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HomeMy WebLinkAboutApplication- Permiti ' Garfield County Building & Sanitation Department 108 8:h Street, Suite #201 Glenwood Springs, Co. 81 601 Office- 945-8212 Inspection Line- 384-5003 Job Address CY-4 aria Nature of Work Building Permit - fry - Q Use of Bui mgC Coo, (`��[ Owner Contractor 11)rD Amount of Permit $ 1 11 "L Date T- - Clerk NO. Cli(4 _ a • GARFIELD COUNTY BUILDING PERMIT APPLICATION 1011 S+ Street, Suile 201, Glenwood Springs, CO 81601 Phone: 970-945-8212 / Fes: 970-3843470 / Inspection Line: 970-3845003 L Permit No: � �T(Q(D 239t! - /403- oi- o G AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNFfz, CONTRACTOR AMOR 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 COINS AND LAND USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 3020101 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 OFEHCIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPIICIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WIIFN EN 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 COIVSITPITFE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LAB.ITIIS BY GARPIIDD COUNTY mon ERRORS, OMISSIONS OR DISCREPENCIES. THE RKSPONSIBIIITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIF1CIALLY WITH IH18 ARTICTECT, DESIGNER, BUILDER, ANI) OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. C �� Gu(mOQ L 1 HEREBY ACKNOWLEDGE THAT L HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE ): - Po 47 IS VOS 4 ?-°'" Job Address: oy 2L1 r L K fz. , N ,j e RA (1 lU 1 Lot No:Block No: Subd / Exemption: S Z ra,roextd a C li,e_j 2 Tc�gIs}S Address 0'12, - C. -t 1261fid Ph: �'%�3"Z32a Wk Ph: 3 Contr. r: M Cf ?. g, ,,A ,nr Car lo Address: Pc Bur LI on , B ,}I( Ph: �z1 lo?4, Lk. No. 4 Architect/En ' eer: .'„,[-LT 2._ ftS s�,, , 0.,r' Address: 5c,II C•rz.4-'sc,( <nnw ..�q-15- iP, �r co Ph:- b6O Lk_ No. 5 Sq. Ft. of Building � �S Sq. Ft. of Lot: � f �jj' Height: No. of Floors: 1 6 Use of Buildbn KeS1 Cies,- in ak 7>xw 8 Class o New ❑ Alteration o Remove 3s, Addition ❑ Move 9 10 Garage: iA ❑ Single ❑ Double Carport: i n Single i N I ' o Double o Driveway Perlplt o On -Site Se+r- e p sposal t Site Plan iiII P" tSePtic) 1`t t J'r - - - 11 Valuatian of Work: S J l ()DC} Adjusted Valuatio• 12 Special Conditions: 54 ) NOTICE A SEPARATE ELECTRICAL PERMIT LS REQUIRED AND MUST BE ISSUED BY THE SLATE OF COLORADO. TI4i THIS PERMIT BECOMESNULL AND VOID IF WORK OR CONSTRUCTION ST AUTHORIZED IS NOT COMMENCED WITHIN 1110 DAYS, O. 17 PECONSTRUCTION OR WORKIS SUSPENDED OR ABANDONED FOR A RIOB OF ISO DAYS AT ANY TIME AFTER WORK IS COMMENCE[) 1 I HEREBY CERTIFY THAT I HAVE READ AND F7CORR ED THIS APPLICATION AND KNOW THE SAME', TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW r TING •. ,. : CTION OR THE PERFORMANCE OFC • ON. f ,, ) Plan Check Fee: • / /[ Permit Fee: 6' 7 7 Total Fee: Dated Permit Issued: �^ 7? (- u roup: � Comt Type: ..- -+ zoning: Setbacks: Manu. Home: ISDS No. & Fee: ":1 F 1 . 1-0 3 €` +" y pI _ L F 4 ' o ..5- i . o 4.05- .,..,.i -- '.. — ' r ! I ), • b /DATE OVAL/DATE AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNFfz, CONTRACTOR AMOR 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 COINS AND LAND USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 3020101 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 OFEHCIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPIICIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WIIFN EN 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 COIVSITPITFE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LAB.ITIIS BY GARPIIDD COUNTY mon ERRORS, OMISSIONS OR DISCREPENCIES. THE RKSPONSIBIIITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIF1CIALLY WITH IH18 ARTICTECT, DESIGNER, BUILDER, ANI) OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. C �� Gu(mOQ L 1 HEREBY ACKNOWLEDGE THAT L HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE ): - Po 47 IS VOS 4 ?-°'" The following items are required by Garfield County for a final inspection: 1. A final EIectrical 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, andlor 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 cupancy for the dwelling under building permit # 'ALA Signature BpcontOct2004 3- /(-1 Date PLAN REVIEW CHECKLIST Applicant opt 40 Date 3-21 05 - Building 1 Building Engineered Foundation /..( 4_ Driveway Permit ✓ Survcyed Site Plan Septic Permit and Setbacks �a 3� Grade/ Topography 30% Attach Residential Plan Review List ✓Minimum Application Questionnaire ,./ Subdivision Plat Notes Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker dhil Attach Conditions /Application Signed £. Plan Reviewer To Sign Application ✓ParceUSchedule No. it 40# Snowload Letter- Manf. Hms. GENERAL NOTES: �Planning/Zoning 1/ Property Line Setbacks k1 30ft Stream Setbacks •Flood Plain Building Height Zoning Sign -off 4r4 -Road Impact Fees HOA/DRC Approval radefropography 40% A lr pi Planning Issues Subdivision Plat Notes 115` 24 27x0 zlQ 51- 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 1 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. 