HomeMy WebLinkAboutApplication- Permit' Garfield County
Building & Sanitation Department
108 812 Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address
NO. 1
Nature of Work
Use of Building
Ownerc\PX rara ,
Contractorsr- Csagytr `
Date l g' ar
Amount of Permit $ /9 )
Clerk
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Telephone: (970)945-8212
GARFIELD COUNTY BUILDING PERMIT APPLICATION
Garfield County (Glenwood Springs) Colorado
Permit# 11::::)CYCN
Inspection9!T(.
Line: (9770) 384-50033yam
Parcel / Schedule # l DAL IQ (J
Job Addres'EN§e i cl--\n �f am Rd y;riU co ( ,u6
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Lot# 4� Blocklrj 9 Suub�divIslon/ExeLm�Dbon 1eY 1
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Architect/Engineer
Address
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6Use of Building'
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Describe Work
B Cleat of Work New 0 Addition 0 Alteration ❑Move0 Remove
B Garage: 0 Single 0 Double//Carport' 0 Single 0 Double
10
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0 Driveway Permit On Site Sewage Disposal (Septic) ❑ Site Plen
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Valuation of Work 5 Adjusted Valuation i. - I6, 01,5-0,01
Special Conditions
NOTICE
A SEPARATE ELECTRICAL PERMIT I5 REQUIRED AND MUST BE ISSUED BY THE STATE
OF COLORADO
THE PERMIT BECOMES NULL AND VOID IFWORK OR CONSTRUCTION AUTHORIZED
1S NOT COMMENCED WITHIN 180 DAYS. OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORN
15 COMMENCED
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APRJCATION AND KNOW
THE SME TO BETRUE AND CORRECT ALL PROVISIONS OF LAWS GOVERNING THIS
TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT.
THE GRANTING OF THE PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LCCAL LAW
REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
r . �//clrZoning.
/ `ln'/"/f 'f i;/ : ^ -� r' � Date. ! f/
Plan Check Fee: / OO / 5/
Permit Fee. /' 79, . zs
Total Fee: I 0 i� /
G
r
Date Permit Issued:
/n/
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Group: -3
^
Construction Type: ia'A 3 - 7/V
.J
-• Qrlweenaccr, care.Sn vAWpbtl� hMnp
. rake..
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Setbacks:
Manufactured Home:
B�..Aor.11DW PlameN �y
Flukey pp
1SOS66Fan /TO 60 3941
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER. CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR
CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED 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 28 301 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
ANI1 TYCPC IT ¢HsI i arrnuF NI iii tun \Inln
THE 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
nF THIO 11IPI enirTInN
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 REMS AND IMPLEMENTATION DURING CONSTRUCTION REST SPECIFICALLY WITH THE
01111 MCC AMC nwure nnr A. n:.ITO ADC urTrunrn Tn ee nnaOCOWAMir AHn ikI CI ,00nDT nr Tie n,A,Nree 1NTeoeeT
Gem003
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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.
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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.
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 occupan ' use and the issuance of a
Certificate of Occupancy for the dwelling under building permit # y (] 9(r] .
4te 7L•,i/ *¢2
Signature
Bpcont082002
7//C/c7
Date
PLAN REVIEW CHECKLIST
Applicant hazA1.41Date 5-/L-0 9
Building Planning/Zoning
✓Engineered Foundation Property Line Setbacks
^/4.Driveway Permit 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
Xeptic Permit and Setbacks Building Height
.. Grade/Topography 30% Zoning Sign -off
Attach Residential Plan Review List Road Impact Fees
t//Minimum Application Questionnaire HOA/DRC Approval
tL A Subdivision Plat Notes Grade/Topography 40%
Mil, Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat Notes
Red Line Plans/Stamps/Sticker
FL; -Attach Conditions
Application Signed
✓Plan Reviewer To Sign Application
✓Parcel/Schedule No.
✓ 40# Snowload Letter- Mani. Lima -
GENERAL NOTES:
/lg/a( 1 7 = /61200
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 building envelope as it is shown on the final plat with the proposed structure located within the
envelope.
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 th r gnature and professional stamp on the design.
Yes
3. Does the site plan include any other buildings, 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 buil ng permit on is located on a corner lot. Special setbacks do apply.
Yes
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? A Floor Plan of the
Modular T'Ili bowing exterior doors is required.
Yes
6. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain
written puuuission from the association, if required by that association, prior to submitting an
application for a building pu nit? 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 ui mg plans?
Yes No
7. Will this be a only residential structure on the parcel?
Yes // No Ifno-Explain:
8. Have two (2) cyfmplete 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 levation of property); wind design (minimum wind speed of 80 mph & 15 Ib. wind
load); fotln on design; method of anchoring?
Yes
10. Have you designed or had this plan designed while considering building and other construction code
requirements
Yes No
11. Do your plans comply with all zoning rules and regulations in the County related to your zone district?
Yes t/ No
12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection
by the Garfie}d County Building Department?
Yes i No
13. Do you understand that approval for design and/or construction changes are required prior to the
application 9f these changes?
Yes �/ No
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 Sy em" fees required, at the time you pick up your building permit?
Yes No
15. 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 ive twenty-four (24) hour notice for inspections will delay your inspection one (1)
day. Inspy€tions are to be called in to 384-5003.
Yes 1 / No
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 i/ No
17. 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 qff 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 ac ess permit or obtain a statement from the Garfield County Road & Bridge Department
stating ne s not necessary? You can contact the Road & Bridge Department at 625-8601.
