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Home My WebLink AboutApplication- PermitI 2 3 4 5 6 7 8 9 Sq. Fl. of Building: GARFIELD COUNTY BUILDI NG PERMIT APPLICATION I 08 8'h Street, Suite 401 , Gle nwood Springs, Co 81601 Ph one: 970-945-8212/ Fax: 970-384-3470 I In spectio n Lin e: 970-384-5003 www. ga rfi el d-countv .com Sq . Ft. or Acres of Lot: Height: Use of Building: (} • \ .. ~~~~~ Describe Work: 10 C lass of Work: oNew I( Altera ti on o Addition II Garage: Septic: Ill Attached o Detached o iSDS AltPh: Alt Ph : N o. of Floors: oCommunit 12 Driveway Permit: Ow ners valuat ion of Work: $ 19 ~50~ NOTICE Authority. This application for a Building Pennit must be signed by the Owner of the propeny, desc ri bed above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority , sig ned by the Owner , mu st be provided with this Applic ation. Lega l Access. A Building Perrnit cannot be issued with out proof of lega l and adequate access to the propeny for purposes of inspections by the Building Depanment. Othe r Permits. Mu ltip le separa te permits may be required : (I) State Electrical Permit, (2) Count y ISDS Pennit, (3 ) another permit requ ired for use on th e propeny identified above, e.g. State or County Highway/ Road Access or a State Wastewa ter Discharge Penni!. Void Permit. A Bu ild ing Permit becomes nu ll and void if the work authorized is not commenced within I 80 days of the date of issuance and if work is suspend ed or abandoned for a period of 180 days after commencement. CERTIFI CATION I hereby cenify that I ha'e read this Application and that the infor mation contained above is true and correct. I understand that the Building Depanment accepts the Application, along with the pl ans and specitications and other data submitted by me or o n my beha lf (submitta ls), based upon my cenitication as to accuracy. Assuming completeness of the submittals and approva l of this Application , a Bu ilding Penni ! will be iss ued granting permission to me , as Owner, to construct the structure(s) a nd facilities detailed on the submittals reviewed by the Bui lding Depan ment. In consideration of the issuance of the Buildin g Permit, I agree that I and my agents will compl y with provisions o f any federal, state or local law regulating the work and the Garfield Count y Building Code, JSDS regulations and app licable land use regulations (County Regulati on(s)). I acknowledge that the Bui ldin g Pennit may be suspended or revoked, upon not ice fr om the County, if the location, construction or use of the structure(s) and facility(ies), described above. are not in compliance with County Regulation(s) or any othe r app li cable law. I hereby grant permission to the Build ing Depanment to emer the pr ope ny, desc ribed above, to in spect th e work . I funher acknow ledge that the issuance of the Building Penni! does not prevent the Building Of1icia l from: (I ) req ui ring the correction of errors in the submitta ls, if any, discovered after is suance; or (2) stopping construction or use of the struc ture(s) or fa cility(ies) if such is in violati on of County Regulation(s) or any othe r applicable law . Review of this Application, including submittals, and inspections of the work by the Building Department do not constitute an acceptance of respo nsibi lity or liab ility by the County of errors , omissions or di sc repancies. As the Ow ner, I acknow ledge that responsibility for compli ance wi th federal , sta te and loca l Jaws and County Regu lations rest with me and my authorized agents, includi ng without limitation my architect designer, e ngineer and / or builder. I HEREBY ACKNO LEDGE THAT I HAVE READ AND UNDERSTAND THE NOTI CE & CERTIFICATION ABOVE : -CtnJr-A.>r 0' -17 · 2/)i>g STAFF USE ONLY Special Conditions: Adjusted Valuation: Plan Check Fee: Permit Fee: Manu h ome Fee: Mise Fees: ISDS Fee: Total Fees: Fees Paid: Balance Due: BP No & Issue Date: ISDS No & Issued Date: lCD .00 lm.co I tf1C['?:> U\l1 Setbacks: OCC Group: Const Type: Zoning: BLDG DEPT: PLNGDEPT: APPROVAL DATE APPROVAL DATE I N 10993 o. ----------~~~----Assessor's Parcel No. 2393-362-17-003 Date 6/17/2008 BUILDING PERMIT CARD Job Address ----~3~1~9~S~u~r~r~ey~.~C~a~r~b~o~n~d~al~e~------------------------------------------------- Owner ________ __:H..:.:a::;h.:.:n:.>....:.R.o.::o:.:d=----------------Address 0319 Surrey. Carbondale Phone # ________ __ Contractor Ace Roofing Co., Inc. Address PO Box 276, GWS Phone # 970-945-5366 Setbacks: Front _________ Rear __________ RH ________ LH __________ Zoning ________ __ Re-roof Soils Test ---------------------- Footing ------------------------ Foundation ____________________ __ Grout ________________________ __ Underground Plumbing ____________ _ Rough Plumbing ________________ _ Framing ______________________ __ Insulation ---------------------- Roofing------------------------- Drywall ------------------------ Gas Piping----------------------- INSPECTIONS NOTES Weatherproofing------------------------- Mechanical _________________________ _ Electrical Rough (State)----------------- Electrical Final (State) ~~ Final 7~/7-olftChecklist Completedq/'= Certificate Occupancy# ________________ _ Date ______________________ _ Septic System # ------------------------- Date -------------------Final ______________________ __ Other ______________________________ _ (continue on back)