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 shot' tt on the final plat with the proposed structure located within the envelope. Yes 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 comer lot. Special setbacks dq apply. Yes 3. Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage Disposal Sy m) and the distances to the property lines, wells (on subject property and adjacent p perties), streams or water courses? Yes 2 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes Or 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel 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 t,/A 7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and soffits? Yes N' 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 wind Toads? Yes N 06\--- 9. 9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes 2( 10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes r\ 11. Does the building section drawing or other detail include the method ofpositive connection of all columns and beams? Yes V 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 X 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 X 3 14. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? Yes No )c 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 X No 16. Does'the plan include a window schedule or other verification that windows provide natural light and vent tion 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 1/ 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 \A No 21. Will this be the only residential structure on the parcel? Yes X No If no -Explain: 22. Have two (2) complete sets of construction drawings been submitted with the application? Yes \ 23. Do you unde -stand that the minimum dimension a home can be on a lot is 20ft.wide and 20ft. long? Yes No 4 24. Have you designed or had this plan designed while considering building and other construction code requirements? Yes }S No 25. Do your plans comply with all zoning rules and regulations in the County related to your properties zone district? Yes >( No 26. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by 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 calleii`n to 384-5003. Yes No 30. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $47.00 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 X 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 required at time of amicable 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 building permit 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 X 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 abili Signature df Owner Date Phone: (days); _31/i/P.) (evenings) Project Name: `r0 t As SL F P )0(1 100D Project Address: 042.(4 t -K- vile_ Rct - , jjo,, r4o k , CO 3I oZZ 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 ofapermit. 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. BpminregOc12004 6 Mar 11 05 11:31a McIntosh_Toblas 870-963-4023 p.1 1: • ARCHITECTURAL CONTROL AUTHORITY CERTIFICATE The Panorama Ranches Architectural Control Authority on the ' JA day of M}r application presented on behalf of l K a) �} -7;6,`..N 5 -for 5 lee f,,0 Pad on Lot # and took the following action. 1) Approval of application without conditions # Votes Yes ' # Votes No 0 # Abstentions 2) Denial of application # Votes Yes _ # Votes No_ # Abstentions 3) Approval with the following conditions # Votes Yes # Votes No # Abstentions 2q -l•,9-_ reviewed the Pet- 5u 6..v.; T7'eJ Date of approval by ACA: ! ? 4 L & 0 4 499 - By: N.C: 0 • )//rci••••."1 I �G T ` f f c 10' c rT 1" y ` `' t - _ erg '-tr..,_•-- -n-. •► GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 100 8th Strand Suite 303 GNnwood Springs, Colorado 81101 Phon (303) 945-$212 INDIVIDUAL SEWAGE DISPOSAL PERMIT lV 1732 Owner kib r2'obias/Rickie 1111fe This does not constitute a building or uae pemdt. System Location Licensed Installer ' 0414 l• k Range 14-i. naltorat_i P..t17ches Caxronr 1e Stlt.trs cbt ny Conditional Construction approval is hereby granted for a /000 x Septic Tank or Aerated treatment unit. Absorption area (or dispersal areal computed as follows: Perc rate of one inch in /. minutes requires a minimum of 3 Cele sq 11 of absorptionareaper bedroom. Therefor* the no. of bedrooms x sq. ft. minimum requirement - a total of fig sq. f t. of absorption area. May we suggest: 12 X 7'T )C 3101- /8)(5 -Ike oh 454°1 a oC::Tri I / 4foi 1 chott+w4e•- Date /001 Inspector-ar'ii. - '�� ��� - -- - - -• gallon FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover• ing any part. �j 0 6 Septic Tank access for inspection and cleaning within 12" of ground surfece or aerated access ports above ground Purface. �, - -p/ Proper materials and assembly. 