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No. 5556
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Spring; Colorado 81601
(303) 945 -8212
Job Address 0041 Oak. Lane, Glenwood Springs
Nature of Work Rill 1 cling Permit
Usc of Building Add Garage & Entry, Remodel
Owner Mark & Mary Gould
Contractor Steve TdtndeP_n
Amount of Permit $ 1 115 5 1R Date_ __ June 1 1 9
Permit: 639.50
Plan : 415.68
Paid $105.30
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. J C SS JO PARCEUSCHED NO.
X
Jos AOORESS 41 01414 p
14 �S18J ro IenuitXP ✓q21 br •
1 LEGAL LOT NO. ,' 2, M2K / SUBDIVISION a.eirgienz 6,9
DESCR. ��L,,yy�� ��,//JJ ���� � ��]]f,�J�/ �,�,yy
2 OWNER ♦H/�fI'V" '4 r]/ a2W ADDRESS O VOV 449 997,O 72'1
3 CONTRACTOR` 8V6 44129091 ADDRESS ,Q.,� PH. LICENSE NO. Q ) .
4 ARCHITECT OR DESIGNER t -f.j(( etin / �� P , 19V5 q fO3g5 LICENSE NO. a - /� I
5 ENGINEER 6l t2 ADDRESS n �/ r / PH. it LICENSE NO. /
6 S.F OF BUILDING 556 047744q619 S .F/ OF LL 2' 11 - � 4 Q,yy �. �� ah HEIGHT NO. OF FLOORS
7 USE OF BUILDING � ' -ra, *vat r//. y
8 CLASS Of WORK: a NEW )(ADDITION4LTER.ATION o REPAIR o MOVE n REMOVE /ny /�/,��/�f/'�,
CJ DESCRIBE WORK /VV MI ' � e7 V , Pen t
Tw 195 cF P< /77r1(so'
10 GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN L
11 VALUATION OF wORKI$ ADJUSTED VAL s /00 DO0 PLAN CHECK FEE y,�y /,S. $ 3 PERMIT FEE e 6
SPECIAL CONDITIONS: SCHOOL IMPACT FEE . , 2 NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON
PARCEL PARCEL
if •
TOTAL FEE OCC. GRIT i,, /7" /
/ CONST. TYPE Y - — `
NOTICE WATER SUPPLY DATE PERMIT ISSUED 4-ix - 9 5'
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, SPECIAL APPROVALS REQUIRED RECEIVED NOT REQUIRED
VENTILATING OR AIR CONDITIONING. /
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS ZONING Y
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. HEALTH DEPT.
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 FIRE DEPT.
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING g5 A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT
AUTHORITY TO VIOLA - , IR CANC THE PROVISIONS OF ANY OTHER STATE OR —
LO A LAW RE JLA NG tRUCTIt. OR THE PERFORMANCE OF SETBACKS
' ale
' c �/6 FLOOD HAZARD
Si g ettrac or author¢ekgg t av gr End nde lood notice above. — -
e` ( i K / _ �
" .Q,,r�MANUF HOME
t D_partment Approva /dale anning De rtment Approval!dete
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 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 bN THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS
JURISDICTION.
T ` I- ° • 9 ' t# '°a ='h ; ED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
qq�� -. a•,. '.0 • r. a. �; - n - SIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE
N SP* . f FbR THE- :MS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER,
ELD ER AND OWNOIWO . ' S ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Y 1 1 ter/'
rto I H - , ACKNO WLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE JINITIAL' , (r? 1
. ;r L O �Y V K /0 . ° .S -t 7 - 55