HomeMy WebLinkAboutApplication-PermitGarfield County
Building & Sanitation Department
108 81h Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address
02\30 c0-, m►...\
NO. ciloloa.
Nature of Work Building Permit (7.1 - 2 C $ — c 2 - b E
Use of din• �� ,.{�� tL
Owner l� �Z_ ��0.S5 t C� cu
Contractor
Amount of Permit $ [� O 5 • �J 9 Date - 0) S
Clerk
"
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8C" Street, Suite 201, Glenwood Springs. CO 81001
Phone: 970-94E6212 / Fax: 970-3843470 / inspection Line: 970-384-5003
Permit No: q.li CID
Job ofbS
gLrne.�. 1A. -\Q
Co
Parcel/Schedule Noiaif77 -3oa - 0 - /6G
1 Lot No: Block No: Subd. / Exemption:
I as
2
Owner:
LDAued And aeAN DIAL
AddressPh.
411 N fa " -se C.11 C0Fkl6ia-
•
WM- Sri to- 5sa'
•, A_
(a IS- -I(17fr
3
Contractor:
GIry Contractor.:
Address: Ira Sd-
1935PAI,sc.lcS6 co
Ph:
Sia-aws-3111
Lic. No.
4
Architect/Engineer:
Address:
Ph:
Lic. No.
5
Sq. FL of Building:
A a o c-(
Sq. Ft. of Lot:
Height:
No. of Floors:
Dne
ti
Use of Building:
FLei aut11,
7
Describe Work: U+7 n sin -1.. cit Corot c r y
PIAce rnFrnt.Sgc- elvitt OSL toUvsOa41Dvi. l COWIleft C Serki. sHot.r.,
8
Class of Work: X New 0 Alteration o Remove
❑ Addition ] Move
9
10
Garage: 0 Single
X Double
Carport 0 Single
❑ Double
0 Driveway Permit IX On -Site Sewage
ua0.eued Disposal
X Site Plan
11
Valuation of Work: $
Adjusted Valuations:S 7 Og 4
12
Special Conditions:
A SEPARATE ELECTRICAL
ISSUED BY THE STATE
THIS PERMIT BECOMES
AUTHORIZED I5 NOT
CONSTRUCTION OR
PERIOD OF 180 DAYS
1 HEREBY CERTIFY
APPLICATION AND KNOW
PROVISIONS OF LAWS
COMPLETED WITHIN
GRANTING OF A PERMIT
TO VIOLATE OR CANCEL
LOCAL LAW REGULATING
NOTICE
PERMIT IS REQUIRED AND MUST BE
OF COLORADO.
NULL AND VOID IF WORK OR CONSTRUCTION
COMMENCED WfniLN 180 DAYS. OR IF
WORK IS SUSPENDED OR ABANDONED FOR A
AT ANY TIME AFTER WORK IS COMMENCED.
THAT] HAVE READ AND EXAMINED THIS
THE SAME TO BE 'TRUE AND CORRECT. ALL
GOVERNING THIS TYPE OF WORK WILL BE
WHETHER SPECIFIED HEREIN OR NOT. THE
DOES NOT PRESUME TO GIVE AUTHORITY
THE PROVISIONS OF ANY OTHER STATE OR
CONSTRUCTION OR THE • PERFORMANCE
-Manu.
S J Jell
Plan Check Fee:
_ t
l
5-45;,24
7
Permit Fee:
O' 37 . 75
Total Fee:
+go
��-(/'� =
13 g5, 5 l ,F St
J
DateeilAper j,5&ed:
lo '� iy
OCC Group:
Const. Type:
Zoning:
Setbacks:
Home:
OP
00
ISDS No. & Fee:
0a
L{le)8'.
