HomeMy WebLinkAboutApplication- Permiti
Garfield County
Building & Sanitation Department
108 8`'` Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address
(3D 3a `7 �' a b'/6s.-
NO. CtI1a..\
Nature of Work
Use of Building
Owner
Building Permit
02f°/-0133- ar-3SI
/44).6.4A.4. 444,0
Contractor
kltvok tAA-3- 0,,,,,k,,,,i, ( ago
Amount of Permit $ (5. a_ C Date aer aZirD `T
Clerk N,e.
1
Tafephone: ,(970)945-8212
GARFIELD COUNTY BUILDING PERMIT APPLICATION
Garfield County (Glenwood Springs) Colorado
inspection Line: (970) 384-5003
Permit #
icA
arc ei 1 Schedule # L 1
Job Address: Pr) 9 Cot:4.p. v1s, !t} e, uaCt�yth cc?
t
Lot #: it./ A Block #. of,!A Subdivision/Exemption:
2.
_
Owner:y, )1 -ii
,t
Address: (‘ LL -Liz K.t Cr-L',v
Ph67c1 6,l* `4f_,Wk
PIr6) -7,� tr-.,1 Tn.'
3
Contrecto7 i
iL
Address. I i 3,j 1,,_:,,_1 L 4,k-& s..6 w.,.)(
Ph
Lic #:
4
Ar chltectJEngineer:
Address:
Ph
Lic P.
,
5.
Sq Ft of Building:) g150
Sq Ft of Lot:+ •tC 11 c r Height• 4 of Floors (
y
6
Use of Build+re. g •In illll \ ]f may.
! ��I �1� no 47.1 r
7.
Describe Work:
o_ tI`3Y ny\ <0ryy, V (v._.., ( ni: _ ! n till
8.
Cfeas of Work: $ New ❑ Addition 0 Altaretion 0 Move ❑ Remove
g
Garage: 0 Single 0 Double Carport- 0 Single 0 Double
10lik
Drrvsway PerIA L"E X On Site Sewage Disposal (Septic) Ai Site Plan
Valuation of Work 3- /04 000 Adjusted Valuation $: /, 520
Special Conditions:
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REDUIREA AND MUST BE ISSUED BY THE STATE
OF COLORADO.
THIS PERMIT BECOMES NULL AND VOID IFWORK OR CONSTRUCTION AUTHORIZED
I8 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORT(
IS COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THS APPLICATION AND KNOW
THE SANE TO BE TRUE AHD CORRECT. ALL PROVISIONS OF LAWS GOVERNING THIS
TYPE OF WORK WILL BE COMPLETED W1TH WHETHER SPECIFIED HEREIN OR NOT.
NTJ
THE GRANG OF THE PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW
REGULATINGCONSTRUCTIONDR THE PERFORMANCE OF CONSTRUCTION.
rimINL/41.. "TIvim . Date: ,1/2 r/o V
Plan Chad( Fae: J 3 43 , d l
Pernik Fee: "7 �Q
G f J7 -2
Total Fee: S9 2 (TP
Date Permit Issued:
OCC Group: (p...3
Construction Type: 7_ 1
n[
ZOning.
d • . consicty or Aupgr4ed Agenl
... rldloa e6vJe.
-,) -L,
• • reed
` ////
... Pei
rierii
Setbacks:
Manufactured Home; e 4.1-V
Wang Decconent J !AW Pte riq
1
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR ANDIOR THE AGENT OF THE CONTRACTOR
CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SU8MniED TO AND REVIEWED BY
DEPARTMENT.
IN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING
USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED.
FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH iN THE LOCATION, ERECTION,
AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY
AeJn TI•JCDc 17 SI-laf 1 Rr:nur JI11 1 akin yr r
T}iE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE
THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR
BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE
in TI -IIP II Iolrrrur rIrH
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES
ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES.
RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION REST SPECIFICALLY WITH THE
P. �.I11y11 �FCMo Atln "p0.0.01017f1A41111C41TC AOC ItrTCtIr r Tr, PC r+1111CCD1JATII/C Alan IRI CI IDonbr rt TLIC n,AftICDQ ILITCOLCT
Gloom=
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INITIAL)
OR OWNER TO
THE BUILDING
CODES AND LAND
THE SIGNER
CONSTRUCTION
AND THAT THEN
BUILDING OFFICIAL FROM
FROM PREVENTING
OR REGULATION
NOT CONSTITUTE AN
THE
ARCHITECT, DESIGNER,
77+
Pd 5',94
P/colvret_.
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 Comz Building Deartment 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.
