HomeMy WebLinkAboutApplicationGARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 Bth. Street, Suite 303
Gkenrood Springs, CO 81501(970) 945 -8212
No. 7172
Job Address 0413 VQ/j�, �?/�, a 5 (f,S/ / A ??
Qt4ed,
Nature of Work Buildirxq Permit
Contractor 161'0A ,
Amount of PermitS 591 9 7
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Date
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Clerk XJ�
BUILDING PERMIT APPLICATION
OARFIELD COUNTY, COLORADO
Applicant to•complete numbered spaces only.
PERMIT NO
JOB ADDRESS V ! 3 Yavx Nbo &v k a . , . s co (16e
1
LEGAL
DESCR_
LOT NO S
BLOCK
SUBDIVISION
(YA, AG 4-� s
2
OWNER p.4 1 A' L✓ i y
tip y,% /; L
P 09.0- //1
WK. PH. 34 fie-
A ) 2 43 IL7
3
CONTRACTOR W N eq.-
3
ADDRESS -54 M e
Riggs, . //2.-
LICENSE NO.
4
ARCHITECT OR DESIGNER
ADDRESS
PH.
LICENSE NO
5
ENGINEER
ADDRESS
PH.
LICENSE NO.
6
S.F OF BUILDING / 4 0 g
S F OF LOT 3 AC > e'M
HEIGHT
NO.OF FLOORS
USE OF BUILDING / A r A 9 e ( 3 too h,q
8
CLASS OF WORK: KNEW a ADDITION a ALTERATION` a REPAIR a MOVE a REMOVE
9
DESCRIBE WORK: CA- [ A e 0 1- a k-4 9 e / 4, I `-I .
10
GARAGE..../ SINGLE DOUBLE CARPORT SINGLE DOUBLE •
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
1 1
VALUATION of WORK S Alp 1,171 t 'S) ADJUSTED VA I .24-3,41,9.6 b
PLAN CHECK FEE 33 .1 I
PERMIT FE 13 er 8' 7
C
SPECIAL CONDITIONS
SCHOOL IMPACT FIE_ ,
NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
TOTAL FEE jrW,y' f
OCC. GR. I/ /
CONST. TYPE . y
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID fF WCRK OR CONSTRUCTION AUTHORIZED IS
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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND CRCINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATE C CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOC R -I. NG CONS UCTION OR THE PERFORMANCE OF
CON
a:te)
WATER SUPPLY
DATE PERMIT ISSUED
SPECIAL APPROVALS
REOUIREO
RECEIVED
Not REOUra ED
ZONING
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
SETBACKS
FLOOD HAZARD
Signature of Owner Contractor or a ed ag i awn• read •'und,� ... Ante : ••ve
er or, / . . / ''I,„,„ir , „ II
3u•aing Department App date •Ianrnng De., ent App r. . date
MANUF HOME
OTHER 1
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.
Galiotm.W3
1 HEREBY ACKNOWLEDGg THAT I HAVE READ ND DERSTAND THE AGREEMENT ABOVE (INITIAL
X35 -f1
ict let? mot
The following items are required by Garfield County for a final inspection:
1. A final Electrical Inspection from the Colorado State Electrical Inspector,
2. Permanent address assigned by Garfield County Building Department posted where readily
visible from access road;
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running water,
kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all
necessary plumbing;
4. A complete bathroom, with wash bowl, tub or shower, toilet stool, hot and cold running
water, . floors and walls finished and a privacy door,
5. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or
decks over 30" high constructed to all 1994 UBC requirements,
6. Outside grading done to where water will detour away from the building;
7, Exceptions to the outside steps, decks and grading may be made upon the demonstration of
extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until all
the required items are completed and a final inspection made.
A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE
ITEMS HAVE BEEN COMPLETED.
* ** *Cannot occupy or use dwelling until a Certificate of Occupancy (C.O.) is issued.
