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HomeMy WebLinkAboutApplication-Permit. Garfield County Building & Sanitation Department \` 108 8`h Street, Suite #201 Glenwood Springs, Co. 81601 v ( l� Lb * Office- 945-8212 Inspection Line- 384-5003 Job Address r) B P nm.1(1 n Nature of Work Building Permit a( 1�- Use ofBuildin—41k SS& it I _ I/ 4 Owner K J ( D l n n(i _A Contractor nui-y-ie.- Amount of Permit $ T%5 59 �o\\t Pa-{ ARdLl n v.A e.r to o kf-- Date Clerk RMC, Permit No: GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8`s Street, Suite 201, Glenwood Springs, CO 81601 Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 (0:1 ParceUSchedule No: a/ 7 7o20c;a 0X0y0., 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. DN 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 3018.201 CRS A5 AMENDED. THE SIGNER FURTHER AGREES THAT Ip THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH TN TRE LCOAT1ON, 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. TEL 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 LIABLE -TIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER- MMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. GarfeM03 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): Ott igo5 fl (s4.) t t,(30/6 Job Address: Dy fitkiA� s,' 74:01/ / c�/rd } > /[ C CSoo 1 Lot No: Block No: xe n: 2 Owner: Tlroc Wj niton Address r .,rAlccg-l.skk- 3'�`1)Qt.� Ph: 9ie-U35-3-I10 Wk Ph: G'» 3Kl-747-S 3 Contractor: Du-) r Q C Address: Ph: Lic. No. 4 Architect/Engineer: SeqF \r+r.. .Rt&\ eekscat P P Address: 13st fr 3`6sr Q:E\4 Co Ph: Rio -l0 45-ccA\o Lic. No. �1--)1 5 5 Sq. Ft. of Building: t-/c),ID Sq. Ft. of Lot: Heigh • 7 „ a o --IA No. of Floors: a csi‘el,Kk,r„\aAt... 6 Use of Building: a \-y SI 4C NtThr )0 7 Describe Work: /n� \l�`` t-lC\C, t A'it0 8 Class of Work: c New o Alteration ❑ Remove sty Addition o Move 9 Garage: o Single d Double Carport: o Single 0 Double 10 o Driveway Permit ❑ On -Site Sewage Disposal o Site Plan (Septic) 11 Valuation of Work: $ I� .C) `O Adjusted Valuations: $ ZIP ZW J.2R. k «53?!.; eq+µ Sp b' cir+ Rns: 7l er 04, r#.14,% gm, Q� eeu,ei G f7� et j de 97D .625°Cg°% eCen N A SEPARATE ELECTRICAL PERMITS IS REQUIRED AND MUST BE ISSUED BY THE STATE OF COLORADO. Plan Check Fee: 247LH Permit F�,eeff f� /! q,� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Total Fee: Dated PermiteIssued: po 08. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL OCC Group: Const. Type: PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE ,Qa / ^ C COMPLETED WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH . PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RECULATI G •INSTRUCTION OR THE PERFORMANCE OFCONSTR Tis.. Zoning: Setbacks: aj i�.i�sa1 Manu. Home: ISDS No. & Fee: SIP A Trott ER Ifrl TE it 1. �'Q� i -�S oS `i 72s -c5 - FT. Bl... . r P11 G. DEPT. APPRO ALIDATE PROVAL/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. DN 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 3018.201 CRS A5 AMENDED. THE SIGNER FURTHER AGREES THAT Ip THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH TN TRE LCOAT1ON, 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. TEL 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 LIABLE -TIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER- MMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. GarfeM03 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): Ott igo5 fl (s4.) t t,(30/6 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 occupanc use an dd e issuance of a Certificate of Occupancy for the - welling under building permit # 1 Signatur BpcontOct2004 Date VALUATION/FEE DETERMINATION Applicant KW Subdivision atkL au440.1. Address t33;5 rromimatdriri4 Lot/Block Date $— /D-oc Contractor Finished (Livable Area): Main Upper Lower Other Total Square Feet Valuation Basement: Unfinished Conversion of Unfinished to Finished Plan Check Fee for Conversion Valuation Garage: 124 rt I8 C'*t Crawl Space: Valuation Valuation Decks/Patios: Covered Valuation Open Valuation 13 /o¢ 72$ r /$ SPx.t, / 3 /o¢ Total Valuation PLAN REVIEW CHECKLIST Applicant g IN (Q h4 Date % 21S etS Planning/Zoning Engineered Foundation `- Property Line Setbacks Pi Driveway Permit ail 30ft Stream Setbacks (..Surveyed Site Plan c Septic Permit and Setbacks ('Crade/Topography 30% lood Plain t Building Height Zoning Sign-off 