HomeMy WebLinkAboutApplication- PermitJob Address
5
No. 5708
GARITELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 81h Strcct Suite 303
Glenwood Springs, Colorado 81601
(303)945-8212
43019 Highway 6, New Castle
Nature of Work Building Permit
Use of Building Storage/Carport
Owner Phillip Shaffer
Contractor Robert Gordon
Amount of Permit $ 103.95
Permit: 63.00
Plan : 40.95
Date October 26, 1995
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces anly. PERMIT NO. 16 0 PARCEL/SCHED NO.
AGREEMENT
PERMISSION ]S 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 1N SUPPORT OF THE OWNERS INTEREST.
Garform.003 1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE INITIAL
JOB ADOREss _kVI l.. �1 c- / 4; /47C. -r 4//e., a&---).76.-/-7
1
LEGAL
DESCR.
LOT NO. 111
BLOCK
SUBDIVISION
2
OWNER d:///i� h
ADDRESS•ZIZ �� e
PH. J s
WK. PH.
3
CONTRACTOR �� /C�`'
ADDRESS /y )� ' 5 /�(y i/4
PH.�-/ ✓T
LICENSE NO, , „,./,,,
4
ARCHITECT OR DESIGNER,{
ADDRESS
PH.
LICENSE NO,
5
ENGINEER u[ C'
ADDRESS
PH.
LICENSE NO.
6
S,FOF BUILDING /72 Szt /6/•
S.F OF LOT G / e4S
HEIGHT
NO. OF FLOORS
7
USE OF BUILDING fff{//!
ifl��-J
8
ciAss OF WORK:EW a ADDITION o ALTERATION a REPAIR LI MOVE u REMOVE
9
DESCRIBE WORK: J 2(
10
GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VALUATION OP WORK:1 3187 azADJUSTED VAL.$
PLAN CHECK FEE /o, / J
PERMIT FEE n 3 -oo
SPECIAL CONDITIONS:
SCHOOL IMPACT FEE
NO. OF eV/WINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
4)&1
TOTAL FEE !".19, 7,
OCC. GR,-�
CONSTT.. TYPE
NOTICE
SEPARATE PERMITS ARE REFOR ELECTRICAL PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS
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.
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
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GEE
AUTHORITY TO Vl*ITE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW r r,LA N ffff����NSTRUCTION OR THE PERFORNCE OF
CONSTRUCTiO `�J { 1e) r
Dale
WATER SUPPLY
DATE PERMIT ISSUED /(j i7y Jl " ,
SPECIALAPPROVALS
REQUIRED
RECEIVED
NOT REQUIRED
ZONING
[///
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
SETBACKS
FLOOD HAZARD
Signature of Owner, Contractor or authorized agent hr u. ,erst... notice above.
h, ,46 s21 „i ._ / - -- ,,
Yr
MANUF. HOME
Building epartment Approyaldate 5 Planning Department ' , . oval/dale
1
OTHER
AGREEMENT
PERMISSION ]S 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 1N SUPPORT OF THE OWNERS INTEREST.
Garform.003 1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE INITIAL