HomeMy WebLinkAboutApplication- PermitJob Address 9f E.
Nature of Work
Use of Building
Owner
No. 7045
GARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 8th. Street, Suite 303
Glenwood Springs, CO 81501(970) 945-8212
/2 . Co P (435
Building *- a it
71r4‘4"L
Contractor S
Amount of Permits /00).7/ Date 1r
BUILDING PERMIT APPLICATION
GARFIELD COUNTY. COLORADO
Applicant to complete numbered spaces only. PERMIT NO. JaPARC EUSCHED NO.
JOB ADORERS Q E . _ _ '
. . . - rai• `-co
1
LEGAL
DESCR
L0T NO. ! (.5
BLOCK C
SUBDIVISIONrap,. 01 p-ye C Z.... V ric i -v ..0, <9.0 dr76 /1 r 6 0P-���
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OWNER ornaI.-i4+^.. 14P`', e',e-�O
ADDRESS I,/ /2 .
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WK PH.
3
CONTRACTOR •g.,.• aL $;:-..e...../1
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cDDRESS o V., ...'-r ✓4e.
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P11 lit
LICENSE NO 'l!!
4
ARCHITECT OR DESIGNER - //
ADDRESS R. y��' ��'
PH.
LICENSE NO.
5
ENGINEER —
ADDRESS
PH
LICENSE NO.
6
S.F OF BUILDING —
S F OF LOT
HEIGHT
NO. OF FLOORS
7
USE OF BUILDING
8
CLASS OF WORK rrNEW oADM ION ['ALTERATION nREPAIR nMOVE nREMOVE
9
DESCRIBE WORK: pa ";n d 1,c),V fL
10
GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VALUATION Or WORK S /1.- f ADJUSTED VAL $
PLAN CHECK FEE 1 , • '0.
SCHOOL IMPACT FEE
//4
�7�P
NO OF BUILDINGS
PARCEL
PERMIT FE
ON
% �j 7 . Lam'
iY'/+si1i1.G
USE OF BUILDINGS
PARCEL
NOW
ON
SPECIAL CONDITIONS-
TOTAL F i 6 ig,•74/
OCC GR. Li /
CONST. TYPE
)J N
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
VENTILATING OR MR CONDITIONING.SPECIAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME
AUTHORITY TO TE EL THE PROVISIONS OF ANY OTHER STATE
LOCAL LAW N CONSTRUCTION OR THE PERFORMANCE
CONSTR
rJ� 'AO iaj /Z - 3 ' 45
WATER SUPPLY
DATE PERMIT ISSUED
HEATING,
APPROVALS
REQUIRED
RECEIVED
NOT REQUIRED
IS
ZONING
WORK IS
HEALTH DEPT.
KNOW
FIRE DEPT.
TO GIVE
SOIL REPORT
OR
OF
SETBACKS
FLOOD HAZARD
Signature of er, Contra or euthoriz age .9 . Ving
4 ol� _11 Aft,/
rea• , , • u •.• [stood notice
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MANUF. HOME
Bulldln Depa en Approve/9aie` • an Ing :
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BATTLEMENT MESA SERVICE ASSOCIATION
ARCHITECTURAL COMMITTEE APPLICATION & CHECKLIST
(Short Form for Repainting, Landscaping or Minor Projects Only)
Homeowner: 11, C71 G G; —• / 0 L O
Home Mailingddress: -- .�€ '- I4- refai. - e
Home Phone: 9 d� 2.$ r, .6 3 5-9 Work Phone (if de'ired):-----
.
.-
Project Address: *¢- $ E. i - PI Lot: / 9 Block: 19 Subdivision: da c cJ k back' V HiQ q
Submittal Date: Z - J5 / 99 Estimated Start Date: a ) 1 ti 196) Estimated Completion Date: 2 / 2 e /9 9
r
PLEASE PROVIDE A DESCRIPTION BELOW OF THE PROPOSED PROJECT WORK
ITEMS BEING INCLUDED IN THIS SUBMITTAL APPLICATION:
1.