4Ch Residential Plan Review List (,+Road Impact Fees Minimum Application Questionnaire �i�l HOA/DRC Approval �rade/Topography 40% ��//Subdivision Plat Notes '/ItA.Fire Department Review )aluation Determination/Fees iRid Line Plans/Stamps/Sticker Attach Conditions dyplication Signed ffl Reviewer To Sign Application arceUSchedule No. 40# Snowload Letter- Manf. Hms. GENERAL NOTES: ►� twin(it at. P1 ning Issues Subdivision Plat Notes °L 4st, r3 8 kes. + Y7F.4Na10*0Xn. a ro os, 4321 4 to 1 G at). IPr.F lRear 03n- 4nr 1 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS For SINGLE FAMILY DWELLING CONSTRUCTION Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS 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. Any project with more than ten (10) occupants requires the plans to be sealed by a Colorado Registered Design Professional. 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. Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to scale. 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 within the envelope. Yes it_ la 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 setbacks do apply. Yes 7/9 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 adjacent properties), streams or water courses? Yes .//\\ • 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes 4/4- 5. /fi 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcingsteel in accordance with the IRC or per stamped engineered design? Yes ,/ 6. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes r- 7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and soffits? Yes Li 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 and wjnd loads? Yes 9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes ✓ 10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or` joists or trusses? Yes 11. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes 12. 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 (undisturbed) grade contours? Yes — 13. 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 3 14. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? Yes No ✓ 15. 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 IRC? Yes ,/ No 16. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes ✓ No 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 walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these areas? Yes / No 18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes No 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 covenants? Yes ,/ No 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 submitting an application for a building permit? The building permit application will not be accepted without it. Yes No (7,1 21. Will this be the only residential structure on the parcel? Yes IV No If no -Explain: 22. Have two (2 complete sets of construction drawings been submitted with the application? Yes 23. Do you understand that the minimum dimension a home can be on a lot is 20ft.wide and 2011. long? Yes No 4 24. Have you designed or had this plan designed while considering building and other construction code requirements? Yes ,/ No 25. Do your plans comply with all zoning rules and regulations in the County related to your properties zzo district? Yes v No 26. Does the plan accurately indicate what you intend to construct and what will receive a final inspection bj' the Garfield County Building Department? Yes ✓ No 27. Do you understand that approval for design and/or construction changes are required prior to the application of 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 building permit? 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 called in to -5003. Yes No 30. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re -inspection fee? Yes No 31. Are you aware that you are required to call for all inspections required under the IRC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes ✓ No 32. Are you aware that the Permit Application must be signed by the Owner or a written authority being given for an Agent and that the party responsible for the project must comply with the IRC?/ Yes ✓ No 5 33. Are you aware that prior to submittal of a building permit application you are required to show proof of a driveway access permit or obtain a statement from the Garfield County Road & Bridge Department stating one is not necessary? You can contact the Road & Bridge Department at 625-8601. Yes ✓Ycyls��, ��:`o 34. