HomeMy WebLinkAboutApplicationProject Address
Garfield County
Building & Planning Department
108 8th Street Su¡te 401
Glenwood Spr¡ngs, CO 81601-
Phone: (370)945-8?12 Fax: (970)384-3470
Parcel No.Subdivision Sect¡on Township Range
-1 1361-2
Fermit
ActiveSfatus:
Issue Date: 712812011 Expires: 0112412012
000000000000Iq
Owner lnformat¡on Address Phone Cell
Rebecca Mahon 20 Empire CT
Parachute CO 81635-
(970)355-9842
20 Empire CT
Parachute CO 81635-
Contractor(s)Phone Primary Contractor
Proposed Construction / Details
Valuation:
Total Sq Feet:
$ 5,ooo.oo
1900
FEES DUE FEES PAIÐ
Required lnspections
Forrnspect¡ons *rr, | ($$$)$68-5306
lnspection IVR
Fee Amount
Re-Roofing Permit Fee
Total:
$100.00
$100.00
lnv Total Paytype Amt Paid Amt Due
lnv # ROOF-7-11-21251
$ 100.00 Credit Card $100.00
$ o.oo
Building Department
Gopy
n-p
See Permit Record
2Thursday, July 28, 2011
G¿trflefd CoîL¿rir
I 08 B'h Street, Suite 40 t , Glenwood Springs, CO B I 60 I
Ph:970-945-82 t 2 þx:97Û-384-3440 Inspection Line.888-868-5306
wwr¡r.ganrfib 16l-coumûv..cor;tu
BUILDING PERMIT APPLICATION
I
2 or Slrcet Nlnrc (:it)))( ll,
Parcel (th¡s ¡nlomtutiÒn is avuiluble a! the ussessors tffice 970-915-9 I 3'l)
and legal descriptionJob Addless: (¡/an lns n<il been assigned,
Lot No: Block No: Subd./ Exenrption
lÌooàw8/;AIt Ph â--Mailins Address:äöî',r,tr,-e lJ--)'"12'iT ;i;i;å'
^4
a -Þ, ìta
AIt PhPhMailing Ãddreí*4 Cónträctor':
Lic #:Ph:Mailing Addless:5 Manufàctured horne iustaller:
Ph:AIt PhMailing Address:Alchitect:6
Ph:AIt PhMailing Address:7 Engineer:
Height:No. of FloolsSq. Ft. or Acres ofLot:I Sq. Ft. ofBuirdt"t IqdJ 5q çl
!New !Alteration laddition,,.ffn"pui.
Class of Work:
lDeuro flMove
9 Use of Building:
ffnesidential !Commercial !Other
0
l0
Type ofHeat:
at. Cas!ISDS lElectlic lOtherlAttached IDetached
Describe Work
Garage:lt
C)wners valuation of Wol'k:t2 Drivewav Pe*it: o*tSTl ñ q
letteÌofauthorit-v,signedbytheOwner,mr¡stbeproviderlwiththis A.pplication
County Highway/ Road Access or a State Wastewater DisÇharge Pemrit.
days aftercotntnencet'ent
cERTrFIcA.IoN
and specifications and other data sublnitted by rne or on rny behalf(subrnittals), based upon rny ceftification as to accuracy.
the subnrittals reviewed by the Building DepaÍrnent
ofCounty Regulation(s) or any other applicable law.
DATE
NOTICE
SIGN
IH
or builderdesigner,
READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:EDGE
ñ .rl STAFF USE ONLYa
Special Conditions
l\,lisc FeesManu home Fee:Permit Fee:Ioo ù.5Plan Check Fee:Adjusted Valuation:
BP No & lssue D¡te:*Zòv ISDS No & Issued Datc:Balance Due:Fees Paid:lufTotal Fees:
Zoning:Const Type:OCC Group:Setbacks:
\t\I D llc¡-t)
DATEALDATE