1 Trade name of septic tank or aerated treatment unit. t ,� 4 4 r Adequate absorption (or disposal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Other Catr. Date /1- (e " Sr9 Inspector C'1 RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation riot comply with all requirements of the Colorado Stets Board of Health Individual Sewage Disposal Systeme Chapter 25, Article 10 C.R.B. 1873, Reviled 1994. 2. This permit Is valid only for connection to structuress which have fully compiled with County zoning and building requirements. Connection to or use with any dwelling Or structures not approved by the Building and Zoning office .trail automatically bee 'Aviation of a requirement of the permit end cause for both legal action and revocation of the permit. 3. Any person who constructs. alters, or mewls an Individual sewage disposal system in a manner whloh involves a knowing and material variation from the terms or speciflcabons contalned in the application of permit commits a Claes I, Petty Offense (9500.00 fine — 6 months In Jail or both.). Applicant: Orson Copy OaPertment: Pink Copy INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION MNEi yl1d 106-.5 /1')10 s� I *Lfe ADDRESS PHONE CONTRACTOR 1,0.6-17' m. ADDRESS OP ge 23 23 PHONE4,R521M1 PERMIT REQUEST FOR: ()() New Installation ) Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. (See pa'e 4.) •.I;}ai iLL14.11)11 Approval by County Official: LOCATION OF PROPOSED FACILITY: Cou ty Near what City of Town 0..101,-.."2-4 Lot Size Legal Description 14.01-152% rie - R rufaa1'rinsia. WASTES TYPE: ( ') Dwelling ( ) Commercial or Institutional ( ) Non-domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: ( ) Transient Use Number of bedrooms - ( c zi2 r 3jtA) Number of persons (X) Garbage grinder (A) Automatic washer (X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: // If supplied by community water, give name or supplier: Pen o t tn. - ,i 4 Ae ' GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) Septic Tank ( ) Vault Privy ( ) Pit Privy ( ) Chemical Toilet FINAL DISPOSAL BY: (X) Absorption Trench, Bed ) Underground Dispersal ( ) Above Ground Dispersal ( ) Other - Describe: or ) Aeration Plant ) Composting Toilet ) Incineration Toilet ) Other - Describe: Pit ( ) Vault ( ) Recycling, potable use ( ) Recycling, other use ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond :ILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? Page 2 /Ira SOIL, PE000l.ATION TEST RESULTS: (To be completed by Registered Professional Engineer.) . Minutes _ per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone of RPE who made soil absorption tests: Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposes of the evaluation of the application; -and the issuance of the permtt-i•s'subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. 1 further under- stand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for per- jury as provided by law. Date ©(!%ier IZ1 IQ' PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Signed 42' Page 3 A447?..aF/ . Mar 16 05 11:32a district 1 970-945-1318 p.1 Garfield County Road and Bridge, District 1 7300 Hwy 82, Glenwood Springs, CO 81601 979-945-1223 ph. 945-1318 FAX Date: 03-16-05 To: Building & Planning From: Bobby Branham Re: Driveway permit exemption For: Rob Tobias 0424 CR 80 Carbondale CO 81623 Pb. 963-2320 Fx. 927-1027 Location: Same Scope of Work: Obtain building permit Road and Bridge Concerns: This property lies outside the system of maintained county roads, and is therefore exempt from County driveway permit requirements. Bobby Branham Dist. 1 Road and Bridge No citYc,a Job Address Owner 4( `c .r Assessor's Parcel No:93 (f" ifc 3-G j - Ll BUILDING PERMIT CARD .� Date Li - Address ContractorAddres Setbacks: Front Apar6 rpn t� Phone Ya03 4-DRY#�1-IC)-(0 RH CTIONS Soils Test Footing '-/-2-Z-05774--- Foundation K9-�S`Ti- Grout Underground Plumbing Rough Plumbingg Framing -7 (-- -05 Insulation $'S"Q5- Roofing Drywall 1/-7.," -o 5` - Gas Piping NOTES LH Zoning Weatherproofing Mechanical Electrical Rough (State) Electri al Final tate) Final - Checklist Completed? Certificate Occupancy # Date Septic System # Date Final Other (continue on back) .BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issuek1/19.165:-.Zoned Area Permit No (t) agd 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 j�MMEDIATELY BECOME NULL AND VOID. Use'i ti Address or Le a�Description � - � _.� �. 41 tT Owner A {- t ' Contractor i Setbacks Front Side Side This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD Footing v Driveway Foundation _ 4.0 S Underground Plumbing Insulation e- 5 - C`v Rough Plumbing. Drywall Chimney & Vent F !t r,, Y, .11.u. ;,. ,t..t- 1a•}:etirarif04l s Gas Piping lU 2y -c. -.57/7__I Final a_ i_05-77d— Electric Rough (By State Inspector -1K, -•�. Septic Final Framing -2- 26 vs- (To include Roof in place and Windows and Doors installed). Notes: ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. L� THIS PERMIT IS NOT TRANSFERABLE For 1 nspcctions Call 384-5003 ON SO4 tr._'o, 1‘,1 oIoratio DONOT DE,ST t) APP�O ED rvievwis jrie flatey. �s,