HomeMy WebLinkAbout5222-"'-"! ... _
Nature of Work
Use oflluildin
GARFIELD COUNIY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
Building Permit
Set Manufactured Home/Mudroom & Storage Room
No. 5222·
Contrnctor, ____ O-:-wn-:-e~r-:-----------------.,.----::----,--,.-,-~---------
243. l O July 26, 1994
Amount of Pennil $"--m==-.,....---.,_,,_,.,,..,______ Date'----------------------Permu: 54.
Plan 35. 10
Set Up Fee:
Investigation Fee
100.00
: 54.00 S. Archuleta
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT···
PERMIT NUMBER S.:;t< S)..
DATE Z·:l fo -fJ';f
;,_;
please print or type
NAME
MAILING ADDRESS
!CITY S1 !T;
\NAME
jADDRE_S_S __ -_-_-_-_-:_-_-_-_-_-_-_-_-:_-_-_-:_C_I_T_Y ___ _
\
NAME --------------------
ADDRESS
(ITY
!PHONE ------LICENSE #
CLASS OF WORK --------->( NEfv ALTERATION ADDITION -----
DEMOLISH REPAIR l!OVE -----
''1_0Bl'LE /IONE (make/1?10~el) 6'2 "9 lir•,,; M f} Na &
:o.F. OF BUILDING :?,iIJO S.F. OF LOT -----# OF FDOORS /IEl'GliT
# OF FAMILY UNITS # OF BEDROOMS
IN1'ENDED USE OF BUILDING Po geh mud f-OOY!J
GARAGE: SINGLE DBL CARPORT' SINGLE DBL
PIREPLACE
DOCUMENTS ATTACHED
P1ATER SUPPLY NIA
DRIVEffAY PERNIT 'A ------'--'-+-'-'----------
SITE PLilN
BUILDING PLANS
SANITARY SEWER CLEARANCE ___ __,_fVl-f-i~d~~~----
ON SITE SEWAGE DISPOSAL PERMIT 1 NJ fl --'-"-•l--'-'------
01' HER DOCUMENTS (specify) sc:r 11 f11Vt:l'leTV'"'2f:,.,a
PLOT PLAN
NOTE: Show easements 1 property line dimension:
all other strUctures, specify north, and stree;
name. P'o1~ odd shaped lots, or i.f space is
too smal_l, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL ---------
USE OF BUILDINGS NOW ON PARCEL --------
'2, 2 0 If /'1rl" /tool"\ </-S°7f) 'I If~ "ft. /t 00 "\ @~0. 7.1~2, :f~f. yo Vf?LVQ,1701"
P tr n.n / r F It" I!. /J"" .Y. "'°
"""'INYtt.rrrt:.t;rfeJ'"" Fnn: -.5"1· o c
p" 19,., /I. IZJ/ I "'"' F IUZ -:JS. I 0
#'i"-/3,16
'f.(lfw WOil rl. ,,,, IF~ O u 7 P/Ul 111 T
FRONT PROPERTY LINE
S1'REET NANE/ROAD NUMBER ------------CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED ---------
I 11ereby acknowledge that
application and the above
agree to com.ply ·th all
an~
SIGNATURE
I have read this
is correct and I
constructio1
-----~--
FOR OFFICE USE ONLY
PERMI1' FEE ~$ ____ PLAN CHECK FEE -"$ ______ _
T01'AL FEE $ SCHOOL IMPACT FEE $
DA1'E PERMIT IS
ZONING DISTRICT ~4~!-,-.. Rr-'()~---------~I'YPE OF OCCUPANCY K· 3
TYPE OF CONSTRUCTI-'O":-N'-:~;o;----ol/-;-----------
S. F. OF BUILDING "-" tf11F. OF LOT q,7 c.
MAX. HEIGHT ROAD CLASS.
SETBACKS FROM PROPER1'Y LINE: FRONT Sc> D (!1 T-
REAR }00 fj. r RIGHT $1) ff + LEFT ~ 'ct
~
FLOOD HAZARD
----~-------------
CERTIFIED BLDG ELEVATION -----------
SPECIAL CONDITIONS
PROBLENS WITH PERMIT
----~-------~
ADDITIONAL INFORNATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
APPROVED:'W/ _rpf?a_y
PLANNING DEPARTNENT
7~~~-qt{-
DATE
------------------·--------------------------NC>'J"ICE-----------------------------------------·-------------
A CC>PY C>F THIS PLAN REVIE:W IS ATTACHED TC> THE C>WNER'S C>R
CC>NTRACTC>R'S CC>PY OF THE APPRC>VED PLANS. THIS PLAN RE:VIE:W IS
PROVIDE:D IN CONJUNCTIC>N WITH OR IN PLACE C>F RE:DLINING THE
APPROVE:D PLAN.
IT IS THE RE:SPC>NSIBILITY OF THE OWNER AND/OR THE CC>NTRACTOR TC>
CLOSELY REVIEW THE PLAN REVIEW AND VERIFY THAT ALL CC>RRE:CTIONS
NC>TED ARE: BRC>UGHT INTC> COMPLIANCE WITH CC>DES ADOPTED BY
GARFIELD COUNTY.
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF PLANS,
SPECIFICATIONS AND COMPUTATIC>NS SHALL NOT BE CONSTRUED TO BE A
PERMIT FOR, C>R AN APPROVAL OF, ANY VIC>LATION OF ANY OF THE
PROVISIONS C>F ANY CODE, C>RDINANCE OR RESOLUTION OF GARFIELD
COUNTY. PERMITS PRESUMING TO GIVE AUTHORITY TC> VIOLATE OR
CANCEL THE PROVISIONS C>F CC>NSTRUCTION CC>DES OR OTHER
ORDINANCES OR RE:SOLUTIONS OF GARFIELD COUNTY SHALL NOT BE VALID.
THE ISSUANCE OF A PERMIT BASE:D UPON PLANS, SPECIFICATIC>NS AND
C>THER DATA SHALL NOT PREVENT THE CHIEF BUILDING C>FFICIAL FRC>M
THEREAFTER REQUIRING THE CORRECTIC>N C>F ERRC>RS IN SAID PLANS,
SPECIFICATIC>NS AND C>THER DATA, C>R FRC>M PREVENTING BUILDING
C>PERATIC>NS BEING CARRIED C>N THEREUNDER WHEN IN VIOLATION OF
CODES, ORDINANCES OR RESOLUTIONS C>F GARFIEW COUNTY.
(Authority under the 1988 Uniform Building Code Section 303 (c). titled:
Validity of Permit.)
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND
INSPECTIONS CONDUCTED iHEREAFTER DOES NOT CONSTITUTE AN
ACCEPTANCE C>F ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD
COUNTY FOR ERRORS OMISSIONS OR DISCREPANCIES. THE RESPC>NSIBILITY
FOR THESE ITEMS AND IMPLEMENTATION DURING CC>NSTRUCTION RESTS
SPECIFICALLY WITH THE ARCHITECT, DESIGNER, BUILDER AND OWNER.
COMMENTS AND NC>TATIC>NS ARE INTENDED TO CONSTRUCTIVE AND IN
SUPPC>RT OF THE OWNERS INTEREST.
Art Hougland, Chief Building Official
PRNOTICE
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