:0'
- e
f �/
ER DATE
9/soy anlT �
1 /DATE
91 45
APPROVAL/DATE
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 LN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES
THAT IF THE ABOVE SAID ORDINANCES ARE NOT FUMY 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 ANO 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 IHS CODE OR ANY OTHER ORDINANCE OR REGULATION OF
THIS JURISDICTION THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTTRITE
AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS. OMISSIONS OR DISCREFENCIES. THE RESPONSI
BILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT. DESIGNER BUILDER,
AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS LNTEREST. Z
Garfom.003
^ - L HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (LMTIALI
z
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, anchor 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 occupanc use and the issuance of a
Certificate of Occupancy for the dwelling under building permit # q..otica
Signature
BpcontOct2004
Date
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name IN\ ta7 Present Ad
System Location flialenrin.–
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
Septic Tank Capacity (gallon)
Percolation Rate (minutes/inch)
Required Absorption Ares - See Attached
Special Setback Requirements:
Date
Inspector
Permit 4 1 0 8
Assessor's Parcel No.
This does not Constitute
a building or use permit.
j�It ryJc� (3s5' re55
s `4 �1 `• Id S c
Phone a, kr S.]ai
r- i 9,4-311
c9/77— Zs. -M-/f0
Othel
Number of Bedrooms (or other)
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other5'�ry��''�'��`'�``'���a�� ' 1 ( l
Date I –f Inspector V (1 ' -VOJLt-Ci -Sint W kkkt r
-# 31((O
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter
25, Article 10 C.R.S. 1973, Revised 1964.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con-
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a
requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or installs an Individual sewage disposal system in a manner which involves a knowing and material
variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 8
months in jail or both).
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
For
MANUFACTURED HOMES
In order to understand the scope of the work intended under a permit application and expedite the issuance of
a permit it is important that complete information be provided. When reviewing a plan and it's discovered
that required information has not been provided by the applicant, this will result in the delay of the permit
issuance and in proceeding with building construction. The owner or contractor shall be required to provide
this information before the plan review can proceed. Other plans that are in line for review may be given
attention before the new information may be reviewed after it has been provided to the Building Department.
Please review this document to determine if you have enough information to design your project and
provide adequate information to facilitate a plan review. Also, please consider using a design
professional for assistance in your design and a construction professional for construction of your
project.
To provide for a more understandable plan in order to determine compliance with the building, plumbing and
mechanical codes, applicants are requested to review the following checklist prior to and during design.
Applicants are required to indicate appropriately and to submit the completed checklist at time of application
for a permit. Applicants are required to indicate appropriately and to submit the completed checklist at the
time of application submittal for a permit.
All plans submitted must be incompliance with the 2003 IRC for Residences and 2003 IBC for
Commercial Offices and Storage.
1
r
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 prepared by a licensed surveyor and has
the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or more
must be shown on 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 platyith the proposed structure located within the envelope.
Yes
2. Does the site plan when applicable include the location of the I.S.D.S. (Individual Sewage
Disposal System) and the distances to the property lines, wells (on subject property and adjacent
properties), streams or water courses? This information must be certified by a licensed surveyor
with their signature and professional stamp on the design. A/p
Yes l
3. Does the site plan include any other buildings, 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 comer lot. Special setbacks do apply.
Yes /4
4. Does the site plan indicate the location and direction of the County or private road accessing the
property?
Yes
5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel
in accordance with the uniform building code or per stamped engineered design? A Floor Plan of the
Modular Unit showing exterior doors is required.
Yes L
6. Do you understand if you belong to a homeowners association, it is your responsibility to obtain
written permissi from the association, if required by that association, prior to submitting an
application f a building permit? The building permit application will not be accepted without it.
Yes No
7. Will this be only residential structure on the parcel?
Yes No If no -Explain:
8. Have two complete sets of construction drawings been submitted with the application?
Yes
2
9. For the placement of a manufactured home, have the following been specified?
The size of the u min. 20ft. x 20ft.); live roof load (min. 40# could be more depending on elevation
of property) Ind design (min. wind speed of 90 mph); foundation design; method of anchoring?
Yes
10. Have you designed or had this plan designed while considering building and other construction code
requirements?
Yes ✓ No
11. Do your pl comply with all zoning rules and regulations in the County related to your zone district?
Yes No
12. Does the plan acc ately indicate what you intend to construct and what will receive a final inspection
by the G County Building Department?