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups, unless you as the homeowner are performing the work? The license number of the person performing the work will be required at ti of applicable inspection. Yes rNo 35. Are you aware, that on the front of the Building Permit Application you will need to fill in the Parcel/Schedule Number for the lot you are applying for this permit on prior to submittal of a building p it application? Your attention in this is appreciated. Yes No 36. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes td No (please check with the building department about this requirement) I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. Signa Date V4vOJ' Phone: G� 3 /9- 7/75 (days); Q7.02) 37/0 /0 (evenings) leN/13S dt) &h'� 'm$'4 O t,,v0,»D,e ,/T/e- (e f/bJ Project Name: Project Address: 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 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. Bpminreg0ct2004 6 RECEIVED Ay3 0 1 2005 CAKE ;ELD COUNTY BUILDING & PLANNING FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNERS NAME -Tim Inion PolicyNunber BUILDING3�✓� cSTRES( ADDRESS (In ,riling Apt., }grit, Suite. and%oBld r g. No.) OR P.O. ROUTE AND BOX NO. Hernin -nn 1)rfVe caMif12 Colorado Company NUC Number 6 CSo U��Nc1 E( ERTY 9``"-I 1KX dcl (o. Parcelem. Tax yt!P. DV1Ila �etc. Use d�.�(}i-11 LATfTUDE1LONGm1DE (OPTIONAL) ( #JP - #ft' - ##.##' or ##.>t ) HORIZONTAL DATUM: SOURCE: 14..GPS (Type): I (J r4 u USGS Quad Map LI Other LI NAD 1927 LI NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION COMMUNITY�� CPlciorodo edo BA M NUMBER 18-1353 1,) ' B6. FIRM INDEX DATE tune. 5,1973 87. FIRM ANE EFFECTIVEtR 1SED DATE Oar, 3 , _I 02 B8. FLOOD ONE(S) BASE ELEVATION(S) (Zone AO. use depth of 800dig) 1 6 0 ter. B10. Indicate the source of the Base Flood Elevation (BFE) data or base food depth ente ed in B9. FIS Profile ((,FIRM 1-1 Community Determined L1 Other (Describe): 811. Indicate the elevation datum used for the BFE in B9: 11G NGVD 1929 1_I NAVD 1988 LI Other (Describe): 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LI Yes No Designation Date: SECTION C - BUILDING ELEVATION INFORIAATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_1Construction Drawings' LlBuilding Under Construction' IXlFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number '7 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1 -A30, AE, AH. A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculati n. Use the ace provided or the Com{�n s area of Sectio( D or action a/ ppropriate, to docurpent thf datum con ersion. Datum�Conversion/Comments t'1Or Li.x11'er healer 'fr..t it.rna net in !bw r /eve/. Elevation reference mark used 53I 1. 0 Does the elevation reference mark used appear on the FIRM? I1 Yes 14 No O a) Top of bottom floor (including basement or enclosure) - ) O b) Top of next higher floor -_ . 6 ) 8 O c) Bottom of lowest horizontal structural member (V zones only) S. R ft.(m) O d) Attached garage (top of slab)'e - . 1 Lj ) E j O e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area.) 18� O Q Lowest adjacent (finished) grade (LAG) 5316(m) ? y O g) Highest adjacent (finished) grade (HAG) S31. O h) No. of permanent openings (flood vents) within 1 R. above adja�en t grade /V/<i O i) Total area of all permanent openings (flood vents) in C3.h /VMt sq. In. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that an false statement maybe punishable by fineor'mprisonment under 18 U.S. Code. Section 1001. CERTIFIERS NAME TITLE ►J(• er DRE ion Wan n` LICENSE NUMBE pT/f��si de n4- �CtOMMPPAjNY�T P / ,1 Vf t.r vT�✓d- lam' - AO I_ZU Lue..�T 3rd S'�': X�J STAT&7A (JLP CCOE/>I/ 50 Cela J DATE 14w ��CJ DCO CFF RFVFRCF AInF F(IR r:fNTINI IATIfIN PPP' ALPS Al 1 PRFVIrlI IS FIIITIf1NC SIGNATU FFWA Fmr.Rl-77 1111 M TELEPHONE 470- /: 95_371 f IMPORTANT: In these spaces, copy the corresponding Information from Section A. Fkraiuljr'aR --u BUI fjQD SS nd�udrgApl� Siitq, anN*•-, No-) P.O. ROUTE AND BOX NO. CEN I �lGi�_. 