Occupancy or use of dwelling without a C.O. will be considered an illegal occupancy and may be
grounds for vacating premises until above conditions are met.
I understand and agree to abide by the above conditions for occupancy, use and the issuarice.df a
Certificate of Occupancy for the dwelling under building permit # /7/
Signature
Date
4
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vezinca?-00,„
•
`143
-1 6?/ 9?
' 11. Does the plan indicate the height of the building or proposed addition from the highest point of
the building or addition measured at mid span between the ridge and the eave down to existing
grade contours?
Yes ✓
12. Does the plan include any stove or zero clearance fireplace planned for installation including make
and model and Colorado Phase II certifications or phase II EPA certification?
Yes No ✓
13. Does the plan include a masonry fireplace including a fireplace section indicating design to comply
with the Uniform Building Code Chapter 37?
Yes No
14. Does the plan include a window schedule or other verification that egress/rescue windows from
sleeping rooms and/or basements comply with the requirements of the Uniform Building Code?
Yes No ✓
15. Does the plan include a window schedule or other verification that windows provide natural light
and ventilation for all habitable rooms?
Yes No ✓
16. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing
immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking
surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety
glazing for these areas?
Yes No ✓
17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated
on the plan?
Yes No ✓
18. Do you understand that if you are building on a parcel of land created by the exemption process
or the subdivision process, are building plans in compliance with all plat notes and /or covenants?
Yes ✓ No
19. Do you understand that if you belong to a homeowners association, it is your responsibility to
obtain written permission from the association, if required by that association, prior to submitting
an application for a building permit? If you do not have written permission from the association,
do you understand that the plan check fee will not be refunded should the architectural committee
deny or reject your building plans?
Yes ✓ No
20. Will this be the only residential structure on the parcel?
Yes No If no- Explain:
17
3
I hereby acknowledge that )E have read, understand and answered these questions to the best of my
ability.
signature
Phone: 91J_ )] f/ 2- (days);
date
// - 1%// 2-
(evenings)
Project Name: y 510 hil e/e 8 A✓q
Project Address: 0 f 3 3 PAN Dc ' / d 7 �� IeNivrw 5f'. (0
Notes:
If you have answered "No" on any of the questions, you may be required to provide this information at the request of the Building
Official prior to beginning the plan review process. Delays in issuing the permit are to be expected. Work may not proceed
without the issuance of a permit. If it is determined by the Building Official that additional information is necessary to review
the application and plans to determine minimum compliance with the adopted codes; the application may be placed behind more
recut applications for building permits in the review process and not reviewed until required information has been provided and
the application rotates again to first position for review, delay in issuance of the permit or delay in proceeding with construction.
PerApp02.95 Effective August 15, 1995
5
J
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issue Zoned Area Permit No
..
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with all
laws and regulations related to the zoning, location; construction and erection of the proposed
structure for which this permit is granted, and further agrees that if the above said regulations
are not fully complied with in the zoning, location, erection and construction of the above
described structure, the permit may then be revoked by notice from the County Building
Inspect and IMMEDIATEL CAME NULL AND VOID.
Setbacks Fro 1 t Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing 3- -- 2,?..41 A crt. A
.
Foundation e_. a- 9' Aks.to a k P 4) i; Pr r f, 7- qq 14e, 4
Underground Plumbing /VA
Insulation 1.4M.
Rough Plumbing
Drywall 14
Chimney & Vent !4 g
Electric Final (by State Inspector)? j/-00,>L
Gas Piping )4 R
Final 7 .. 12,.a0 41. )
Electric Rough (By State Inspector)
Septic Final ja,
Framing 7.• /2,.e.2. ,1
(To include Roof in place and Windows
and Doors installed).
Notes:
�r
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945 -9159 109 8th Street County Courthouse Glenwood Springs, Colorado.
V E D DO NOT DESTROY THIS CARD
UTSIDE - C�ITH CLEAR PLASTIC