HomeMy WebLinkAboutApplication- Permit• Garfield County
Building & Sanitation Department
108 8`h Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
0//990 /► j�
Job Address_ ek (-9a 2
Nature of Work
Use of Building
Owner
Building Permit Rl37-
NO. Q Kc,—)
/-c`017
Contractor f9 /Aar -
Amount of Permit $ 31-3Dc, Sq Date
Clerk
ita&
Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8° Street, Suite 201, Glenwood Springs, CO 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / inspection Line: 970-384-5003
I/(1
Parcel/Schedule No: 2/x 7 t9 /O 00 /g
/D 3
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 3028.201 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 FERMI' 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.
Garfom.003 / 7
V \ . % I �n� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): ���"
Job Address: Co 44
�y 2 2 6 !C / T (742 q �/Z \(�o -
1 Lot No: Block No: SuuJbd. / Exemption: .
e
2
Owner
/Camseenl q.)( (c_0/1/
Address)/Yb A Ao LL
/j' i( -F' 6,,
r
Ph•
9/0 -6261 til
Wk Ph:
3
Contractyr:/� 11
A dreks: S^ ON 9 7.
Ph:
Lic. No.
4
Affihhitec Engineer:
J 4'-(' Jo(--e‘lS-t —.
Address: if
/56 t 3 _Cie. 6, rejr;,
Ph:
x/70 - 62C- Ono
Lic. No.
5
Sq. Ft. of Building:
.c5 0
Sq. Ft. of
Height:
No. of Floors:
2
^
fiC,• b. 4 ,(I
6
Use of Building: A
,r, toS(
seat
7
Describe Work:Cikasik
8
Class of Work: ‘ New 7o Alteration o Remove
o Addition o Move
9
10
Garage: o Single
p/ Double
Carport: ❑ Single
o Double
4 Driveway Permit Ja On -Site Sewage Disposal et Site Plan
41 any /7;4 (Septic)
11
Valuation of Work: $6Adjusted
/S0,000
Valuations: $
27`i, 8!y
12
Special Conditions:
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE
ISSUED BY THE STATE OF COLORADO.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR, IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED 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 REGULATING CONSTRUCTION OR THE PERFORMANCE
OF CON RUCTION.
0
Plan Check Fee:
1
1 ¶. '. /4
, I
Permit Fee:
2, Do1. 7�
Total Fee: Dated Permit Issued:
l
3, 302. , S, } '� _ ? il3+O(�
O+
OCC Groupr _Coast. Type:
// typ,�,1 y
�-'� LH 1 —^/
Zoning:
Setbacks:
Manu. Home: ISDS No. & Fee:
00
/Co 4_1
j�
r •' 1
1 WN
�ErR• l% / 77/1
3 76
B 1 DE A ' ,le/�f,..
'APPROVAL/DATE 11 i TATE
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 3028.201 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 FERMI' 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.
Garfom.003 / 7
V \ . % I �n� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): ���"
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.
1 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 # %%e07 .
4-(276
Signature Date
Bpcont03/2004
VALUATION/FEE DETERMINATION
Applicant 43 I l,Cct , 0/90 Subdivision
Address0Z2L Lot/Block
Date G - /x'01 Contractor D W rk
Finished (Livable Area):
Main /$(09
Upper
Lower
Other
He 77
Total Square Feet 32)(e y to
Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Plan Check Fee for Conversion
Valuation
Gazaee:
Crawl Space:
Valuation 79t y / S
Valuation f Slog 1 5
Decks/Patios:
Covered
Valuation l ; 2l ' R4
Open
Valuation TO )( /2-
Total
Z
Total Valuation
9
�2 3 ?7e)
4,2z0
l �l
/24
279'8/
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.
C
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
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 ./
Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage
Disposal System) and the distances to the property lines, wells (on subject property and
adjacent properties), streams or water courses?
Yes
2
14.
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(
7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces's and ts?
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
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 (undi bed) grade contours?
Yes
13. Does the plan include any stove or zero clearance fireplace planned for installation including
make and model and Colorado Phase II certifications or phase II EPA certification?
