HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Sanitation Department
108 8`'' Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
NO. 9272
Job Address p (ao1 %Iitratu- 061 zi&4.,,,Thi .i0 Cet Pl60/0,41( /7
tin / 9--;,- ,i�y 3
Nature of Work Building Permit as95-oaf- o3 -c/7 0
Use of Building etri cy2-2,44.. 0-1,0.111.19 ? AAA) �yt �
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Owner �L 01 �1 q }'hila
Contractor
Amount ofPermitS Sea. Icy
•
Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8t Street, Suite 201, Glenwood Springs, CO 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
Parcel/Schedule No:a9 y- C3/ -03 - 017
7g
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE
REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT
IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING
CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY 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 INTEREST. /
Garfam.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE minim.).minim.).T�
�'1)-.1)I Ant nt:ILL.-. I/Z rT/Lllr... %i: AI
Job Address: ��n
�'� L`t'� oA NC; -')I 11--\- c` 6
3c
1 Lot No: 1
l n
Block No: Subd. / sem tion:
Ji cz. ]
VA �'
I NA �j
2
Owner:Address
ilkkg-Y ,� oL.:AJiJ4
0 22 1�1
r `14S `144
Wk Ph: , L
h/1f1
3
Contractor:
SetW £ As A-Ec,tc.,
Address:
3101 `z;-c'IS AVX.
Ph:
qi-l-S- 8061 Z
Lic. No.
4
Architect/Engineer:
jfrR-k,.J f t1012tJ
Address:
Ph:
Lic. No.
5
Sq. Ft. of Building:
Sq. Ft. of Lot: 0
Height:
No. of Floors:
6
Use of Building:
7
Describe Work:
L� arJ� TRACT [�1' o _ ^E,a P RCI4
Lo/ �
8
Class of Work: o New
]>/� Addition
o Alteration o Remove
❑ Move
9
Garage: ❑ Single
N/(A o Double
Carport: o Single
o Double
10
❑ Driveway Permit o On -Site Sewage Disposal o Site Plan
(Septic)
//
11
�
Valuation of Work: SrF. /- I 1 D O
�i
Adjusted Valuations: $
11 I 000,CV
12
Special Conditions:
A SEPARATE ELECTRICAL
ISSUED BY THE STATE
THIS PERMIT BECOMES
AUTHORIZED IS NOT
CONSTRUCTION OR
PERIOD OF 180 DAYS
1 HEREBY CERTIFY
APPLICATION AND KNOW
PROVISIONS OF LAWS
COMPLETED WITHIN
GRANTING OF A PERMIT
TOVIOLATE OR CANCEL
?LOCAL LAW REGULATING
\ rCONRUCTIONs
ti
a
NOTICE
PERMIT IS REQUIRED AND MUST BE
OF COLORADO.
NULL AND VOID IF WORK OR CONSTRUCTION
COMMENCED WITHIN 180 DAYS, OR, IF
WORK IS SUSPENDED OR ABANDONED FOR A
AT ANY TIME AFTER WORK 1S COMMENCED.
THAT I 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
'/ '/
, 0 7 r2 f L vii• 7`/L)T
Th
Plan Check Fee:
JW 1./
Permit Fee:
/75 -25 -
Total Fee: Dated Permit Issued:
311./4 11- `/
OCC Group: Const. Type:
T::2) 7-/
Zoning:
Setbacks:
Manu. Home: ISDS No. & Fee:
1 1 ER // TE
ll.i1.
•iti
�''%� , 4 ret. 9-r . W
BLD DE P NG. DEPT.
' APPR. /DATE PROVAL/DATE
7g
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE
REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT
IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING
CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY 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 INTEREST. /
Garfam.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE minim.).minim.).T�
�'1)-.1)I Ant nt:ILL.-. I/Z rT/Lllr... %i: AI
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 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 # 4 a "1 .i^.
Signature
Signature
Bpcont03/2004
Date
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
r
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 comer of the proposed structure(s) prepared by a
licensed surveyor and has the surveyors signature and professional stamp on the drawing?
0 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
envelop
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 4o apply.
Yes
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 l operties), streams or water courses?
Yes ►J/r'r
1'
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'?
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 NI IR
7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces's and soffits?
Yes 1/-
8.
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 r/
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 mod?1 and Colorado Phase II certifications or phase II EPA certification?
Yes R1[ Pr No
14. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform Building Code Chapter 37?
Yes /J/IR 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 Uniform
Building o l e?
Yes /1" No
16. Does the plan include a window schedule or other verification that windows provide natural
light and v tilation 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 s fety glazing for these areas?
Yes 1J /k No
18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated othe plan?
Yes I 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? 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 1/# No
21. Will this be the only residential structure on the parcel?
Yes ✓ 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 dimensions a home can be on a lot is 20ft.wide and
20ft. long?
Yes N) Q No
4
24. Have you designed or had this plan designed while considering building and other
construction code requirements?
Yes v No
25. Do your plans comply with all zoning rules and regulations in the County related to your
properties zone district?
Yes I/ 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 V No
27. Do you understand that approval for design and/or construction changes are required prior to
the applicati of these changes?
Yes V 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 can 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 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-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 Certificate of
Occupancy and occupancy of the building?
Yes i/ 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 /V. 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/it 625-8601.
Yes /.�4 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 tim of applicable inspection.
