HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Sanitation Department
108 8th Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
NO. actio
Job Address q 1 25 0 oZCaireryaa g i 6 a3
1
Nature of Work
Build
ingPermit( S3- A1-00-/06
Use of Building Odd 401- A of ivziA wtcaLL:tc 611
Owner w/""�XC/Ct
x
U
Contractor B • towuPit
Date
Amount of Permit $ 1-75'§'• 7 5
60al c ovy
Clerk e `elta-17
Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8" Street, Suite 201, Glenwood Spring., CO 81601
Phone: 970-945-8212/ Fat: 970.384-3470/Inspection Line: 970-384-5003
Parcel/Schedule No:
a.39Rla1oalab
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 3018101 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
I STRUCTURE, TIE PER?IIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERAIT 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 GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEM:
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND PWNCR. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. L lI J
Grt(om.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL):
9:21q.(4111,,,J
Job Address:
CIPS Enauks 82.k cmzsoNotat1 co 8)623
1 Lot No: Block No: Su bd. / Exemption:
2
Or:
leo ear pJ v�Y
Address
` OS 4092 ctut
Ph:
970 -9Q -1/453q
Wk3-9 VAS'
3
Contractor Conws PtV,cW
B.G h
'd' 1 L R,neo L ci
( LCT1
9123 -676
LIC. NO.
4
Arc7 y5Eogipeers14 Ai
.IP?.Ss:40 n .4 fling
P't.70-9439-1"3 oS'
Lir. No.
5
Sq. Ft. of Building:3u 5 Q P f
i
Sq. Ft. of Logs Qfi 5
dd
Height: j 3� 3-'�
No. of Floors:
/
6
Use of Building: S - /. -
�J�IIJIN�
7
• •
Describe Work: pw4J w l�
' al Bt h m 7.0 SPM i CF}Qpliy��Lyl..� _ Q At
+"�
8
Class of Work: a New ❑ Alteration o Remove^ve
,X Addition ❑ Move
9
10
Garage: ❑ Single
❑ Double
Carport: ❑ Single
❑ Double
❑ Driveway Permit ❑ On -Site Sewage Disposal a Site Plan •
(Septic)
11
Valuation of Work: $
Adjusted Valuations: $
12
Special Conditions:
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED
ISSUED BY THE STATE OF COLORADO.
THIS PERMIT BECOMES NULL AND VOID IF WORK
AUTHORIZED IS NOT COMMENCED WITHIN 180
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
PERIOD OF 180 DAYS AT ANY TIME AFTER WORK
I HEREBY CERTIFY THAT I HAVE READ
APPLICATION AND KNOW THE SAME TO BE TRUE
PROVISIONS 0 WS GOVERNING THIS TYPE
COMPLETE' 4THIN WHETHER SPECIFIED
GRANTINGIA PERMIT • s P. NOT PRESUME
TO VIOLA I R CANOE PROVISIONS OF
LOCAL y REGUL /. • CONSTRUCTION OR
OF CON "'UCTION.
.
AND MUST BE
OR CONSTRUCTION
DAYS, OR, IF
FOR A
IS COMMENCED.
AND EXAMINED THIS
AND CORRECT. ALL
OF WORK WILL BE
HEREIN OR NOT. THE
TO GIVE AUTHORITY
ANY OTHER STATE OR
THE PERFORMANCE
r art,.
Plan Check Fee:
3/'3.46
Permit Fee:
48zd+l
Total Fee: Dated Permit Issued:
X5'55
v
OCG. Bp: ___ ('Dost. Type:
Z. 3 .�V''Jlf/
Zoning:
Setbacks:
Mann. Home: ISDS No. &F ti
irOWER �.
At
•.p•er-iii
BLDG DEPT. P e .DEPT.
APPRO&1./• TE -''ROYAL/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 IN 3018101 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
I STRUCTURE, TIE PER?IIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERAIT 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 GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEM:
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND PWNCR. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. L lI J
Grt(om.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL):
9:21q.(4111,,,J
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. A complete bathroom, 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 1997 UBC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of
extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until
all the required items are completed and a final inspection made;
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, 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 Ulv`TIL ABOVE CONDITIONS ARE MET.
I underst. d :nd agree to abide by the above conditions for occupancy use and the issuance of a
Certific. - if Occupancy --r the dwelling under building permit # L}olR .
