` i
Owner. Address —
L 1-LL 1` I Addres-a -7.5 3 N C
Contractor
Setbacks: Front
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping
Rear RH
INSPECTIONS
NOTES
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Phone #
Phone # 1- f �'t
Zoning kir\ J(a(es),
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical i al State)
Final /Checklist Completed?
Certifi ate Occupancy #
Date
Septic System #
Date
Final
Other
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