HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Planning Department
1 OB Bth Street Suite 401 r
Glenwood Springs, CO B1601·
Phone: (970)945-8212 Fax: (970)384-3470
Project Address Parcel No.
0448 JNGERSOLL LN
SILT, CO
212530300110
Owner Information Address
bud Sackrider co
Subdivision
Permit NO. ROOF-4-10-1513
Permit Type: Re Roofing Permit
Work Classification: New
Penni! Status: Active
Jssue Date: 4/8/2010 Expires: 10/05/2010
Section Township Range
Phone Cell
970-876-5759 ]
I Contractor(s) Phone Primary Contractor Required Inspections:
Proposed Construction I Details
re phase roof
FEES DUE
Fee
Re-Roofing Permit Fee
Total:
Thursday, April 8, 2010
Amount
$100 ,00
$100.00
Valuation: $ 400.00
Total Sq Feet: 0
FEES PAID
Inv Total Paytype Amt Paid Amt Due
Inv# ROOF-4·10-20153
S 100.00 Check# 6216 5100.00
$ 0.00
Forlnspectlons call: 1 (970)384-5003
Inspection IVR
See Permit Record
Building Department
Copy
2
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 81h Street, Suite 401, Glenwood Springs. Co 81601
Phone: 970-945-8212 /Fax: 970-384-3470 I Inspection Linc: 970-384-5003
www.uarfield-countv.com
1 Parcel No: (this infonnation is available at the assessors office 970-945-9134) ·~\~303-00-llO
2 Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or :ind legal description
C?t./l.1 f /":..v «" .,. ,,; sp// J-:_ S/j / C'o [°'/rj[I_
3 Lot No:
., Block No: Subd./ E~cmption:
4 Owner: (propeny owner) Mailing Address: ':),tT Ph: Alt Ph;
D, J C..;u1 l\hJ,,./.d-... C'l(l/-~ T,~~,. ,r::niJ l.~ cv-q 10 ·-¥1C-.t: 1s-e;
5 Contractor: ~rpLf Mailing Address : Ph: Alt Ph:
6 Architect I Engineer: Mailing Address: Ph: Alt Ph:
--
7 Sq. Ft. of Building: Sq. Ft. or Acres of Lot: Height: No. of Floors:
8 Use of Building:
c;'J, A J::J
9 Describe Work: .
R~Di.Htl r= R ,(:? p
JO Class of Work:
CJ New CJ Alteration a Addition
11 Garage: Septic:
a Attached a Detached a lSDS CJ Community
12 Driveway Permit: Owners valuation of Work: $ t-1 CJCJ
I 0 f/
NOTICE
Aulhoritv. This application for a Building Penni! must be signed by the Owner of the property, described abol'?:, or an authorized agent. Ir the signature below is not that of the Owner. a sepw.ilc
letter of authority, signed by the Owner, must be provided with this Application.
Legal Arcesi;, A Building Permit cannot be issued without proof of legal and adequate access to the propeny for pwposes or inspections by the Building Dcparuncnt.
Other Pcnnits. Multiple sqi3tllte permits may be required : (I) State Electrical Permit. (2) Coumy ISDS Permit. (3) another pcnnit required for use on the property identified above, e.g. State or
County Highway/ Road Access or a Sl:lte Wastcwa!C' Disch;irge Permit.
Void PcnniL A Building Permit becomes null and void if lhe work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180
days after commencemen1 .
CERT! FICA TION
I hereby certify that I have read this Application and that !he infarm:11ion cont:Uned abo'-e is true and correct. I understand that the Building Department accepts the Application, along with the plans
and specifications and other data submitted by me or on my behalf (subminals), based upon my cenification as to accuracy.
Assuming completeness 0£ the submittals and approval of this Application, a Building Pennit will be issued llJ'lln!ing pcnnission to me. ilS Owner. to construct the structure(s) and facilities detailed on
the submittals reviewed by the Building Dcp:irtmcnl
Jn consideration or the issuance of the Building Permit. I agree that I 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 Rcgulation(s)). I ncknowlcdgc that the Building l'ennit may be suspended or revoked. upon notice from the Caumy, if the location,
consuuction or use of the structun:(s) and facility(ies), described above, nre nol in complfonce wi1h County Regulation(s) or any other applicable law .
I hereby grant permission to the Building Dcpanment 10 cnicr the property, des cribed above, to inspect the work. I funher acknowledge that the issuance of 1he Building Pennit does nol pre\-ent the
Building Official from : (I) requiring the conution of errors in the submitl:lls. if any. discovered after issuance; or (2) stopping construction or use of !he stnu:tun:(s) or facility(ies) if such is in violation
of Counly Rcgulation(s) or any other applicable law.
Review of this Application, incl uding submiuals , and inspections of the wo rk by 1hc Buildi ng Dcpanmcm do not constit ute an acccp1ancc of respon sibility or liability by the County of errors, omissions
or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including withoul
limitation my nn:hitect designer, engineer and/ or builder.
I HEREBY ACKNOWLEDGE THAT I HA VE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE :
A
OWNERS SIGNATURE //Jh_J/ IL//_ £1.. DATE pL/-et"?"-/t7
STAFF USE ONLY
Special Conditions:
Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misc Fees:
Llm TitJO\J ----
ISDS Fee: Total Fees: Fees Paid: Balance Due: BP No & Issue Dote: ISDS No & Issued Date: -zb>tOO zjj. \00 fl' -lol3 -
Setbacks: OCCGroup: Const Type: Zoningf2_.
BLDG DE:]: PLNGDEPT:
u-13-~o\ a APPROVAr-CM i !~ ~ I
DATE APPROVAL DATE