Signature Date
Bpcont03/2004
FEE ESTIMATE
;;K
atiLeig_
FINISHED LIVING PACE: f34- X 69.00 = 6 9 9116
UNFINISHED BASEMENT: X 41.00 =
CRAWL SPACE: 4(3 f X 9.00 = bF,
GARAGE: X 11.00 =
UNCOVERED PATIO/DECK: X 12.00 =
COVERED PATIO/DECK: X 24.00 =
MISC.
MISC.
TOTAL VALUATION: :3,"
PLAN REVIEW FEE: 3 (
PERMIT FEE: thza
TOTAL: 795'..S
MANUFACTURED HOME SET UP FEE:
SEPTIC - PERMIT:
PERK:
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.
Adequate and complete information will prevent delays in the plan review process.
Reviewing a plan and the discovery that required information has not been provided by the
applicant may result in the delay of the permit issuance and in proceeding with building
construction. The owner or contractor may be required to provide this information before
the plan review may proceed. This causes delays because 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. If you do
not, it may be helpful to obtain a book titled "Dwelling Construction under the
Uniform Building Code". This book is available to you through this department at our
cost. 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.
1
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. 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.
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, an 80 M.P.H. windshear, wind exposure B,
windload of 15 pounds per square foot, 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 1997 UBC, UMC and 1997 UPC.
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: 106.3.1 (7.) 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 surveyors 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 nfr._
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 r/A
3. Does the site plan include when applicable the location of the I.S.D.S. (Individual
2
Sewage Disposal System) and the distances to the property lines, wells (on subject
property and adjacent properties), streams or water courses?
Yes hia
4. Does the site plan indicate the location and direction of the County or private road
accessing the property?
Yes rt
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
engineers 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 ‘7-
7.
7. Do the plans indicate the size and location of ventilation openings for the attic, roof
joist spaces's and soffits?
Yes ✓
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 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 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 ✓
13. Does the plan include any stove or zero clearance fireplace planned for installation
3
including make and model and Colorado Phase II certifications or phase II EPA
certification? / /
Yes No ✓ " 7
14. Does the plan include a masonry fireplace including a fireplace section indicating
design to comply with the Uniform Building Code Chapter 37?
Yes No ✓ $24
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 Uniform Building Code?
Yes ✓ No
16. Does the plan include a window schedule or other verification that windows provide
natural light d ventilation for all habitable rooms?
Yes V 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 lazing for these areas?
Yes No✓ q
18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water
heaters indicated on the plan? /
Yes se No �/ A /C.
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 covenant?
Yes No V /a
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? If you do not
have written permission from the association, do you understand that the plan check
fee will not be refunded should the architectural committee deny or reject your
building plans? /
Yes No 17 A ( A
21. Will this be tJ'i'e only residential structure on the parcel?
Yes _ No ✓ 1f no -
Explain: ALSoc£X/57/N6
PANe N HouSE
4
22. Have two (2) complete sets of construction drawings been submitted with the
application?
Yes
23. Do you understand that the minimum dimensions a home can be on a lot is
20ft.wide an 20ft. long?
Yes No
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 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 V No
29. Are you aware that twenty-four (24) hour notice is required for all inspections?
Inspections will be made from Battlement Mesa to West Glenwood in the
mornings and from Glenwood Springs to Carbondale in the afternoons. All
inspections must be called in by 3:30 p.m. the day before. Failure to give
twenty-four (24) hour notice for inspections will delay your inspection one (1)
day. Inspgctions are to be called in to 384-5003.
Yes ✓ No
30. Are you aware that requesting inspections on work that is not ready or not
accessible w' result in a $47.00 re-inpsection fee?
Yes No
31. Are you aware that you are required to call for all inspections required under the
Uniform Building Code including approval on a final inspection prior to receiving a
5
Certificate y) 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 be given for an Agent and that the party responsible for the project must
comply with the Uniform Building Code?
Yes ✓ No
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 & Bridge Department at 625-8601.
Yes Roa 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 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 building permit application? Your attention in this is appreciated.
Yes 10 No
I hereby • • owledge that I have read, understand and answered these
questio - • the best • y ability.
aroaksin it,-,„„
Signature o Owner Date
Phone: 963-953
R63- W3
g ;o 0?00y
(days); CF1.+- 3 79 -ti,2 HS
(evenings)
Project DotC
Name: klry ab;n A-DD1770N
Project S L.,, A
Z
Address: � I � 1 '' ""7 8 �
Notes:
Col o.da.l2, oo 8 (fo 2.3
If you have answered "No" on any of the questions, you may be required to provide this
6
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.
bpminreq
04/2003
7
kr. r'^ 7 P'
}
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N. 2426
100 8th Street Suite 909
Glenwood Springs, Colorado 01901
Phone (303) 94!-0212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Assessor's Parcel No.
