HomeMy WebLinkAboutVOID MemoPermit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8'" Street, Suite 401, Glenwood Spriap, CO 81601
Phone 70-945-8212 / Frau 970.384-3470 / hiipeetIon Line: 970-384-5003
Job Address: *---6
Parcel/Schedule No: / 7 7 6 Q y 60 616
/(a 57
1 Lot No: • Block No: Subd. / Exemption:
i
2
Owner:
,/tel/& idl.ow(e.5
Address
yr -6 c�2,79pi >ti.C�e
Ph: ,---
-17a-6zr-e66?
Wk Ph:
V76) 6zs-763?
3
Contractor:
Address: (.,` g'jcs-p,
Ph:
Lic. No.
4
(5-t
Architec /Engineer:
r%,e3A.- Citek.1/ .41-CAIkCt,PC.
Address:Ph:
/3(, E 3E-0 • )ei(lam /
QUO. GoZ S dSgy
Lic. No.
5
Sq. Ft. of Building:
I5-6aY
Sq. Ft. of Lot:
, "17 acre,...
Height:
072- iik-
No. of Floors:
i
6
Use of Building: �. / /t 1 C �e , _ cQQ
1� CL tithi 4JI/�/�J�
7
Describe Work:
i'
8
Class of Work: ❑' New / id/ Alteration o Remove
❑ Addition ❑ Move
9
10
Garage: ❑ Single/
0 Dolt le
Carport: El/ Single
❑ Double
o Driveway P '•-. On -Site Sewage
Pi Disposal
❑ Site Plan
11
Valuation of Work: $ j
D, DDD4,3
Adjusted Valuations: S3Ia' AY
12
Special Conditions:///
111512/Fy eA1 T/,v4 $ Tjc 74-rdk ,s /S00 GSL
2,71 Q gridRit
ISra Clap L• 4
NOTICE
A SEPARATE ELECTRICAL PERMIT IS "EQUIRED AND [IST Ii`
ISSUED BY THE STATE OF COLORA • .
THIS PERMIT BECOMES NULL AND Veil) IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCE' WITHLN 180 DAYS, OR, IF
CONSTRUCTION OR WORK IS SU' 'ENDED OR ABANDONED FOR A4
OF 180 DAYS AT ANY TIM • AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE ,'BAD AND EXAMINED THIS
APPLICATION AND KNOW THE S r TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS GOVERNIN THIS TYPE OF WORK WILL BE
COMPLETED WITHIN WHETHER S " I:CYFIED HEREIN OR NOT. THE
GRANTING OF A PERMIT DOES N ' PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVI IONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTR CTION OR THE PERFORMANCE
OF CONSTRUCTION.
fG 67
Plan Check Fe:
4,,r *r/�r \
N
Permit Fee:
I
LI E t�
Total Fee: h!
a
O Y 10
6 ¢ I 7% �10,,,:o."PERIOD
Dated Permit Issued:
OCC Group:.�N f
1l/ (/
Cb>�sst. Type:
Zoning:
Setbacks:
Manu. Home:
ot
ISDS No. & Fee:
/.
NATURE OF OWNER � D S
+
■ . • - ar - rl . • 41 ,,4174 . - I
H 4,
Ga'�.D��
��ir � PING. DEFT.
R /DATE APPROVAL/DATE
PERMISSION IS HEREBY GRANTED TO THE AP
THE STRUCTURE AS DETAILED ON PLANS AND
IN CONSIDERATION OF THE ISSSUANCE OF TE BS
USE REGULATIONS ADOPTED BY GARFIELD COU
THAT IF THE ABOVE SAID ORDINANCES ARE NOT FU
ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY B
NULL AND VOID. THE ISSUANCE OF A PERMT BASED
FROM THEREAFTER REQUIRING THE CORRECTION OF E
BUILDING OPERATION BEING CARRIED ON THEREUNDER
THIS JURISDICTION. THE REVIEW OF SUBMITTED PLANS
AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIAHLI9'IE
BILITY FOR THESE ITEMS AND IMPLEMENTATION DURING C
AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATI
AGREEMENT
CANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
PEC1FICA PIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
ERM1T, THE SIGNER, HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND
PURSUANT TO AUTHORITY GIVEN LN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES
X COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE
' REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME
N PLANS,
ORS IN
EN IN
SP
PECIFECATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL
D PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING
OLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF
IFICATEONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE
IELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSI
CTION RESTS SPECIFICIALLY WITH THE ARTICTECrT„E3l?SIGNER, BJJILDER,
IN SUPPORT OF THE OWNERS LNTEREST.
I HEREBY A OWILEDCIE THAT I HAVE READ AND . NDERSTAND THE AGREEMENT ABOVE [INITIAL):
zin Fitt 0.01
CLAS t, tJ k/tnu T-- 1-
N in )'-it Cmc pig /ND 04-4-1-F-1
702 / - . --� P• A.1