Yes 7 No
3
14. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform Building Code Chapter 37?
Yes 7 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 Code?
Yes No
16. Does the plan include a window schedule or other verification that windows provide natural
light and ventilation for all habitable rooms?
Yes No
17. Do the plans indicate the location of glazing subject to human impact such as glass doors,
glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as
a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures
and specify safety glazing for these areas?
Yes . No
18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated on he plan?
Yes j 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
i
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
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 No
4
24. Have you designed or had this plan designed while considering building and other
construction de 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 applicati99p 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 p
Yes 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. 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 .ncluding approval on a final inspection prior to receiving a Certificate of
Occupancy d 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 Uni rm Building Code?
Yes 7 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 25-8601.
Yes 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 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
building department about this requirement)
(please check with the
I hereby acknowledge that I have read, understand and answered these questions to the
best of my ability.
Signature ot Owner I Date
Phone: ? 76 6 ); . / 7 5 (days); (evenings)
Project Name:
Project Address:
A/€4,0 S e ec-n rQ
al U jL �o , /?/. z6 I<fie (Q a
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.
bpminreq
11/2003
6
Tereasa Baker
•
From: Wendy Mead
Sent: Monday, May 10, 2004 9:51 AM
To: Tereasa Baker
Subject: Exemption Letter Craig Wilcox
Good Morning Tereasa,
Kriag asked me to get this to you.
This is fo
188CR2
Rifle, CO 81650
970-625-1799
Ted morgan inspected the driveway at 188 CR 226 -Rifle, CO and it meets Garfield County Road and Bridge specs and no
driveway permit is needed.
If you have any questions, contact Kriag Directly.
Have a great day!
Wendy
1
PLAN REVIEW CHECKLIST
Applicant l�itca�d Date G-/r=p41
Building Planning/Zoning
Engineered Foundation Property Line Setbacks
,i ((Driveway Permit F'""i 30ft Stream Setbacks
., Surveyed Site Plan> 5Q' Flood Plain
,----"Sceptic Permit and Setbacks Building Height
,--,Grade/Topography 30% Zoning Sign -off
„_,,,----Attach Residential Plan Review List Road Impact Fees
t inimum Application Questionnaire HOA/DRC Approval
/, //Subdivision Plat Notes Grade/Topography 40%
ii,Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat Notes
Line Plans/Stamps/Sticker
kJ 4 Attach Conditions
✓Application Signed
✓Plan Reviewer To Sign Application
1/Schedule No.
40# Snowload Letter- Manf. Hms.
GENERAL NOTES:
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY / ` ,//
Owner's Nam$.( if /renV 0,9f I v1n IC (Cin Present Address 7-11 ACV,
System Location f >Lc `b // n — YI
Legal Description of Assessor's Parcel No r /5 7 %Q /- GSC 0/ "
' -SYSTEM DESIGN
cn
ESIGN�
:C J Septic Tank Capacity (gallon) Other n
Percolation Rate (minutes/inch) Num er of Bedroo s qr o er) p2
7
Required Absorption Area - See Attached, j) c 2 et ( 141 "'s"n'-v `
/fyy/ 3H` 4� f-^ h -e- cP _ � 8 �-�- . c- e z z
Special Setback Requirements: '^
(2,v8)
Permit Ne 3970
Assessor's Parcel No.
This does not constitute
a building or use permit.
Phone`'' iY 1 / 7 71
Date
G-29-o`f
Inspector
atfit t7 -ter
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer k l`. I' }) 'tn 1C --'n `>
kL
Septic Tank Capacity
f4 )
r, (,,
Septic Tank Manufacturer or Trade Name ( fir. 2` (in /
Septic Tank Access within 8" of surface 41/4-
\ 1/ -
Absorption Area 1� . • t�J1 lid VlY'tlt 1 1 1;��
if
Absorption Area Type and/or Manufacturer or Trade Name - w'\ i V� l.1 i.
Adequate compliance with County and State regulations/requirements
Other I � I/•
Date /0 -1f -o [ Inspector / /.G4 J f I
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply with ail 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 complied 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 a
requirement 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 —8
months in jail or both).