Yes No
13. Do you underst that approval for design and/or construction changes are required prior to the
application ese changes?
Yes No
14. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time
of application and that you will be required to pay the "Permit Fee" as well as any "Road Impact" or
"SepticSyst " fees required, at the time you pick up your building permit?
Yes I No
15. 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
between 7:30 a.m. and 3:30 p.m. Monday through Friday. Inspections are to be called in to 384-
5003. _.
Yes No Cp htp ��t est
16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a
$50.00 re-insp n fee?
Yes No
17. 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 occupancy of the
building?
Yes t No
3
18. Are you aware as part of the submittal for a building permit you are required to show proof of a
driveway access permit from Garfield County Road & Bridge Department or if applicable the State
Highway Department? If a permit is not necessary, then a letter stating that information is required.
You can contact the meld County Road & Bridge Department at 625-8601 or refer to the phone
book for the Sta ighway Departments number if applicable.
Yes
No
19. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and
Plumber to perform installati and hookups, unless you as the homeowner are performing the work?
The license number o e person performing the work will be required at time of applicable
inspection. Yes
No
20. Are you aware, that on the front of the Building Permit Application you will need to fill in the
ParceUSchedule Number for the lot you are applying for this permit on prior to the submittal of a
building perpplication? Your attention in this is appreciated.
Yes 1 No
21. Are you aware that you will need to have your installer obtain an installation inspection as per the
State Division of Housing requirements prior to the County building department doing their final
inspection? The State will charge a fee for this inspection.
Yes L No
22. Are you aware that the Permit Application must be signed by the Owner or a written authority being
given for an Agent and that the party responsible for the project must comply with the Uniform
Building Code?
Yes v No
23. Are you aware, that if you receive your water and/or sewer from an Association, a District or
Municipality, you will be required to provide the County with a copy of the Tap Permit (or evidence of
an exemption) at the time of the building permit application submittal?
Yes ✓ No
24. 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 permit?
Yes 6'
4
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
‘CdsS 413'
Signature of Owner
Phone(970j g7(s, - 55 zy (days);
Project Name:
Project Address:
Notes:
Iat_.
Dat
697a) �%6 - SS� (evenings)
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 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.
bpminregmhFeb2005
5
1:Garfield County 1
Garfield County Road and Bridge Department
April 26, 2005
Mr. David Diaz
RE: Property off of CR 334A
CC: Garfield County Building and Planning Department
Dear Mr. Din;
The property you own is beyond a county maintained road ; therefore, you do not need a
driveway permit from Garfield County.
If you have any questions or problems, please feel free to contact me.
rely,
nrArloce
e Mall
'strict Foreman
Garfield County Road and Bridge Department
0567 County Road 352
P.O. Box 426
Rifle, CO 81650
Phone: 9704254601
Fax: 970-625-8627
cru135;44:4
�k
PLAN REVIEW CHECKLIST
Applicant t'Date
Building
141 Engineered Foundation
Driveway Permit
'/&a�aw}ecl Site Plan
...Cu:Permit and Setbacks
✓/Gradefl'opography 30%
..../Attach Residential Plan Review List
Minimum Application Questionnaire
4 4 Subdivision Plat Notes
&al Fire Department Review
Valuation Determination/Fees
1�ed Line Plans/Stamps/Sticker
. --- tach Conditions
plication Signed
an Reviewer To Sign Application
`�Parcel/Schedule No.
40# Snowload Letter- Manf. Hms.
Planning/Zoning
Wit Line Setbacks
� ��Ofr Stream Setbacks
.- Flood Plain
()Eliding Height
u'1.11 ning Sign -off
Road Impact Fees
HOA/DRC Approval
Gr de/Topography 40%
Planning Issues
GENERAL NOTES:
zR'5 szzoti „ 4) = 6,(40534
1,9
20 = Zq = 5 -go ' I $ to /440
Subdivision Plat Notes
77 ozcf
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Sep 14 05 08:18a
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SEP 13 2005 16025 FR
19706252953 TO 3843470
P. 02/02
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Sep 14 05 06:19a josephine hayden
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BOUNDARIES
UNLIMITED INC.
