HomeMy WebLinkAboutApplication-Permit.pdfPermit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, Suite 201, Glenwood Springs, CO 8I601
Phone: 970-945.82121 Fax: 970-384-34701 Inspection Line: 970-384-5003
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Parcel/Schedule No: 21233 440 S00
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 ISSSUANCE 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 COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT 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 THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH TILE ARTICTECT, DESIGNER, BUILDER, AND OWNER COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garfom.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL):
411I4M175 `it aNvik
Job Address: Q 2-'61 I -F6)1/46049ci. Azi ii -e__ Kku.) 6A -s4-4-- co q-1 e(-1-7
1 Lot No: Block No:Subd. f Exemption:
4 3 %kie r bey'j Stl,W).
2
Rt l 0 V /k[ �Q. f er:
�
Address
en -cit Ko-�d N.
Ph: opt
�H ra
`l Ph: 21 17 8
3
Contractor:
Address: ft
Ph: k
Lic. No
14
4
Architect/Engineer:
124
-1-C•
Address: if
Pb:if
Lich
.l�
5
Sq. Ft. of Building:
1l (
Sq. Ft. of Lot:
.. ga4) ,q -c -
Height: ,
Iz-„ -- o
No. of loors:
i
6
Use of Building: / i
?% t IQ fir -' "0 PT/i L
7
Describe Work: C 1461 .' Idc,k' j}.JDJO7� �
Class of Work: New ` ❑ Alteration D Remove
❑ Addition ❑ Move,
9
10
Garage: Single
a Double
Carport: D Single
o Double
H pr'ye►' y Permit❑ On -Site Sewage Disposal R Site Plan
E()Li 6- I (Septic)
11
Valuation of Work: $
Adjusted Valuations: $
12
Special Conditions:
A
ISSUED
THIS
AUTHORIZED
CONSTRUCTION
PERIOD
I
APPLICATION
PROVISIONS
COMPLETED
GRANTING
TO
L11
O:
,
SEPARATE
HEREBY
VIOLATE
AL
CONST
i 141111
NOTICE
ELECTRICAL PERMIT IS REQUIRED AND MUST BE
BY THE STATE OF COLORADO.
PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
IS NOT COMMENCED WITHIN 180 DAYS, OR, IF
OR WORK IS SUSPENDED OR ABANDONED FOR A
OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CERTIFY THAT I HAVE READ AND EXAMINED THIS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
OF LAWS GOVERNING THIS TYPE OF WORK WILL BE
WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LAW RE LATING CON TRUC ION OR THE 'ERF MANCE
UCTI
i j iManu.
11; �6 % f�1
Plan Check Fee:
2)73/
Permit Fee:
3 35'. 25
Total Fee: Dated Permit Issued:
55 3. f r
;OCC
Group: Const. Type:
K.
Zoning:
Setbacks:
home: ISDS No. & Fee:
, l�h6</
BLGDEPT. 1�: T
' APPRO ' ATE I_ itRO ,til TE
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 ISSSUANCE 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 COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT 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 THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH TILE ARTICTECT, DESIGNER, BUILDER, AND OWNER COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garfom.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL):
411I4M175 `it aNvik
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, non-absorbent
kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all
necessary plumbing;
4. All bathrooms must be complete, with washbowl, tub or shower, toilet stool, hot and cold
running water, non-absorbent 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 IBC and IRC 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;
8. A final inspection sign off by the Garfield County Road & Bridge Department for driveway
installation, where applicable; as well as any final sign off by the Fire District, and/or State
Agencies where applicable.
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 issuance of a
Certificate of Occupancy for the dwelling under building permit #�'1i (i7 R
47)10,40c
Signature
BpcontOct2004
Date
Applicant
PLAN REVIEW CHECKLIST
Date 4 41' oc
Building
YEngineered Foundation
\-/Driveway Permit
Surveyed Site Plan
Ai, aSeptic Permit and Setbacks
,...,C'rade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnaire
L' Subdivision Plat Notes
Fire Department Review
`Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
a -Attach Conditions
L/ Application Signed
Pal n Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter- Manf. Urns.
Ir.., GENERAL NOTES:
1I(eD x (A = 20,E ,
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building Height
Zoning Sign -off
Road Impact Fees.
HOA/DRC Approv < 1
C4u41-11)
5=�
Grade/Topography 40%
Planning Issues
Subdivision Plat Notes
404 ags
Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with
decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line
and original grade. A section showing in detail, from the bottom of the footing to the top of the roof,
including re -bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation,
sheeting, house -rap, (which is required), siding or any approved building material. Engineered
foundations may be required.
A window schedule. A door schedule. A floor framing plan, a roof framing plan, roof must be
designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. wind
speed, wind exposure B or C, and a 36 inch frost depth.
All sheets to be identified by number and indexed. All of the above requirements must be met or
your plans will be returned.
All plans submitted must be incompliance with the 2003 IRC.
1. Is a site plan included that identifies the location of the proposed structure or addition and
distances to the property lines from each corner of the proposed structure(s) prepared by a
licensed surveyor and has the surveyors signature and professional stamp on the drawing?