1
This does not constitute
a building or use permit.
Owner's Name Robert Burry Present Address 9173 Highway 82. Cedale Phone 963-2630
System Location 9173 Highway 82e Carbondale
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
Septic Tank Capacity (gallon) Other
Percolation Rate (minutestinch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Date Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as Installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer M4e7/11 tit/ Q04/4C
eine irk cgaellf_,q's'...
Septic Tank Manufacturer or Trade Name /tJ6a 41)6- 4 lea -
Septic Tank Access within 9" of surface 4sre S
4
�F7O}
Absorption Area -SIO
Absorption Area Type and/or Manufacturer or Trade Name h GQ K t / (-Pe a ' - .70 1 pa-
Adequate
'f6
Adequate compliance with County and State regulations/requirements Vis.
Other
Date a/ :1
Inspector Kaiz.. le•14- % 'Q0w`/,k.e.„,
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTI N SITE
*CONDITIONS:
1. All instillation 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 1984.
2. This permit is valid only for connection to structures which have fully compiled 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 •
requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who conetructe,alters, or installs an individual sewage d'eposel 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 — 6
months in )ail or both).
Applicant: Green Copy Department: Pink Copy
1
. FEB 06 '95 11:17 GARFIELD COUNTY P.1
IN6 By H/Gd earn -7 rival DPI $EtC.
I 1 . It, . 1 1:111n. Y Y v . '
OWNER Harz -bus — (,(JoRK SNS -$6.e0
ADDRESS cE PHONE
CONTRACTOR 011 I A'J Canis. -r
ADDRESS ` PHONE
PERMIT REQUEST FOR Q(% NEW INSTALLATION () ALTERATION () REPAIR
Attach separate sheets or repots showing entire area with respect to surrounding areas, topography of area,
habitable building, location of potable water wells, soil percolation teat holes, soil profiles in test holes
(See pap 4).
JAC.ATIAN AP PRAPASRD PAC' ITY• COUNTY GA12Fart.0
Near what Qty or Town Cfl SADJD14L I.ot
Legal Description SES "tit AAajf.R.%
WA.S'I`B.S TYPE' Itedwelling () Transient Use
( ) Commercial or Industrial () Non.domatio Wastes
() Other - Describe
BUILDING OR SERVICE TYPE. G 4 3 1 J
Number of bedrooms•. / Number of persons
() Garbage Orinder () Automatic Wyk () Dishwasher
SOItR AI;ID TYPE AR WATER SUPPLY; (1 SPRDIO () STREAM OR CREEK
Give depth of all wells within 180 feet of system. -Earr& i
If supplied by oommuntiy water, give name of supplier: Alp/ -
MAI
% SMAI INA n'sN I IITI ON $:
Depth to bedrock: > 0 F
Depth to first Ground Water Ta •
Pat Ground Slope: 2 e
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM. > 7 M I t. e *
Was an effort made to connect to community system? N o
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(Septic Tank () Aeration Plant () Vault
() Vault Privy () Composting Toilet () Recycling, potable use
() Pit Privy () Incineration Toilet () Recycling, other use
() Chemical Toilet () Othr - Describe:
FINAL DISPOSAL BY:
() Absorption Trench, Bed or Pit () Evapotranspiration
() Underground Disputa! eff, Sand filter
() Above Ground Dispersal () Wastewater Pond
() Other - Describe:
WILL BFFLUENTRB DISCHARGED DIRECTLY INTO WATERS OP THE STATE? A'd
1
'FEB 06 '95 11:17 GARFIELD COLIiTY P.2
'•
pm: am.ATIAN TROT RESULTS (To be completed by Registered Professional Engineer)
Minutes _ per inch in hole No.1 Minutes per inch in Hob No. 3
Minutes per inch in hole No. 2 Minutes , per inch in Hole No.
