HomeMy WebLinkAbout5951 BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO C Prija
Applicant to complete numbered spaces only. PERMIT NO. 595 I PARCEL/SCHED NO, l _
JOB ADDRESS ge a 7, /re , J ® T -.. G _, ,-.
1 LEGAL ESAR. LOT Na { 2 BLOCK SUBDIVISION ( /.q /I�� -', l ,tom /
✓ �, ✓ J� p M OO 4 TU. � i d er'lY77S f 1a
2 OWNER }Q 1'Yre ` I pXLGL.[�,y� ADDRESS I l5 O rckoaLL PH9�JS'96,/ WK. PH. 9ys —Sy7l
3 CONTRACTOR l eWre Y t naq 1 e! 9Y1 "9�3/ ADDRESS � O � Q f � L ease. PH. LICENSE NO.
`
ARC co i ' lZen/ea LeesY
4 ARCHITECT OR DESIGNER Desk4n ADDRESS 672r, -( J reps PH. - yt y3 LICENSE NO.
5 ENGINEER JJ ADDRESS , •% PH. LICENSE NO.
6 S.F OF BUILDING SGy 0 S.F OF LOT Ac a a. ores ± HEIGHT NO. OF FLOORS /
7 USE OF BUILDING rte 5?g „,'e
8 CLASS OF WORK: $NEW °ADDITION °ALTERATION °REPAIR °MOVE o REMOVE
9 DESCRIBEWORK: o n e 51 ion1 ern ecal/ s e
10 GARAGE SINGLE DOUBL E CARPORT SINGLE DOUBLE fl/Q (a'ZZ�e
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN ✓ An
11 VA LUATION OF WORK: 5 `� 1 � - A J USTEO VAL.$ P CHECK FE 3 9.� O O PERMIT FEE W C . v U
SPECIAL CONDITIONS: lJ SCH00CT FLE NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON
,j 5 PARCEL PARCEL
TOTAL FEE OCC.GR81 II 41 CONST. TYPE)/ AT
' NOTICE WATER SUPPLY DATE PERMIT ISSUED 6 - 2 s - �
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. SPECIAL APPROVALS REQUIRED RECEIVED NOT REQUIRED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZE° IS L_
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ZONING
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 OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING G TRUCTION OR HE P- FORMANCE OF SETBACKS
CONSTRUCTIO ,` • ' I J/
Date
FLOOD HAZARD
Signature of • alidale ner, • ••°tractor or authorized agent ha i�mea . . notic= abov.
Ili- 4/ 1�� / / Planning Department App --
Building Department Approvarda.- - MANUF. HOME -L�� r
De Aeon OTHER,*'SD5 I P -12, t.-,b - -��a
7 / 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 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 IN SUPPORT OF THE OWNERS INTEREST. / / //y
Garform.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE IINITIAL U /�/ 1
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