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HomeMy WebLinkAboutApplication- PermitGarfield County
Building, Sanitation,
& Planning Department
108 8th Street, Suite #201
Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
N08930
Job Address 1 LDCV1 CfZ ttTh 1 LJ—�■
Nature of Work Building Permit
Use of Building �— 1_
OwnerN3kbflln 1T�1tS\nrm
Contractor O
Amount of Permit $ IL H • [�j�Kc1
Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, Suite 201, Glenwood Springs, CO 81601
Phone: 970-9454212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
ParceUSchedule No: 2 1 '7:5 Z4-1 t^ e 031
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 3018201 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 LIARLITIES BY GARFIELD 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.00J
9:
I HEREBY AC3WLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): ✓
reG) �'c- U
Job Address: 7G 0 7 C. c 3 Z D 'R1'%LCO
1 Lot No: Block No: Subd. / Exemption:
2
Owner:
Joti;eJ STEWR4a BONN N� LI—LP
Address
%‘,O% 32.5 R„r
Ph:
Wk Ph:
3
Contractor:
CD 1-0 N C.2,
Address:
1 -i q i C.Cz 3 20
Ph:
-o 2_5 (50 Cr, 0
Lie. No. 67
4
Architect/Engineer:
Address:
Ph:
Lie. No.
SI
5
Sq. Ft. of Building:I ¢ 4'
96
Sq. Ft. of Lot:
Height:
No. of Floors:
Use of Building:
l4 o os G _
7
Describe Work: ,�� o N, 0 1301 )--IDre.�.J n
MA r.3 d. MC 3 D� SEP-r!r t.r331c L2a,;.'=•el c`
8
Class of Work: o/ New o Alteration o Remove
o Addition o Move
9
10
Garage: o Single
o Double
Carport: o Single
o Double
❑ ii*Awd3Ta17Wi[ Mal IW" On -Site Sewage Disposal uv Site Plan
Le /Ice fvavn co 0 nini (Septic)
11
Valuation of Work: $
�o,000
Adjusted Valuations: $
3��hy'�
lz
c)?) 5,..ptter 1/2. 014-4-ttriiivu- • cr.,/
(�' yI
A SEPARATE
ISSUED
THIS
AUTHORIZED
CONSTRUCTION
PERIOD
I HEREBY
APPLICATION
PROVISIONS
COMPLETED
GRANTING
TO VIOLATE
LOCAL
O: CONSTRUCTIO
S-
NOTICE
ELECTRICAL PERMIT IS REQUIRED
BY THE STATE OF COLORADO.
PERMIT BECOMES NULL AND VOID IF WORK OR
IS NOT COMMENCED WITHIN 180 DAYS,
OR WORK IS SUSPENDED OR ABANDONED
OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CERTIFY THAT I HAVE READ AND
AND KNOW THE SAME TO BE TRUE AND
OF LAWS GOVERNING THIS TYPE OF WORK
WITHIN WHETHER SPECIFIED HEREIN
OF A PERMIT DOES NOT PRESUME TO GIVE
OR CANCEL THE PROVISIONS OF ANY
LAW REGULATING CONSTRUCTION OR THE
L t
AND MUST BE
CONSTRUCTION
OR, IF
FOR A
EXAMINED THIS
CORRECT. ALL
WILL BE
OR NOT. THE
AUTHORITY
OTHER STATE OR
PERFORMANCE
Plan Check Fee:
ry
egg 01 I
Permit Fee:
23/.24 -
Total Fee: Dated Permit Issued:
/,f ��'///
C 7/, U/
OCC (Loup: Const. Type:
Zoning:
Setbacks:
-
Manu. Home:
400-00
-------
0
/SO.O®
1;irl 147)
til
Si,'
��
AT
T
//- 4'03 .� �1
B i DE 'A':.
'APPROVAL/DATE II /.1% FOAL/DATE
DEPT.
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 3018201 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 LIARLITIES BY GARFIELD 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.00J
9:
I HEREBY AC3WLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): ✓
reG) �'c- U
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.
****CANNOTOCCUPY 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
PREMISE UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy_ use and te issuance of a
Certificate of Occupancy;or the dwelling under building permit#
11 -10^^3
gnature Date
BpcontO82002
PLAN REVIEW CHECKLIST
Applicant ,C OW Date //— —o3
Building
/414. Engineered Foundation
Driveway Permit
✓SCaeveyed-Site Plan> ,sa
✓Septic Permit and Setbacks
.✓trade/Topography 30%
,Attach Residential Plan Review List
Minimum Application Questionnaire
m.4. Subdivision Plat Notes
tl Q. Fire Department Review
Valuation Determination/Fees
./Red Line Plans/Stamps/Sticker
� . Attach Conditions
Plan Reviewer To Sign Application
'L/Schedule No.