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 Occupancy for the dwelling under building permit # '7 (1 .
d„,""
Signature Date
Bpcont082002
FEE ESTIMA TE
FINISHED LIVING SPACE:
UNFINISHED BASEMENT:
X 69.00 =
X 41.00
CRAWL SPACE: / f RO X 9.00 =
GARAGE: X 18.00
UNCOVERED PATIO/DECK: /'' X 12.00
COVERED PATIO/DECK:
MISC.
MISC.
X24.00
TOTAL VALUATION: /I)
PLAN REVIEW FEE: 36.0
PERMIT FEE: a.c
TOTAL:
MANUFACTURED HOME SET UP FEE: `;/Oglic
SEPTIC --• PERMIT: Z ,
PERK: /(1r
1
r
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
for
MANUFACTURED HOMES
In order to understand the scope of the work intended under a permit application and expedite the issuance of
a permit it is important that complete information be provided. 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.
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 prepared by a licensed
surveyor and has the surveyors signature and professional stamp on the drawing? Properties with
slopes of 30% or more must be shown on site plan. NOTE: 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 buildin envelope as it is shown on the final plat with the proposed structure located within the
envelop .
Yes
2. Does the site plan when applicable include the location of the I.S.D.S. (Individual Sewage
Disposal System) and the distances to the property lines, wells (on subject property and adjacent
properties) streams or water courses? This information must be certified by a licensed surveyor
with thgnature and professional stamp on the design.
Yes
3. Does the site plan include any other buildings, setback easements and utility easements? Please
refer to Se tion 5.05.03 in the Garfield County Zoning Resolution if the property you are applying
for a buil ng permit on is located on a corner lot. Special setbacks do apply.
Yes
4. Does the sit plan indicate the location and direction of the County or private road accessing the
property?
Yes (
145. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel
in accordance with the uniform building code or per stamped engineered design? A Floor Plan of the
Modular Upit showing exterior doors is required.
Yes
X 6. 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
understan • that the plan check fee will not be refunded should the architectural committee deny or
reject yo building plans?
Yes No
›,' 7. Will this b ' the only residential structure on the parcel?
Yes No If no -Explain:
$ Have two () complete sets of construction drawings been submitted with the application?
Yes
2
9. For the placement of a manufactured home, have the following been specified?
The size of the unit (minimum 20ft. wide x 20ft. long); live roof load (minimum 40# could be more
depending on elevation of property); wind design (minimum wind speed of 80 mph & 15 lb. wind
Ioad); fotytdation design; method of anchoring?
Yes J
‘ 10. Have you esigned or had this plan designed while considering building and other construction code
requirem ts?
Yes No
01. Do your pl s comply with all zoning rules and regulations in the County related to your zone district?
Yes V No
12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection
by the Garfi 1d County Building Department?
Yes No
13. Do you understand that approval for design and/or construction changes are required prior to the
application f these changes?
Yes J No
t 14. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time
of application and that you will be required to pay the "Permit Fee" as well as any "Road Impact" or
"Septic System" fees required, at the time you pick up your building permit?
Yes 4/ No
x15. 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 gi twenty-four (24) hour notice for inspections will delay your inspection one (1)
day. Insp ctions are to be called in to 384-5003.
Yes No
x 16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a
$47.00 re spection fee?
Yes No
x17. Are you aware that you are required to call for all inspections required under the Uniform Building
Code inclu mg approval on a final inspection prior to receiving a Certificate of Occupancy and
occupanc of the building?
Yes No
18. Are you aware that prior to submittal of a building permit you are required to show proof of a
driveway acce s permit or obtain a statement from the Garfield County Road & Bridge Department
stating one is of necessary? You can contact the Road & Bridge Department at 625-8601.
Yes No
3
y19. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and
Plumber to perform installations and hookups, unless you as the homeowner are performing the work?
The license/ number of the person performing the work will be required at time of applicable
inspection
Yes No
20. Are you aware, that on the front of the Building Permit Application you will need to fill in the
ParceUSched e Number for the lot you are applying for this permit on prior to the submittal of a
building pe it application? Your attention in this is appreciated.
Yes \ No
21. Are you aware that you will need to cal] the State Division of Housing to have your modular inspected
prior to the C unty building department doing their final inspection? The State will charge a fee for
this inspecti n.
Yes No
' 22. Are you aw
given for
Building
Yes
e that the Permit Application must be signed by the Owner or a written authority be
Agent and that the party responsible for the project must comply with the Uniform
47
No
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
Signature of Owner
Phone: [o ($ 3V670 (days);
Project Name:
Project Address:
Notes:
t1 6 ayc
Date
6.7a 1 1,c,"
qe./4 (evenings)
T $D C.oun' 1 5 7
Gilds ?/(ir
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.
bpregmh
0412003
4
Garfield County
Road and Bridge Department
P.O. Box 426
Rifle, CO 81650
Phone -(970)625-8601 Fax- (970)625-8627
Invoice Date:
Bill To:
Invoice
5/17/2004 Invoice Number. 36
Todd Hubbard
1132 Walz Ave.
Glenwood Springs , CO 81601
Driveway Permit Number:
$75.00 per Driveway Permit.
