HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Planning Department
108 8th Street Suite 401
Glenwood Springs, CO 81601 -
Phone: (970)945.8212 Fax: (970)384-3470
Project Address Parcel No.
Subdivision
Permit No. ROOF -8-09-1197
Permit Type: Re Roofing Permit
Worts C►assilicadon: New
Permit Status. Approved
issue Date: 8/6/2009 Expires: 0210212010
Section Townshlp Ram
i85 MIDLAND AVE 218516400086
:NWOOD SPRINGS, CO 76 6 B9
Information
Address
Phone Cell
Louise Arbaney 2585 Midland AVE 970-928-9040
Glenwood Springs CO 81601
ractor(s) Phone Primary Contractor
Proposed Construction) Details
Re -roof
FEES DUE
Fee Amount
Re -Roofing Permit Fee $100.00
Total: $100.00
Required Inspections:
For Inspections call : 1(970)384-5003
Inspectlon IVR
Valuation: $ 10,600.00
Total Sq Feet: 0
S PAID
Inv Total Paytype Amt Paid Amt Due
Inv # ROOF -8-09-19651
S 100 00 Check # 823 S110000
$ 0.00
See Permit Record
Building Department
Copy
Thursday, August 6, 2009 2
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 1 Fax: 970-384-34701 Inspection Line: 970-384-5003
www.earrield-county.com
1
Parcel No: (this information is available at the assessors office 970-945-9134) 2-1 104DO'
2
Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description
Plan Check Fee:
Perntit Fee-
3
Lot No: Block No: SubdJ Exemption:
4
Oyvner: (property owner)
L7
Mailing Address:
Ph:
Alt Ph;
t ri P
ISDS Fee:
Total Fees:
Fees Paid:
5
Contractor.
Mailing Address:
Ph:
Alt Ph:
C -Cj ,? e r-
+ 'T
Setbacks:
6
6
Architect / Engineer:
Mailing Address:
Ph:
Alt Ph:
PLNG DEPT:
7
Sq. Ft. of Building:
Sq. Ft. or Acres of Lot:
Height:
No. of Floors:
8
Use of Building:
J
9
Describe Work:
� y^
10
Class of Work:
o New Alteration o Addition
11
Garage:
Septic:
Attached o Detached
a ISDS 'ia•Communit
12
Driveway Permit:
Owners valuation of Work: S /0
1600
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agcnL if the signature below is not that of the Owner, a separate
letter 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 requited (1) 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
Void 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 1110
days after comm encemcat
CERTIFICATION
I hereby certify that t have read this Application and that the information contained above is true and correct I understand that the Building Department accepts the Appliration, along with the plans
and specifications and other data submitted by me or an my behalf (submittals), based upon my certification as to accuracy
Assuming completeness of the submittals 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
the submittals reviewed by the Building Department.
In consideration of The issuance of the 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
Code, ISDS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked- upon notice from the County, if the location -
construction or use of the structure(s) and facility(ics), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Department to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the
Building Official from: (1) requiring the correction of errors in the submittals, if any. discovcmd aftcr issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation
or County Regulation($) or any other applicable law
Review of this Application. including 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
or discrepancies. As the Owner, 1 acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
limitation my architect designer, engineer and/ or builder.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE-
P s4 Z( -L, ( - � A �x . x - f +
4L!!�24--v —
OWNERS SIGNATURE DATE
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Perntit Fee-
Manu home Fee:
Misc Fees:
ISDS Fee:
Total Fees:
Fees Paid:
Balance Due:
BP No & Issue Date:
ISDS No & Issued Date:
+ 'T
Setbacks:
OCC Group:
Const Type:
Zoning:
PLNG DEPT:
0PA9VAL
DATE
APPROVAL DATE