01�f T�.i (ST(A�TEvr�G t lliP� PoOLy,Nomber ' • Company NA10-NuMber SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS I__( Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El. through E4. If the Elevation Certificate is Intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificateis being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or otograph.) E2. The top of the bottom floor (including basement or endosure) of the building is m) LIL�(Cm) 1_1 above or jgd below (check one) the highest adjacent grade. (Use natural grade, if available.) • E3. For Buil ing Diagram 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) o! the building is 1— )1—I {� ) above the highest adjacent grade. Complete Items C3.h and C31 on front of form. E4. For Zone AO only. I no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1-1 Yes L_I No nknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNE (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authortzed representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or community -issued BFE) w Zone AO must sign here. The statements in Sections A, 13, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME ADDRESS C TY STATE ZIP CODE DATE TELEPHONE SIGNATURE COMMENTS )__( Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 01. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. I_1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 1_1 The following information (Items 64-G9) is provided for community floodplain management purposes. G4. PERMIT NU MBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for I-1 New Construction 1-1 Substantial Improvement G8. Elevation of as -built lowest floc (including basement) of the building is: G9. BFE or (in Zone AO) depth of Flooding at the building site is: R.(m)Datum: fL(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS I 1 Check here if attachments FFUA Frnn N7-ai .1111 1141 prpt ACES Al 1 PPFVInI IS FmmfIIS Assessor & Treasurer Property Information Data Updated Quarterly with the last update released on 05/12/2005 Tax information is updated as of noon each Friday and will be available for viewing by 5 pm the following Monday. Search > Results > Detail Get Map 4 Owner Property Name: Timothy W. & Veneeya M. Kinion Type: Primary Address: 335 Remington St Rifle, CO 81650-9632 Address: Account number: Parcel number: Sub -division: Condo: Neighborhood: Area: Legal: Actual Value 000335 Remington ST Rifle, CO R024335 217720204042 Rifle Village South 151048 024 SECT,TWN,RNG:20-6-93 SUB:RIFLE VILLAGE SOUTH BLK:6 LOT:6 & LOT:7 BK:0580 PG:0750 BK:1082 PG:0590 BK:0743 PG:0533 BK:0675 PG:0231 BK:0657 PG:0514 BK:0624 PG:0001 Land: $65,000.00 Building: $103,230.00 Total: $168,230.00 Assessed Value Land: $5,170.00 Building: $8,220.00 Total: $13,390.00 Taxes Updated on: 06/13/2005 2004 taxes payable in 2005: $595.86 Amount Paid: $595.86 Land Land size: Square feet: 14042.0 Acres: 0.00 Buildings Type: Residential Description: SFR Actual year built: 01/01/1982 Heated square feet: 1704 Bedrooms: 3.0 Bathrooms: 2.0 Stories: 1 Architecture style: 1-STRY/BSM Construction quality: FAIR Type of heat: FORCED AIR Roof structure: GABLE Roof cover: COMP SHNGL Exterior wall: T-11 SHTNG Extra Features Description: 1 -CAR GAR LESS THAN 400SF Description: PATIO/CONC 101-250 SF Description: OPEN PORCH 25-100 SF Description: WOOD DECK 25-100 SF Copyright © 2003 Mitchell & Company, Inc. All Rights Reserved. Timothy Kinion 335 Remington St. Rifle, CO 81650 RECEIVED JUL 2 ' 2006 U�RFIEL pNGJGU PLANNING Garfield County Building and Planning Dept 108 8's Street Suite 201 Glenwood Springs, CO 81601 RE: Permit # 9615 issued on 8-12-05 Dear Sirs: July 13, 2006 Do to financial hardships immediately following the receipt of my permit; I was not able to begin any construction what so ever, related to our home addition. After a recent contact with your office, I was instructed by your staff to submit a letter regarding our situation and inability to proceed with the construction at this time. We humbly request your assistance in the return of the permit fee. Please send a refund to the address above. Any effort to expedite the processing will be greatly appreciated. Thank you, a - Timothy W. Kinion ettrm , Piat PiL-44v-ivi Teak c i\\,4s) MtitewS itte, -b.03 il ,„o A - m NIcn R ° n m n C 3 Or o7 3 4 = n w tw G 0 t 3n a p 2 g). i • r n 3 Invoice Accuracy Verified By: Department Head Approval: Special Instructions For Warrant 3 • Invoice Date W Vendor invoice Number aN ‘};;; ` CJ ^n 0 '‘at c - O ct & nn LAJ1 Account Project # G ti) I Line Item (64 Characters or Less) b . . Brie( Description (64 Characters or Less) -G 1n Invoice Doll; Amount (50.0 Special Instructions For Warrant