Properties with slopes of 30% or greater must be shown on the site plan. (NOTE
Section: 106.2) Any site plan for the placement of any portion of a structure within 50 ft.
of a property line and not within a previously surveyed building envelope on a
subdivision final plat shall be prepared by a licensed surveyor and have the surveyor's
signature and professional stamp on the drawing. Any structure to be built within a
building envelope of a lot shown on a recorded subdivision plat shall include a copy of
the building envelope as it is shown on the final plat with the proposed structure located
withi t velope.
Ye.
2. Does the site plan also include any other buildings on the property, setback easements and
utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution
if the property you are applying for a building permit on is located on a corner lot. Special
setba•. s pply.
Ye
3. Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage
Disposal System) and the distances to the property lines, wells (on subject property and
adjace • i; rties), streams or water courses?
Yes
V
2
mr-
Does the site plan indicate the location and direction of the County or private road accessing
the prove
Yes
5. Do the plans include a foundation plan indicating the size, location and spacing of all
reinforc g s ; 1 in accordance with the IRC or per stamped engineered design?
Yes
6. Do the pl indicate the location and size of ventilation openings for under floor crawl
spaces and a clearances required between wood and earth?
Yes
7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces d soffits?
Yes J�
8. Do the plans include design loads as required by Garfield County for roof snow loads, (a
minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor
loads d wind loads?
Yes 01 /&t /AJ
V
9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof
construe ion?�
Yes
10, Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, r . f ° - rs or joists or trusses?
Yes '
-- 11. Does th building section drawing or other detail include the method ofpositive connection of
all colu l•eams?
Ye
12. Does the elevation plan indicate the height of the building or proposed addition from the
undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the
top o a flat roof? (Building height measurement usually not to exceed 25 feet)
Yes
13. Does the plan include any stove or zero clearance fireplace planned for installation including
make and model and Color. do 'hese II cert ifsations or r g� I EPA certification?
Yes No 1 ,� �`` p�
3
14. Does the plan include a masonry fireplace including a (replace section indicating design to
comply with the IRC?
Yes No
15. Does e plan include a window schedule or other verification that egress/rescue windows
from s e ' ooms and/or basements comply with the requirements of the IRC?
Ye .�..,
No t1A6i1lt ./PPA4
16. Does the plan include a window schedule or other verification that windows provide natural
light a d ve lation for all h itab rooms? 1 1
Yes No c d ;4 f- -
17. 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 walk' g surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures
and sp c, ty glazing for these areas?
Yes Ill/ No
18. Is the location of all natural and liq
indicated on the plan? ) ,%
Yes No
id petroleum ga furnaces, boilers and wate he ters
z0
— 19. 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
coven ts?
Yes
JfO
20. 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
submi ting an application for a building permit? The building permit application will not
be ace thout it.
Ye -lam No
21. Will this
Yes
my residential structure on the parcel?
No If no -Explain:
/ l `7A
c,c l r i
22. Have t o (2 p+mplete sets of construction drawings been submitted with the application?
Yes .��■ r
23. Do you understand that the minimum dimension a home can be on a lot is 20ft.wide and 20ft.
long?,
Yes ofr
4
24. Have you designed or had this plan designed while considering building and other
const ctio ode requirements?
Yes =!r No
25. Do your plans comply with all zoning rules and regulations in the County related to your
propert s zon strict?
Yes I1F No
, 26. Does the plan accurately indicate what you intend to construct and what will receive a final
inspecb}e Garfield County Building Department?
Yes No
27. Do you understand that approval for design and/or construction changes are required prior to
the a ► : ' at . f these changes?
Yes No
-- 28. Do you understand that the Building Department will collect a "Plan Review" fee from you
at the time of application submittal and that you will be required to pay the "Permit Fee" as
well as any "Road Impact" or "Septic System" fees required, at the time you pick up your
build pe,it?
Yes No
29. Are you aware that you must call in for an inspection by 3:30 the business day before
the requested inspection in order to receive it the following business day? Inspections
will be made from 7:30 a.m. to 3:30 p.m. Monday through Friday. Inspections are to be
ca in 4-5003.
Yes No
30. Are you aware that requesting inspections on work that is not ready or not accessible will
resu 00 re -inspection fee?
Yew- Nq
31. Are you aware that you are required to call for all inspections required under the IRC
including approval on a final inspection prior to receiving a Certificate of Occupancy and
occur .ne building?
Ye No
32.
Are you aware that the Permit Application must be signed by the Owner or a written
auth. 'ty being given for an Agent and that the party responsible for the project must comply
with t
Yes
5
33. Are you aware that prior to submittal of a building permit application you are required to
show proof of a driveway access permit or obtain a statement from the Garfield County Road
& Bri s ' e Department stating one is not necessary? You can contact the Road & Bridge
Depart t- t . %" 5-8601.
Yes % t No
34. Do you understand that you will be required to hire a State of Colorado Licensed Electrician.
and Plumber to perform installations and hookups, unless you as the homeowner are
performing the work? The license number of the person performing the work will be
requi A at i 1, of applicable inspection.