Driveway Permit Fee: $75.00
36
Total Due:
Thank You!
$75.00
Garfield County
Application for Driveway Permit
Application Date: 5/17/2004 Permit Number:36 Permitee: Todd Hubbard
Termination Date:6/17/2004 County Road Number: 327 Inspector: Jake Mall
District: 3 Sub -Contractor:
hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es)
on the right-of-way off of County Road, 327, Intersection of CR 327 and CR 342, adjacent to Applicant's property located
on the South side of road for the purpose of obtaining access to property.
Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the
proposed installation showing all the necessary specification detail including:
1. Frontage of lot along road.
2. Distance from centerline of road to property line.
3. Number of driveways requested
4. Width of proposed driveways and angle of approach.
5. Distance from driveway to road intersection, if any.
6. Size and shape of area separating driveways if more than one approach.
7. Setback distance of building(s) and other structure improvements.
8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision
expense.
9. Responsible for two years from the date of completion.
General Provisions
1) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by
him for the bona fide purpose of securing access to his property and not for the purpose of doing business or
servicing vehicles on the road right of way.
2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the
construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date.
3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their
representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the
Board of County Commissioners or their representative.
4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board
of County Commissioners and their duly appointed agents and employee shall be held harmless against any action
for personal injury or property damage sustained by any reason of the exercise of the Permit.
5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of
the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal
operations.
6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall
. be surely braced before the fence is cut to prevent any slacking of the remaining fence and ail posts and wire
removed shall be turned over to the District Road Supervisor of the Board of County Commissioners.
7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written
permission of the Board of County Commissioners.
8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County
Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and
incorporated herein as conditions hereof.
Special Conditions:
1. Construct a 40' wide driveway with a 40' culvert. / s''
2. Asphalt the entry 40' wide by 10' deep and 4" thick.
3. Gravel back from asphalt 40'
4. No more than 3% slope away from County road.
5. work zone signage is required.
In signing this application and upon receiving authorization and permission to install the driveway approach (es)
described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions
and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved
by the Board of County Commissioners.
Signed: .�.e"i1
Address:
Todd Hub . ar
Telephone Number:
Permit granted 5/17/2004, subject to the provisions, specifications and conditions stipulated herein.
For Board of County Commissioners' of Garfield County, Colorado:
7'/7-71eze
Representative of Garfield County Road and Bridge Signature
Specifications
1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge
and the property line that is designed and used for the interchange of traffic between the roadway and abutting
property.
2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the
normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum
intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be
provided.)
3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to
obtain adequate sight distance in both directions along the county road in order to maneuver safely and without
interfering with county road traffic.
4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or
extending over any portion of the county road right-of-way.
5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than
one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100)
feet shall be permitted only after showing of actual convenience and necessity.
6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon
adjoining property.
7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline
of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater
than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased by
permissible radii.
8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle
between ninety (90) degrees and sixty (60) degrees but shall not be Tess than sixty (60) degrees. Adjustment will
be made according to the type of traffic to be served and other physical conditions.
9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited.
Commercial establishments for customer vehicles should provide off -the -road parking facilities.
10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the
normal shoulder slope and for a distance equal to the width of the shoulder but in no case Tess than twenty (20)
feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%).
11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the
street or county road. The Applicant will be required to provide, at his own expense, drainage structures at
entrances and exits, which will become an integral part of the existing drainage system. The Board of County
Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage
structures.
Note: This permit shall be made available at the site where and when work is being done. A work sketch or
drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing,
blueprint, or sketch.
MAY -13-2904 16:10
May 13, 2004
Modular Housing
2440 Airport Rd
Rifle, Co 81650
C1-IAMP1DN COLORADO 970 532 4352 P. 04/04
co‘" Adhikwc,
SUMMIT CREST
HOMES
Division Of Champion Hornebuflde>ss Company
Garfield County Building Department
Customer: Todd Hubbard, TBD 327 Rd, Silt, Co 81652
To Whom It May Concern:
The home, model 882, to be built for customer Hubbard, will be built to the UBC code
with a 401b snow load, 9omph wind ® exposure C and Zone 3 thermal requirements
Please feel free to call if you have any questions. 1-800-818-2632.