Yes No
3
19. 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
Parcel/Schedule Number for the lot you are applying for this permit on prior to the submittal of a
building p it application? Your attention in this is appreciated.
Yes No
21. Are you aware that you will need to call the State Division of Housing to have your modular inspected
prior to the County building department doing their final inspection? The State will charge a fee for
this inspe ion.
Yes L No
22. 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 Z ode?
Yes ✓ No
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability. 7
Signature of Owner Date
Phond: / 72) % c' 'SS (days); (» 9 )Y /? 7 (evenings)
Project Name:
Project Address:
Notes:
14€ (re c& Reside pi_ e
Cajfe yr/fvcs e&,,,,,t, es_
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.
bpreqmh
04/2003
4
APR -22-2004 13:36
April 22, 2004
Modular Housing
2440 Airport Rd
Rifle, Co 81650
CHAMPION COLORADO 970 532 4352 P.03/03
O�4onADO e`'
tt<,,
SUMMIT CREST
HOMES
Division of Champion Homebuilderr Company
Garfield County Building Department
Customer; Herrera, TBD, Lot 5, Eagle Springs Ranch, Rifle, Co 81650
To Whom It May Concern:
The home, model 554 cape cod, to be built for customer Herrera, will be built to the IRC
code with a 10:12 roof, 401b snow load, 90mph wind ® exposure C and Zone 3 thermal
requirements Please feel free to call if you have any questions. 1-800-818-2632
Sincerely,
Michelle Anderson
Summit Crest Homes
2221 Clayton lane • P.O. Box 10 • Berthoud, Colorado 80513
(970) 532-2632 • Fax (970) 5324352
TOTAL P.03
RECEIVED
MAY 1 3 Z004
GARFIELD COUNTY
HUILUITU a PL1ddiMHC
K T. Taylor Construction, lot. dba /Modular Housing
Fax 7}ansml!!al Form
To: STS HON -kir From: a02 714Yt2
Fax Number.
Urgent
For Review
Please Comment
Please Reply
Phone: 974625-5223
Fax: 970.6234865
Email: rtayioritr&S.net
Date Sent:
Number of pages including cove'
Primary Business Address
2440 Airport Road
Rifle, CO 61650
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
- INDIVIDUAL SEWAGE DISPOSAL PERMIT
•PROPERTY
Permit N: 3441
Assessor's Parcel No.
This does not constitute
a building or use permit.
Owner's Name/khan/—1! l(.[rrLLL1l ,•P.resen�ess7W ""A �k 0-V """—Phone �L-___
System Location f L W Ecx @ % q, /'�/� '/
Legal Description of Assessor's Parcel Nom/fnJ r 9 7 ' q- (//�• l ate/ Ij ��
SYSTEM DESIGN Area e 41 i E ! ,4 ? ' v'6 48 S `tit I lane
XSeptic Tank Capacity
(gallon) Other .......//j
/
/ « h'1 Percolation Rate (minutes/inch) Number of Bedrooms (or other) / I t
/// Required Absorption Area - See Attached
Special Setback Requirements.
Date
S` o2S6-vim%
Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
�
System Installer L'(07
Septic Tank Capacity 1 Sb
Septic Tank Manufacturer or Trade Name l i9-)2_ef-ti"`
Septic Tank Access within 9" of surface /-P/��
Absorption Area 4 4
• tvV` --L,4,-,,,A
UUU !
Absorption Area Type and/or Manufacturer or Trade NameS*-L`-
Adequate compliance with County and State regulations/requirements
Other
Date - a - Del Inspector 4,9-c
r_o-t c4) 3
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 1994.
2. This permit is valid only for connection to structures which have Cully 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 line —9
months in jail or both)
Whrte - APPLICANT Yellow - DEPARTMENT
No — ` YA c�
Job Addresyr04ga '
olle.i4A
Owner
,1
te�Assessssor's Parcel N_l `y /
Date
BUILDI PERMIT
•
kb/ 1
Contractor
acs: Fron
Rear
Address
Address
RH LH
Lo. -t 5 5Pr
40-3-01
Phone #4o4 -I05'1
one #(m 'S5. -a3
Soils Test
Footing----D'Evec
Foundation J
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping 6-! -Dff
2201 $ tookIf or trini
-
INSPECTIONS
Zoning
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical Final (State) r0- (»4CA-o
Finalten- rIVIChecklist Completed9
Certificate Occupancy #
Date
Septic System # I
Date --. `'-t'
Final (0-c2-(7-7(
Other
NOTES
-tf`] 41l
Ge 6. fru) • rn gig
/0= .024�"d
060 147((—continue on back)
INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS
POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS
MANUFACTURED HOME
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issue /Wdd' Zoned Area Permit No.4b`P(',1..
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 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 Official and IMMEDIATELY BECOMES NULL
AND VOID.
-�u..Rl.:1ec�
Addres t r Legal Descri' 'on 06V
■ 0_ 0. /is
Owner
C_1
ctor
<.J
INSPECTION RECORD
Footing :
- e—&k
1f.f t° f 2P4Foundation
� i
or Blocking : %%%���i Driveway :
ri
Rough Plumbing :
Gas Piping : c0 / _ is /
0
'
Alt
Electrical Final : - /�`'� ct o k
(by State Inspector)
-2-0
Septic Final :
�
Final : / _ _ 29_0971_ „
CY
Notes: , /
s■oIiaa lbs
0006, L
u.iO
&rid#°Mak: nOtiSSy /
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado
DO NOT DESTROY THIS CARD
APPROVED
`� /F` of
Date
B
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)
•