Consulting Engineers
February 6, 2006
RECEIVED
FEB 0 7 2006
GARFIELD COUNTY
BUILDING & PLANNING
Garfield County Building & Planning
108 8th Street, Ste. 201
Glenwood Springs, CO 81601
Re: ISDS for 0230 ane, Garfield County, Colorado
BUI Proj : Diaz ISDS
To Whom It May Concern:
On January 7, 2006, Boundaries Unlimited Inc. personnel observed installation of the
ISDS for 0230 Salmon Lane, in Garfield County, Colorado. A 24'x34' gravel absorption
bed, a 1250 -gallon septic tank and piping had been installed. No backfilling had taken
place. The contractor was advised to install tank risers to bring the tank lids to the
surface. Other than that, the system was installed in conformance with the intent of the
design. If you have any questions, or need additional information, please feel free to
contact me at 945-5252.
Sincerely,
BOUNDARIES UNLIMITED I
Deric J. Walter, P.E.
Project Manager
Cc: David Diaz
923 Cooper Avenue Suite 102 Glenwood Springs Colorado 81601 Ph 970.945.5252 Fax 970.384.2833
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BUILDING PERMIT CAW, • (c)a -1 t7�
ti� . 1�� 1 1
�� J Caa'- 1355
Address'& 0LtiD^ kPhone #tl- �
AddressAT an.&3Phone #at453111
Owner 1 Ic):2_)3.61 tc--)
Contractor�1t1 titian
, !` _� an
h Setbacko Front L'Ur% n ^ c i/
i.
Soils Test
Footing 10 - I --0S-
Foundation
OSFoundation I1-3-c'S ChneL
Grout
Underground Plumbin
Rough Plumbing e7 O i111.
Framing (aj»ep, fen a ILSaDA6 ,
Insulation p�
Roofing
Drywall
Gas Piping i'7 -Oto Ar/\
���� \�p�'1''1 O� m'�o 19°1
�
Q RH
SPECTIONS
NOTES
LH
Zoning
Weatherproofing
Mechanical
Electrical Rough (State)
Electri • al in : I State) ol n6
Fina
Certi is=te Occupancy # SQ_ .I
Date 'QA -CC.
Checklist Completed?
Septic System #
Date
Final
Other
(continue on back)
INSPECTIONS 11 ILL NOT BE: ♦It l \LESS I IhIs C \IU) 1'
POSTED O\ I'HE.. OB
24 I"Al RS .\O/TICE RFQLIRED FOR ALL INSPEC fIO\ti
MANUFACTURED HOME
BUILDING PERMIT
GARFIELD//COUNTY, COLORADO
Date Issued" Z.l'��1r ....Zoned Area Permit No t
✓✓ AGREEMENT
In consideration of the issuance of this permit the applicant hereby agrees to comply with all laws and
regulations related to 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 Official and IMMEDIATELY BECOMES NULL
AND VOID.
Use SIP � !
Address or Legal Description ffd 1L Ml LAiir Pllr`02,
Owner ot&
Contractor
INSPECTION RECORD
Footing : I9II ilt` /
Foundation or Blocking :
11 -_3 _tbt ' `0 1 J Driveway :
�n \Gas
4-
•
1
Rough Plumbing : �.. . Do [;.�-yi.
Piping :
f _G' -O
kir
Electrical Final : 3-ct GKCA-e
(by Stat,. Inspecto ,` • e- c `''
Septic Final : (- i -a (0
u
_
,
)"w- , r g44-`
Final : I 0
�� /G ' "—
Notes: (�'dt,`"
Soowlaad l linJ
*' tb 136 6
m YIeI
r
, -
f a i
Serial kofUnie
tnci-
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado
DO NOT DESTROY THIS CARD
APPROVED
Date f 11-05 By Is S •
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)