HomeMy WebLinkAbout5914 .. , BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to comple numbered spaces only. / // PERMIT NO. 59i , PARCEUSCHED NO.
JOB A00RESS SUO l/ 3 O /l_(,.�([ /'
1 LEGAL LOT NO. BLOCK I / / J '� SUBDIVISION •
DESCR.
2 OWNER t`itk.. 61 0 nCS .1r• ADDRESS 6909 e,2 32a PH 3o2s(
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3 CONTRACTOR ,Riy.0 164.✓ n c.-t- r ADDRESS 50. c PH. Sae. r.. LICENSE NO.
4 ARCHITECT OR DESIGNER Hill Daseda)es,3q A DDRESS 72/4: A✓enn C. PH. 4,25... LICENSC-NO.
7>e s R 41 e I.0 8lea`o yyyy
5 ENGINEER ADDRESS PH, LICENSE NO.
6 S.F OF BUILDING y Cl 2d�r f Q g/ S.F OF LOT J. 9, 9 at HEIGHT NO, OF FLOORS 3
7 USE OF BUILDING Re � s ,c / v . tc •Gi 5S;� I . }•M•„rI
8 CLASS OF WORK: ° NEW ¥ADDITION °ALTERATION °REPAIR °MOVE rR EE
/ EMOV
9 DESCRIBE WORN: Ae Iwo /�ora /O essfi.fy /idyl, e.
10 GARAGE SINGLE DOUBLE CARPORT SINGLE • DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT ' TE PLAN ii� 3h/
1 1 VALUATION OF WORKS 74 O ADJUSTED VA 9 3 / 771 1.0 PLAN CHECK FEE PERMIT FEE FEE'*?, Ls
SPECIAL CONDITIONS: 6 fj W / V I L /' .9 Z . SCHOOL IMPACT FE� PARCEL OF BUILDINGS ON OF OF BUILDINGS NOW ON
v fl a , ,.,�
s • 11 6 moo a I (� TOTAL F � LI E,/� I '0 7 ry
- _ 7 yr t :10 �Q / `• J / OCC. GR. CONST. TYPE
NOTICE WATERS PPLY DATE PERMIT ISSUED S - 9 4 H
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
SPECK APPROVALS REQUIRED RECEIVED NOT REQUIRED
VENTILATING OR AIR CONDITIONING. Y
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS ZONING
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED •-•
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED, HEALTH DEPT.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS AND ORDINANCES FIRE DEPT.
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGU • ING CONSTRUCTle . OR THE PERFORMANCE OF SETBACKS L
CONSTR TIO>.
.. L.. — it .L./ /i ,• 1 _ Date .S -
FLOOD HAZARD
Sig of er�ontractor or authorized a; ant having read and understood notice above.
U- Y MANUF. HOME
mva /d 9 Planning Department Approvalldate —
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1 OTHER
Building Department App
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND /OR THE AGENT OF THE CONTRACTOR OR OWNER TO
CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT
IN CONSIDERATION OF THE ISSUANCE 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 IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER
AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF
THE ABOVE DESCRIBED STRUCTURE. THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT
SHALL BECOME NULL AND VOID,
THE ISSUANCE OF A PERMIT 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 VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS
JURISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE
RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER,
BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
GarrormA03 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE I I IA 0