White- APPLICANT Yellow- DEPARTMENT
E
No. / 1 p�0 �l t, "� ...../ Assessor's Parcel No a /4917-0q/'/ 00 012
µ�,,j Date (r� -RY O(/
CLS S?
0190
w r
. Job Address i� 1..�.-
/
Owner O. 49) DAPrn dress %52-17-01-- Phone #(Dr S %79
Contracto till. ' A I Address Phone #
Rear RH LH Zoning
�Q INSPECTIONS
BUILDI G P ; MIT CARD
Set cks: Front
Soils est -
Footing '0-25 -cz/t4C
Foundati¢n - 0 Ili
Grout d.fl'N•�t1,/€ �O
Underground Plu bin
Rough Plumbing
Framing 'l- 21<"--o
Insulation /0-4-0
18- O 1A9yrL
tt-
Roofing
Drywall /D'// tO
Gas Piping 9 O�
Fir 1/211/ 4 Milk
EXTERIOR
Address No.
Drainage
Decks -support & clearance to wood
Decks -stairs & rails
Ellenor locks
Flashing around doors & windows
Insect screens
INTERIOR
GARAGE
Fire wall separation
Service doors -17 min
Door (20 min.) wlsuto closer -1W' mm.
Mech. equip. 1B" above Boor
No opening into sleeping area
BASEMENT -CRAWL AREA
Access
Insulation
Headroom/Stairs
Ventilation
Weatherproofing
Mechanical n ,
Electrical Rough (State) cr---7-0 4o
Electrical (State) g-2-3-
Le-Fb O
Fin hecklist Completed 7
Certificate Occupancy #
Date
Septic System # 3410
Date 6-10-0,1
Final /04/-0SS//a'114-
Other
NOTES
FINAL CHECKLIST
MECHANICAL ROOM
Babe
Hot water
F A. gaeloil
Floor drain
Clearance
Air con ,system
Hot water heater
Combustion air
Gas piping valves
LPG Drain
FIREPLACE/STOVE
Clearance to combustibles
Termination of chimney
Combustion air
Hearth 112" or 20' on sides)
Glass doors
Certified by. IA ""' ION"t•.�`�
(continue on back)
STAIRWAYS
Headroom or)
)
Railing & guwdraib
Width
Rae & run
KITCHEN
Clearance above gall
Exhaust fan
Broiler exhaust (1 hr. chase)
BEDROOMS ✓,
Egress
Smoke detector r{/
BATHROOMS
+� / Exhaust fan 9/
�/ Shatterproof glass
�/ OTHER
REMARKS
•
BUILDING PERMIT
FIELD COUNTY, COLORADO
Date Issue Zoned Area Permit No..9/67
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with a
laws and regulations related to the zoning, location; construction and erection of the propose
structure for which this permit is granted, and further agrees that if the above said regulation
are not fully complied with in the zoning, location, erection and construction of the abov
described structure, the permit may then be revoked by notice from the County Buildin
Insilopiud IMMEDIATELY BECOME NULL AN VOI
Use
itin
991
Address or Le al 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 (6' 6 -O
Foundation 7 ..//.0 L
Underground Plumbing
Insulation J0- 1 i- D4 l
Rough Plumbing I. n-tv
Drywall j 0 - i 1- Qv
Chimney & Vent -G view- i'retr
Electric Final (by State Inspector)j_.;i - ` ---'
Gas Piping 9- a -g' -a cP ligiTh..
Final a. :045 ice _
Electric Rough (By State InspectorQ_7.°.ir
Septic Final / o _ i (-0 AyA
Framing ?'_ a $ 0 e/Notes:
(To include Roof m place n Windows
and Doors installed).
075. e v 0—
oK fir` /--Or ,(��y
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 109 8th Street County Courthouse Glenwood Springs, Colorado
EDDO NOT DESTROY THIS CARD
APPO
D
By
IF ' LACED OUTSIDE - COVER WITH CLEAR PLASTIC