2.
3.
4.
5.
SUBMITTAL REQUIREMENTS: Two copies each of items I, 2 & 4 need to be submitted.
(Check -off items attached to the Application. Fill in spaces as indicated.)
1. Site Plan Drawing (1"=10' or 1"=20' scale) with the following information shown:
Lot, Block & Subdivision name.
Street Address of Project.
Building Setback Lines (also fill-in the shortest distance between property line to the exterior
wall closest to that property line):
Dwelling Unit Garage
Front Setback: feet feet
Left Side Setback: feet feet
Right Side Setback: feet feet
Rear Setback: feet feet
Utility Easements.
55' Clear Site -Line at Intersection Corner Lots.
Placement Location for Outbuildings, Patios, Decks, etc.
2. Architectural Drawings (114" = 1' or 1/8" = 1' scale) with following information shown.
Outbuildings indicating dimensions, elevations and overall height to ridgeline.
3. Exterior Materials (fill-in the selections below):
Roofing Material: Color:
Primary Siding Material: Color:
Accent Siding Material: Color:
Trim Material: Color:
a:bmsaacsh3.121698
Page 2 of 4
•
•
•
This portion of the Application Form to be completed by the
Architectural Committee (not the Applicant).
CONDITIONS OF APPROVAL
1. No sitework or building construction may proceed on any Lot until the Project has received a Project Approval
from the Architectural Committee.
2. All general building, site improvements construction, exterior remodeling or repainting, and landscaping
renovations for any Project shall be completed no later than three (3) months after the date of this Approval.
3.
4.
5.
6.
Application ApprAval (Initials of chitectura :5
By:
ee Members):
Application Approved for Construction subject to the above conditions:
\iC(
By hairman:
0. cl - �oa� Date: 'L/moi/clq
Application Denied (Initials of Architectural Committee Members):
By:
Application Denied:
By Chairman: Date:
a:bmsaac.sh3.121698
Page 4 of 4
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RECEIVED FEB 2 0.2002
Date: /g/0
To: I%?4't--dam- ga,tnn
4/1/1„11‘671
&'(8
Dear Permit Holder,
Please refer to your building permit number 7014-- , issued 02 -/2 .
A routine review of our open building permits indicates that we have not received a request for an inspection
on this penult since 2-'2- '75
Please be advised that building permits expire, per Uniform Building Code, section 106.4.4 and 106.4.5, 180
days after they are issued, if the work authorized by the permit has not commenced or is suspended or
abandoned. The permit may be extended by written request to the building official, showing that
circumstances beyond your control have caused a delay. Permits that have been expired for 180 days or less
may be renewed for one half of the original permit fee. Permits that have been expired for longer than 180
days require payment of a new full permit fee.
Please contact this office at your very earliest convenience, in writing, to advise about the status of your
permitted work.
If you have not responded within thirty days from the receipt of this notice the permit will be closed
and a permanent notation will be placed in the property records at the County Assessors office that
indicates that the work permitted was not inspected, is not approved and that the building or area may
not be legally occupied.
Thank you for your cooperation.
Sincerely,
4/4,, 7A -0,,t -L
Garfield County
BUILDING & PLANNING DEPARTMENT
Code Compliance Office
shackett arfe1d-countv.com
Building Inspector
109 8th Street, Suite 303, Glenwood Springs, Colorado 81601
(970) 945-8212 (970) 285-7972 Fax: (970) 384-3470
No. 7a(45
Assessor's Parcel No q
Date 2- /Z- r
Job Address Lig' r7bmil ger 1-//a_ +ti,e7-0 ehr
Owner C' a o
Contractor ✓--'tom 'e_..G-1SC -�
etbacks: Front
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping
Rear
Address •
Address/5V/ //� (7 2_i/ f
RH
INSPECTIONS
NOTES
LH
ho
45
Phone #L 7 �� 7
Zoning
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical F. al (State)
Final /Checklist Completed
Certificate Occupancy #
Date
Septic System #
Date
Final
Other
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