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HomeMy WebLinkAboutApplication- PermitJob Address No. 5997 GARIIELU COUNTY 11 UICUING, SANl77I TION arxI PLANNING U.GPA,R 7MEN7' 109 8(I1 Strcct Suite 303 CIcnwood Spring's, Colorado 81601 (303)945-8112 0092 Peach Court, Mountain Shadows, New Castle Nature of Work LJsc of Building Owner Building Permit Convert Patio to Kitchen, LaundrE Room in Garage Mike Stensland Coulraclor Owner A nount of -Permit S 247.09 July 24, 1996 Permit: 149.75 Plan : 97.34 Paid $170.84 S. Archuleta. Clerk BUILDING PERMIT APPLICATION GARFIELD COUNTY, COLORADO Applicant to complete numbered spaces only. PERMIT NO. 5977 PARCELISCHED NO. JOB ADDRESS 0092, 2, \ Yla�-ri.F/ cit." fes, / 6 47 1 LEGAL DESCR. LOT NO. v/e 5-r-64,46404.1) r—f�0 BLOCK ADDRESS SUBDIVISION MouNTAN, %L�l 1E JF`�IL.I PH.,Q/y_33 /`qtr � 6 / WK. PFI. �/SS� 2575 �.!--- OWNER �A i 7, CONTRACTOR R. ADDRESS PH. LICENSE NO. 4 ARCHITECT OR DESIGNER ADDRESS PH. LICENSE NO 5 ENGINEER ADDRESS PH. LICENSE NO, 6 S.F OF BUILDING 273 i , S,F OF LOT _A r /n(5f0 HEIGHT 1 � NO. OF FLOORS 7 USE OF BUILDING $/A �L.:a--FiNw Lf }qtr ,NF1 (4,i V CLASS of WORK: EI NEW XADDI ZION o ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE DESCRIBE WORK: ! - 1 . i4. - - !�^ � .�... i � i L _..tom � p�/i�,,`�y, ���, �/ �rj �� ��jz .,I..g r / �` —' ~ tw"f p >_) , �. 1 Lf' uHDP� 1 !moi C -1 f % � r ✓✓ r l 10 GARAGE SINGLE OUffiE� CARPORT SINGLE DOUBLE J DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT `�,/ SITE PLAN 11 VAimATION or WORK: $ 7 ADJUSTED VAL.3 g1/ 1I 5` 7 PLAN CHECK FE (77-27" PERMIT FEF . ./ -% , SPECIAL CONDI/"ION YU /46 V`J� / %3 ft .1, .'T �j _ f „ _ , ]f�1UAf�[/�%� 3 -:gW +T ,S` 1 PLUMBING, HEATING, CONSTRUCTION AUTHORIZED OR WORK 1S SUSPENDED AT ANY TIME AFTER THIS APPLICATION AND OF LAWS AND ORDINANCES WITH WHETHER SPECIFIED DOES NOT PRESUME IF ANY OTHER STATE Or 'H PERFORMANCE 2 %f �CHOOL IMPACT FEE NO, OF BUILDINGS ON PARCEL USE OF BUILDINGS NOW ON PARCEL 9 TOTAL FEE -It -2_12; P. WATER SUPPLY OCC. GR. DATE PERMIT ISSUED 7"/.g5/'4 CONST. TYPE a4� • NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ABANDONED FOR A PERIOD OF 180 DAYS COMMENCED. I HEREBY CERTIFY THAT I FIAVE READ AND EXAMINED THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED HEREIN CR NOT, THE GRANTING OF A PERMIT AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS LOC.'L LAW U TING ii I TRUCTIDN CO ION ' 1 1 _EL - i i r LeAir SPECIAL APPROVALS REQUIRED RECEIVED NOT REWIRED IS TONING L--�. .---- WORK IS HEALTH DEPT, KNOW FIRE DEPT. TO GIVE SOIL REPORT OR OF SETBACKS FLOOD HAZARD ignature of • er, Contractor ►epartmentApprovald- or authorized age read e - r' . e . a.d noti' = ' abov• MANUF. HOME Building e [/ Planning Deparlm Appr. ,ate" OTHER 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 1N THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE. THE PERMIT MAY THEN 13E 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 T HIS 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. Garform_003 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE �I 0 CY 53 '5 m tJ c ,) m m) U) o c 3 (Q (D c O O N , 5' ' _ ❑ c c 9 a o 043 c 1,43 z 0 -a 0) (oeq uo anuguo 0 7- m 0 CJ Frr w 0 (o 0 CD o mvc c 0 r m O Jo;oeAu03 0 ssayp qof 3,1 r173 v m m a O. 0. CD N mm� o (D D m m w -,_ co ! F).