HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Sanitation Department
108 r' Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
NO. CII��
Job Address ��l ` G/A& Lel/
Nature of Work Building Permit /0�7 07/pC� c93 —
Use of Building
Owner
Contractor
Amount of Permit $
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Clerk
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Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8'° Street, Suite 201, Glenwood Springs, CO 81001
Phone: 970-945-8212 / Fac 970-384-3470 / Inspection Line: 970-384-5003
17g0 Parcel/Schedule No: / °'7 - (-1-,93 -0os,
Job Addresy j 1
Pt 1 A-1Fv'1bey p,te. dap. l3,fr„,0„,, t li'<S) C_ har?cG„i , 00)
1 Lot No: Block No:_, Subd. / Exempti
PAyo,l, VIev.l
2
w ne
8
pa0,Y'a #oprr
Address
`p irk/ l.11-.�vp,u1C
Ph:
X70 .2W -co .
Vsk Ph:
3
ontr ctor:
host Ao,,vsta bPS,y&%
Address: 2 k ( fP P
(,Rd J4,1 -715.o.,”%
Address:
`,t€!,
C-�Y3-/ /S
Ph:
Lic. No.
Lic. No.
4
Architect/Engineer:
5
Sq. Ft. of Building:
Sq. Ft. of
Height:
No. of Floors:
vim((Lpt^ gt 4
6
Use of Building:
7
Describe Work:
IC -e v cot I--I-e us c-
8
8
Class of Work: ❑ New R. Alteration n Remove
❑ Addition n glove
9
10
Garage: ❑ Single
o Double
I Carport: ❑ Single
r Double
s Driveway Permit ❑ On -Site Sewage Disposal o Site Plan
(Septic)
11
Valuation of Work: S 3 CVC
Adjusted Valuations: $
12
Special Conditions:
A
ISSUED
TIIIS
AUTHORIZED
PERIOD
I
APPLICATION
PROVISIONS
COMP!
GRAN1
TO
LOCAL
OF'.
NOI ICE
SEPARATE ELEC1RICAL PERMIT 1S REQUIRED AND MUST BE
BY THE STATE OF COLORADO.
PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
IS NOT COMNIENCED WITHIN 180 DAYS,OR, IF/��
OR WORK IS SUSPENDED OR ABANDONED FOR A
OF 180 DANS AT ANY TIME AFTER WORK IS COMMENCED.
HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ASD KNOW THE SAME TO BF TRU AND CORRECT ALL
OF LAWS GO%ERNINC TIIIS TYPE OF WORK WIl.l. BE
ETF.D WITHIN WHETHER SPECIFIED HEREIN OR NOT THE
INC. OF A PERMIT DOES NOT PRESUSIE TO GIVE AUTHORITY
%IOLATE OR CANCEL 1 IIE PROVISIONS OF ANY OTIIER S'IA I'E OR
LAW REGLLITING CONSTRUCTION OR TIIE PERFORMANCE
NS RUCTION.
1 ‘ ARK —I1
_
vC
Plan Check Fee:
Permit Fee:
Total Fee: Dated Permit Issued:
1(1)0CONSTRUCTION
/%�J
OCC Group: Const. Type:
Zoning:
Setbacks:
Nlanu. Hoe: ISDS No. & Fee:
Home:
1. ARF ER DATE
Bl. `. I E' PLNG. DEPT.
APP': /DATE APPROVAL/DATE
AGREEMENT
PERNIISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR TIIE AGENT OF THE CON 1 RACTOR OR OWNER 1) CONSTRIC
THE STRUCTURE AS DETAILED ON PLAINS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPAR I MEN r
IN CONSIDER\TION OF THF ISSSLANCE Or TIIIS PERMIT, THE SIGNER. HEREBY AGREES FO COMPLY W'IIH ALL BL WANG CODES AND LAND I.
REGULATIONS ADOP FED BN GARFIELD COINTY PURSUANT TO AUTHORITY GIVEN IN 70.28.201 CRS AS AMENDED THE SIGNER FURTHI R AGREES THA
IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND LSE OF 1 HE ADOVE. DESCRIBE
STRUCTURE, TIIE PERMIT MAY BE REVOKED BY NOTICE FROM 111E COLS I Y AND TILT IHLN AND I HERE 11 SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT BASED UPON PIANS, SPECIFICATIONS AND OTHER D \TA SHA( 1, NOT PREVENT THE BUIL DING OFFICIAL FROM THFREAFTE
REQUIRING THF. CORRECTION OT ERRORS IN SAID PI ANS, SPECIFICATIONS AND OTHER DAT OR FROM PREVENTING MEI DING OPERATION DFIN
CARRIED ON THEREUNDER W IIEN INV IOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF T1115 JURISDICTION.
THE REVIEW OF SUBMITTED PI ANS AND SPECIFICATIONS AND INSPECTIONS CONDI CrED !HEREAFTER DOES NOT CONSTIII TE A.N ACCEPT\NCP I
ANY RESPONSIRILI I IES OR LIAIILI LIES 10 GARFIELD C OI:NTY FOR ERRORS, OMISSIONS OR DISCREPENCIES THE RESPONSIBILITY FOR THESE ITE\
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BE II DER, .AND OWNER. COMMENTS AN
INTENDED TO BE CONSERVATIVE AND IN SLPPOR F OF THE OWNERS INTEREST.
Carfom.003
HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERST 1ND 1 HE ACREEMEN F ABOVE tINI I IA1 1'
RE ROOF
BUILDING PERMIT
''--]] ARFIELD COUNTY, COLORADO �/
Date Issaeci7/L .Zoned Area.........»......... .Permit No.....1� .......
AGREEMENT
IN considerstin oftheissmmeeofthislermit the appFels! agrees to amply wills allow and
regulations related is zoning, bastion, consfreaisa sad erection erre proposed structure for which
tide permit isgranted, and further ag eesffiatiftlseabovesaidng bstisnsarenotfYdycaniedwills
in the zoning, iseatia, eseetios and csastrwetion of for ohne described structure, the permit may
tie be tanked by Notice heat the County BalkBag OifeelandDaMEDIA'IELYBECOMYSNULL
AND VOID.
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THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 108 8th Street, Suite 201. County Courthouse Pima Glenwood Spr®gs,Cob:ado
Aril/ /651
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)