Name, address and telephone of RPE who made sock absorption tests "53-&—C >'4 M A/A
Name, address and telephone of RPB responsible for design of the system: 50'e-9 t*P t 'J" 1
Applicant acknowledges that the completenessoftheapplitaionisconditionaluponsuchR ther mandatory
and additional tests and repods as may be required by thelocal 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 thepetmtt istattled tosuch tenet and conditions as deemed necessary to haste compliance with
rubs and regulations adopted under Article 10, Title 25, C.R.S.1973, as amended. The undersigned hereby
certifies that all statements make, information and reports submitted herewith and required to be submitted
by the applicant are or win be represented to be true and correct to the bat of my knowledge and ballet and
are designed to bre relied on by the local department of health in evhutiag the ace ho purposes of issuing
the pennit applied for herein. 1 further understand that any fal ifiation or misrepresentation may result in
the decal of the application or revocation of any permit panted based upon said application and in legal
action for perjury as provided by law.
Signed
Dote ?/%f
pLBASP DRAW AN ACCURATE MAP TO YOTJR PROPERTY
COUNTY OF GARFIELD - BUILDING DEPARTMENT
CORRECTION NOTICE
109 8th St. Suite 303 Glenwood Springs, Colorado
Phone 9454212
Job located at (, !1 j
Permit No.
I have this day Inspected this structure and these
pre ses and found the following corrections rneeded: p
3.
14r7 f-� � J E, Olin r=,ofr ( 7yt
4S
You are hereby notified that the above correction must be Inspected before
covering.
When correctlon(s) have been made, call for inspection.
,�
Date19
J Building Inspector
Nc. Q1(V.)
Job Address 91 i 5
Owner
Contractor • At*A
Assessor's Parcel No ca393 - Pi/ / -oo -/O((
Date /D(/ VO 5(
BUILDIN PERMIT CARD
ems �����lba3
Setbacks:
l.to OC �W
Soils Test
Footing
Foundation
Grout
Underground Plumbing -
Rough Plumbingr-21--C4/771-
Framing 1'23-1 k
Insulation r ---27.Q4
Roofing
Drywall / Z -z' Irk'
Gas Piping
Address 9 975ty Fd /674)3C da 4- YPhone # q6.3 g5y3
?i(dpa.> rn gettrC'k" Phone # c163-1595
LH Zoning 37E-02` .1 -
Address
Front y "Rear" �'f RH
L(Tpy44 Fy etatren (INSPECTIONS
V
/D- Z4-Dter g -
NOTES
Weatherproofing
Mechanical / 23-dt/
Electrical Rough (State)
Electrical Final ( tate)
Final hecklist Completed?
Certificate Occupancy #
Date
Septic System # N/A .57.449--(7._ a. y�
Date
Final
Other
(continue on back)
I INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
NOTICE FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Nile/
Date Issnet�...`�?�...... .....Zoned Area
h Permit No...1t / (40 '
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 BECOME NULL AND VOID.
UseAda • L► V► IS5 room 4-beektrezom pit ck o ( spiv c
Owner 1 t eAr+ Contractor3.(Lk0. vet
Owner l Description
Setbacks
Front
Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing Pleas 0 SIG Ferfs 10 -ti -04n(
Foundation
Underground Plumbing
Insulation /2.2-1- c4 k
Rough Plumbing jL-t 1-4-4/76_-
Drywall .-, . -r el.{x174- ,
Chimney & Vent/2 - Zq.or4-
Electric Final (by State Inspectorlt 'te ip A
Gas Piping n
Final 5_I2..Dral—
e
Electric Rough (By State lnspector)(1,71&4
Septic Final
Framing N._LSCA h_ 3_,;,xl 1
(To include Roof in place and Wiudo $s
and Doors installed).
Notes:
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
V
THIS PERMIT IS NOT TRANSFERABLE
Phone 3845003 108 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVEDDO NOT DESTROY THIS CARD
D49( By
b.
F P ACED OUTSIDE - COVER WITH CLEAR PLASTIC
CE
Applicant
PLAN REVIEW CHECKLIST
Building
Engineered Foundation
Ali/Driveway Permit
�/ SZveyed Site Plan ?SD
12/4 SepticSePermit and Setbacks D./
,./Grad/Topography 30%
Attach Residential Plan Review List
inimum Application Questionnaire
ALLSu1 Q
bdivision Plat Notes
ta. Fire Department Review
`Valuation Determination/Fees
'r Red Line Plans/Stamps/Sticker
Attach Conditions
'Application Signed
v Plan Reviewer To Sign Application
1/ Parcel/Schedule No.
40# Snowload Letter- Mardi Hms.
GENERAL NOTES:
Date ID- r3-cy
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building Height
Zoning Sign -off
Road Impact Fees
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat Notes