� w 0 O (a -oN 190Jed S JOSSeSSy EB 6`"1 k/ ELECTRICAL PERMIT APPLICATION /' Z 3 COLORADO STATE ELECTRICAL BOARD - DEPARTMENT OF REGULATORY' AGENCIES 1580 Logan Street, Suite 550, Denver, Colorado 80203-1941 Phone: (303) 894-2300 �El3i�111 M:r nspector Name. 0 Reinspection Fee for Permit # Nork Performed by: ❑ Electrical Contractor IIAME`GI-A,ASL- [b (Registered Electrical -Contractor or Homeowner) Vlailing Address 92 F ac e VAME OF RESPONSIBLE MASTER -)8k Home 'owner (See Clause Below} „0-6 435' °D Add Fee for Permit # ,)31,53q • Date 'No I.23: oz • . Electrical Contractor Reg # City N-tE.,V4 64611..F„, Zip S 47 \lame M «#-ti - �fM'L74b? Property Owner roperty Address (Street) Power Supplier Name and City (If not available use, subdivision/lot/block/filin amity NEW 61.0611. - (or nearest city) Directions to job site from major intersection (or attach map) County *FIF-Lb .<ii2`,•##{t73#Sit::E't-, -:;{{;,-er 3j{tt{t;m{{.i» , {t ' t? X{3;{+, , {t;a5{<;=i;: ' tt•.;< ,j.r.-•t+t , t , .t r r{ . ;J. ' :#s: 3 z#..,i .# s <; } : f..;{ # ###{ .5 '#>'z�``?#'#}:::,+##S # '�;#{^4 i+=#, £' i5 - s€4 • �- ' P.;,: +t+ t::. .e •t'll�::feti� ?•i�:cll��e��l+' {� , {s: �, ' ;f • '7: -� ...:. �;#:�{? {�<i�) >� €€#. ��;���,;��� .����#� '>##<4#�q>��."��� , {<t;,:#;,,. ..:_.. rldt'. Nul#��lr.;gw�tkt: �ifi�i�4:{CSS ' �::<{I ; '#` # � � { :J$ •.>>��,�� }:;# { ': K#'sE??#i}::� k5rt�i5#:'{:3<?: � {: , : f +{'i,a 3:.: t; : ,.k �. { # ;'t ?.Lti..t{u,,}•#:„#r;:r,;#..,:?:.:?;r;;i;'f;}..{Z#:3„#L�iSS {{�}I�:�a<,>{{ t{:. 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T� ..y#:73.?Y4: ; raj :.}g;. i #5:: §.{kckkt:,>.J.{{.a:{b:k,+,.:.}k?<L{<u.•.k{i#it#,{..::t,;�i'=.k?;#?,;::•,:a,r.:::�:?<{2{{{e#<:,k.3,::;3;;.:t;#;�'L;{:.t;?:tkk;ktt+�§§�'.?:'?i��inb¢#i?��i't#-�:�':.:###1 ❑ NEW ❑ REMODEL ❑ ADDITION ❑ OTHER I] RESIDENTIAL ❑ COMMERCIAL O SERVICE ONLY © MOBILE HOME O MODULAR HOME ❑ TEMP CONSTRUCTION SERVICE;ees2;rtii`l Description :Of Installation: 940 --- u6E) �o TRIM (original permit#) 33 53 Square Footage: ? C,Cost of Electrical Work: $ Ion � Total Fee Enclosed: $ - 'Residential use only - e ectlo • on ac (Ali other permits - see Section reverse) (Calculated from information on ao 0 orm Cl REQUEST EXTENDED PERMIT FOR J ft BS TH Va i1,/ Signature of Applicant HOMEOWNER CLAUSE: The electrical law provides you, as the homeowner, the opportunity to perform your own wiring provided that the following conditions are true: (11 you are the property owner and the property is. not for sale or resale, is not rental property which is occupied or is to be occupied by tenants for lodging, either transient or permanent; and is not generally open to the public. (2) the wiring will be inspected prior to covering, i.e. insulation, drywall, etc. and again upon completion of the system prior to occupancy and permanent power release. (3) All electrical work will be done in accordance with the National Electrical Code adopted by the_Colorado State Electrical Board. T WILL TAKE LONGER THAN 12 MONTHS (Documentation must be attached) Phone: (/ 70 ;) 379 - �j 22—t IMPORTANT: SUBMIT THIS FORM TO THE ABOVE ADDRESS WITH FEE.' YOUR PERMIT WILL BE SENT TO YOU BY RETURN MAIL. The content of this application must not be changed. If the content is changed, the applicant may be referred to the Colorado State Attorney General's Office for violation of the Colorado law.