Sincerely,
QUIL7L)
Michelle Anderson
Summit Crest Homes
2221 Clayton Lane • P.U. Box 10 • Berthoud, Colorado 80513
(970) 532.7632 • Fax (970) 532.4352
TOTAL P.04
PLAN REVIEW CHECKLIST
Applicant j 0 3I41Z D Date
uilding
Engineered Foundation
✓ Driveway Permit
urveyed Site Plan
_/Septic Permit and Setbacks
Grade/TopographyGr�30%
c/Attach Residential Plan Review List
Minimum Application Questionnaire
A/' Subdivision Plat Notes
f Fire Department Review
Valuation Determination/Fees
,✓IAed Line Plans/Stamps/Sticker
(/,.Attach Conditions
/Application Signed
t/Plan Reviewer To Sign Application
‘...-"Parcel/Schedule No.
40# Snowload Letter- Manf. Hms.
GENERAL NOTES:
6.z )- Ay-
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
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit NZ.. 3973
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
Assessor's Parcel No.
This does not constitute
a building or use permit.
PROPERTY
14-cf lo bar 1/3� �Iz P.6 �o-6/8.32Owner's Name` Present Address Phone
to
1/24.50/ ] S1• (1 a 8/45,
System Location
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
? go f a 33 —o -0 gi
i
1006 Septic Tank Capacity (gallon) Other
I ` Percolation Rate (minutesrinch)'16"/)
Number of B diooms {or oth ) 2:1
Required Absorption Area - See Attached
Special Setback Requirements:
Date 1'
cio-)0 0 -
kit
t'_ I
Inspector ���
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer i t--1
Septic Tank Capacity ./ Z 5?)
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface lie .4-
f
Absorption Area Type and/or Manufacturer or Trade Name :--Va /-c-, 6- Int ff > (*
, Adequate compliance with County and State regulations/requirements ‘4_01.4-----
/
Absorption Area
ZQd
Other
Date
Inspector Alia tr if f 71
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter
25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valid only for convection to structures which have fully complied with County zoning and building requirements. Con-
nection to or use with any dweller g or structures not approved by the Building and Zoning office shall automatically be a violation or a
requitement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material
variation from the terms or specifications contained in the application of permit commits a Class I. Petty Offense ($500.00 fine — 6
months in Jail or both).
White - APPLICANT Yellow - DEPARTMENT
No
Job Addr
Owner
Contractor U
Setbacks: Fro t
9
*it '
ssessor's Parcel No. Y01 .233 -60- OZ'SI
Date t'°(
BUILDING RANT CARD
s /too�a _ ' CSS/6 5
Address /(3a 6S8 6Plione ;?0-6 I8 38k
cs'
AddresscePhone # 917D "3U9- X75
Rear RH
oils Test
Footing
Foundati
Grout
Underground Plumbin
Rough Plumbing
Framing
Insulation 4/'/
Roofing
g O
•
Drywall
Gas Piping 1g1"-
161.--153
'
16Z1s3
I ago al
NSPECT1ONS
LH
Zoning
Weatherproofing
Mechanical
Electrical Rough (State) ,!
Eiectrii al pna State] / ` 0 7 C
Final 0 ecklist Completed?
Certificate Occupancy #
Date
Septic System #�73
Date r'o/ao
Final 7-7-0 ehgrIL--
Other
NOTES
ZU 433Z/0 /D/
1764154&•g+U 40-1
36, c'e/teA
PIL
(continue on back)
MANUFACTURED HOME
BUILDING PERMIT
ARFIELD COUNTY, COLORADO
Date Iss fir!4 .Zoned Area..emit Ido.. �.. .....
P �.. ...
AGREEMENT
In consideration of the issuance of this permit the applicant hereby agrees to comply with all laws and
regulations related to zoning, location, construction and erection of the proposed structure for which
this permit is granted, and farther agrees that if the above said regulations are not fuUy complied with
in the zoning, location, erection and construction of the above described structure, the permit may
then be revoked by notice from the County Building Official and IMMEDIATELY BECOMES NULL
AND VOID.
useMt4e4At
Add r ' t odd
O
Own
1�'t'bt� �q f �
Contractor of..3.isk.ra
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-540 ' 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado
DO NOT DESTROY THIS CARD
APP VED j
Date O t'!
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)
By
iticc
INSPECTION RECORD
Footing :
Q
/
Foundation or Blodaag .>9
riveway . CO btk,
Rough Plumbing : 7 X7 _0(
,9
„.
Gas Piping : 7.. 0 A;),,,,,L
Electrical Final : 7'4 `47
t hti State Inspector)
�J (D
Septic Final : / 91-0 i
Final : Ykinik-- 727' O
Coto40 /A75'3
Seowbad Notes: r J.-ai{el Norio 1,01-140the
$oriel s of Unit Z2D433Z 0/ 01
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-540 ' 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado
DO NOT DESTROY THIS CARD
APP VED j
Date O t'!
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)
By
iticc