Yes %A 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 No (please check with the
building department about this requirement)
I hereby acknowledge that I have read, understand and answered these questions to the
est of my ability.
Si i ature of Owner
ic
q Date
Phone: 996 ! �o s4 (days); 1 ci`S- 1c� /
t2a
wx.)(04 Pad
Project Name:
(evenings)
Project Address: 0 ()\ os. Aile 04 003
�-✓� G S c16€
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.
Bpminreg072004
6
Applicant
PLAN REVIEW CHECKLIS
Date F. - O
Building
l/Engineered Foundation
t .fDriveway Permit
Nt4 Surveyed Site Plan
114 Septic Permit and Setbacks
....."Grade/Topography 30%
—""Attach Residential Plan Review List
'Minimum Application Questionnaire
At „A Subdivision Plat Notes
Fire apartment Review
'Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
L J4 Attach Conditions
--/i4pplication Signed
,t—Plan Reviewer To Sign Application
NA Water and Sewer
Parcel/Schedule No.
44 40# Snowload Letter- Manf. Hms.
GENERAL NOTES:
Planning/Zoning
.--1Croperty Line Setbacks
I(!.430ft Stream Setbacks
/M. Flood Plain
4.1. Building Height
./ L.oning Sign -off
)iii Road pact Fees
HOA/DRC Approval
Grade/Topography 40%
4,4 Planning Issues
.R Subdivision Plat Notes
t
WESTBANK RANCH
Homeowners Association
P.O. Box 2703
Glenwood Springs, CO 81602
AUGUST 30, 2004
MARY BROWNING
0122 MEADOW LANE
GLENWOOD SPRINGS, COLORADO 81601
DEAR MARY:
THIS LETTER IS TO INFORM YOU THAT YOUR PLANS TO CHANGE YOUR
ENTRY WAY ON YOUR HOME HAVE BEEN APPROVED. THE ROOFING
MATERIAL OVER THE NEW ENTRY SHOULD MATCH THE EXISTING
ROOFING MATERIAL. ANY CHANGE IN ROOFING MATERIAL OR COLOR
THAT IS GOING TO BE USED ON THE ROOF NEEDS ALSO TO BE APPROVED
BY THE BOARD. IF ANY PAINTING OR STAINING IS GOING TO BE DONE
AND IT IS DIFFERENT FROM THE EXISTING COLOR OF THE HOUSE OR THE
TRIM, PLEASE NOTIFY ME BEFORE GOING AHEAD.
THANK YOU FOR FOLLOWING THE PROPER PROCEDURE. THE NEW
ADDITION WILL ADD A LOT TO THE LOOKS OF YOUR HOME.
/
COVENANT DIRECTOR
CC: FILE
CHERI CAPPO
Date: 8-3 / -O 6
To: /'.- , /!me,„,
O/aa
awrisaisi..ca-t&E d
BUILDING & PLANNING DEPARTMENT
Code Compliance Office
Dear Permit Holder,
Please refer to your building permit number 9272 , issued 9-2 8-a%
A routine review of our open building permits indicates that we have not received a request for an inspection
on this permit since /0--26'-- 05' .
Please be advised that building permits expire. per Uniform Building Code, section 106.4.4 and International
Code Section 105.5. "Every permit issued by the building official under the provisions of this code shall
expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit. or if the building or work authorized by such
permit is suspended or abandoned at any time after the work has commenced for a penod of 180 days.
Before such work can be recommenced, a new permit shall first be obtained to do so. and the fee therefore
shall be one half the amount required for a new permit for such work, provided no changes have been made
or will be made in the original plans and specifications for such work, and provided further that such
suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration,
the permittee shall pay a new full permit fee."
Please contact this office at your very earliest convenience, in writing, to advise us about the status of your
permitted work.
If you have not responded within thirty days from the receipt of this notice the permit will be closed
and a permanent notation will be placed in the property records at the County Clerk and Recorders
office that indicates that the work permitted per Colorado Revised Statutes 30-28-205 & 210, was not
inspected. is not approved and that the building or area is illegal to occupy and is subject to legal
abatement action.
Thank you for yyourcooperation.
Sincerely, — j��/ac
Tim Holliday
Dave Mead
Matt Provost
Building Inspectors
108 8th Street, Suite 201, Glenwood Springs, Colorado 81601
(970) 945-8212 (970) 285-7972 Fax: (970) 384-3470
No
CP 29—
Assessor's Parcel No.950((-03�-0/9
Date /ad�0 Y
n _ n UILDI G PERMIT CARD
�/ D
Job Addre O f as /It -€A. 1/'' arm • ,• S• G72/60/ 4 %( tiliew . 3
Owner n� ( /V I Address (�I a� -ad.aw 1 -ii 6 SIS!Phone # 9 9 19
Contractor trw t ri \ Address -31c 1.a. -0"t • Phone # (754'1d -
SgtbaCks. Front Rear I RH LH
`` �V/1/I� 1, ,'�''yh` Iy/ 1
r-n'NSPECTIONS
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical Final e) fJcn w11Cr
Final/0 • b oa hecklist Completed?
Certificate Occupancy # N 1 A
Date
Septic System # PIA
n Date
Final
Soils Test
Footing al_Zy-c{Jr*
Foundation
Grout
Underground Plumbing
Rough PIup,,S�bmg
Framing rein= /0 iY--c'i-dat-
Insulation
Roofing
Drywall
Gas Piping
NOTES
Zoning
Other
(continue on back)