Yes No
35. Are you aware, that on the front of the Building Permit Application you will need to fill in
the Parcel/Schedule Number for the lot you are applying for this permit on prior to submittal
of a h 'ldin 'mit application? Your attention in this is appreciated.
Yes No
36. Do you know that the local fire district may require
fire safety issues? Yes No
building department about this requirement)
you t
mit plans for their review of
lease check with the
37. Do you understand that if you are planning on doing any excavating or grading to the
property prior to issuance of a building permit that you will be required to obtain a grading
permi
Yes
I hereby acknowledge that I have read, understand and answered these questions to the
best of myfahil'
Signature of Owner
Phone:9N 2-q );
Project Name: y'
Project Address: E) L�
3/7?//05
Da
P zq7
(evenings)
ri4effe-
ff 164/7
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
6
may be placed behind more recent 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.
BpminreqFeb2005
7
BiII To:
Garfield County
Road and Bridge Department
P.O. Box 426
Rifle, CO 81650
Phone -(970)625-8601 Pax_ (970)625-8627
Invoice
Driveway Permit Number: GRB05-D-18
Invoice Date: 4/5/2005
David Van RoekeI
0291 Riverbend Drive
New Castle , CO 81647
$75.00 per Driveway Permit.
Driveway Permit Fee:
Total Due:
Thank You!
$75.00
$75.00
da'
��o
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 Issued.1 1115 Zoned Area Permit No 9.44
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
Inspector and IMMEDIATELY BEC E NULL AND VOID.
Use Owe itb\kp
Address r Legal cription°
Owner
Front
Setbacks
Side Side
- Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD :F":'
Footing , -/ z/-65-- f -yyL
Driveway ;' n
Foundation to - - o5 J
Underground Plumbing
Insulation ...?-- 17- e L.: ' , (-
Rough Plumbing
Drywall fly y
Chimney & Vent
Electric Final (by State Inspector)RIE
Gas Piping
Final
Electric Rough (By Slate Inspector gag
Septic Final
Framing ! _t5- 71
(To includ Rodin place and indows
and Doors installed).
Notes:
ALL LISTED ITEMS MUST BE INSPECTED
WHETHER INTERIOR OR EXTERIOR,
AND APPROVED BEFORE COVERING. -
UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
For Inspections Call 384-5003 108 8th Street Glenwood Springs, Colorado
APPROVEDDO NOT DESTROY THIS CARD
Oat By "
IF PLACED OUTSIDE - COVE WIT( CLEAR PLASTIC
Job Addrke s ca.Cj (
Owner Vz' 0 t t )
Contractor
Setbacks: Front
Soils/1k1L,
Test
Footing
Foundation 6 /6,-05
Grout
Underground Plumbing
Rough Plumbing/
Framing /7--/V-0a&A
Insulation i -O L' ,0114'
Roofing
Drywall
Gas Piping
BUILDING PERMIT CARD .
)-YlC. a'/(f
Address C)--31 I J N C ��Phone #
Address r'tr---Z C-4 cL�- Phone #
Rear RH
INSPECTIONS
EXTERIOR
Address No,
Drainage
Decks -support & clearance to wood
Decks -stairs & rails
Exterior locks
Flashing around doors & windows
trisect screens
INTERIOR
GARAGE
Fire wall separation
Service doors -13/4" min.
Door (20 min.) w/auto closer -Ir s" min.
Mech. equip. 18" above floor_
No opening into sleeping area
BASEMENT -CRAWL AREA
Access
Insulation
Headroom/Stairs
Ventilation
3c'`?- 6aoc--
LH Zoning
Weatherproofing
Mechanical
Electrical Rough (State) /a "psi
Electrical Final
Fina(/J\Checklist ,p mpleted? ---�_
Certificate Occupancy # RJ4K
Date
Septic System #
Date
Final
Other
NOTES .t
f4
FINAL CHECKLIST
MECHANICAL ROOM
Boller
(continue on back)
STAIRWAYS
Headroom (6'6")
Hot water Railing & guardrails
F.A. gas/oil Width_
Floor drain Rlse & run
Clearance KITCHEN
Air con. system Clearance above grill
Hot water heater Exhaust fan
Combustion air Broiler exhaust Cl hr. chase)
Gas piping, valves BEDROOMS
LPG Drain Egress
FIREPLACE/STOVE Smoke detector
Clearance to combustibles BATHROOMS
Termination of chimney Exhaust tan
Combustion air Shatterproof glass
Hearth (12" or 20" on sides) OTHER
Glass doors
Certified by:
REMARKS
Garfield County
Building & Sanitation Department
108 8`/1 Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
NO. Sic
Job Address 00)c?k Co ?i6,(17
81,h-ek 3
Nature of Work Buildins Permit a f .3 - 3VV OS -OD /
Use of Building 14tv":1-�
Owner V aA/4-
Contractor 6-1../0/11
Amount of Permit $ 553, i(4, Date ---10
Clerk e_