40# Snowload Letter- Mani'. Hors.
GENERAL NOTES:
06(o s.t . " 9 =
13,104
Planning/Zoning
Property Line Setbacks
30ft S Setbacks
1 loodn
eight
Zo ' ign-off
Roa pact Fees
HOA/DRC Approval
Grade
pography 40%
Planning Issues
ubdivision Plat Notes
Garfield County
BUILDING & PLANNING DEPARTMENT
Agricultural Employee Affidavit
I, n µ'J S . D 0 ^i ^off , state that the residential structure
described below will be occupied solely as an agricultural employee dwelling unit
provided to an individual and related family member who is/are employed in an
agricultural use, including farms, garden, greenhouse, nursery, orchard, ranch, small
animal farm for production of poultry, fish, forbearing or other small animals, as
prescribed in Garfield County Zoning Resolution Section 3.02.01 and in Section 2.02.02
Agricultural Land, on the property at which the dwelling is located and further, pays no
rent.
It is agreed that proof of employment, in the form of Internal Revenue Service Forms
W-2 or 1099 for each person employed as described above will be submitted to the
Garfield County Building and Planning Department upon request by the county.
It is agreed that this property will not be sold to another party without representing that
the agricultural employee dwelling structure is for agricultural employees only and may
not be used for any other purpose.
Property and Building Description:
Address 74,n -7 C 2 3 7,0 [Z Ce
Assessors Parcel Number (9,0502y/0003 1
Building Description fZc- n r1/44,-3 AJ M r- c LnM 2 t
n�
Building Square Feet Habitable 14- 9 4 -
Building Permit Numbedar I©
ISDS (Septic) Permit Numbct4 1tr
Owner
Owner Addr ss 77$.I CR 31-0
Date /o - 7 - 03
Witness
109 8th Street, Suite 303, Glenwood Springs, Colorado 81601
(970) 945-8212 (970) 285-7972 Fax: (970) 384-3470
(Signature)
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 their signature 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 building 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 Unix showing exterior doors is required.
Yes V
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
understand that the plan check fee will not be refunded should the architectural committee deny or
reject your building plans?
Yes No ✓
7. Will this be the only residentiaLstructure on the parcel?
Yes ,/ No If no -Explain:
8. Have two (2) cor!plete 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
load); foundatiorydesign; 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 No
12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection
by the Garfield Couyity Building Department?
Yes ✓ No
13. Do you understand that approval for design and/or construction changes are required prior to the
application of they 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 System" fe,�s 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 Bafflement 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. Inspectiojs are to be called in to 384-5003.
Yes '/ No
16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a
$47.00 re-inspegtn fee?
Yes V 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 of the'building?
Yes l/ No
18. Are you aware that prior to submittal of a building permit you are required to show proof of a
driveway access p t or obtain a statement from the Garfield County Road & Bridge Department
stating one is not ecessary? 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 J 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 permit application? Your attention in this is appreciated.
Yes f 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 inspectiony
Yes ✓ 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 Code?
Yes No
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
tare of O Date
Phone: 9 7 0 6 75 3 d b t7 (days);
(evenings)
Project Name: R6 Q.ICc.1Li Y RL. 5tvi1ti..�.)E-ts siiet c c
7687 3d a gal t l� Co x/6.50
Project Address:
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.
bpreqmh
04/2003
4
Garfield County
Road and Bridge Department
P.O. Box 426
Rifle, CO 81650
Phone -(970)625-8601 Fax- (970)625-8627
Invoice
Invoice Date: 10/15/2003 Invoice Number. 122
Bill To: John Downing
7607 CR 320
Rifle , CO 81650
Driveway Permit Number: 122
$75.00 per Driveway Permit.
Driveway Permit Fee: $75.00
Total Due:
Thank You!
$75.00
f 1,
JO ll (
0 mammon
HOME BUILDERS CO.
To Whom It May Concern:
1442 Sunnyslds Road
P.O. Box 190
Webs,. Idaho 63672
206-549-1410
Fax: 209-549-0060
October 16, 2003
RE: 17-03-308-02431
MODEL: 308
RETAILER: RIFLE PREMIER HOMES
This is to verify that the above house built by Champion/Redman Home Builders
in Weiser, Idaho includes a 40# roof load.
If there are any further questions, please call.
Sincerely,
Ric Martin
Zone Manager
RLM/Ija
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GAR—FIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit R° 3876
INDIVIDUAL SEWAGE DISPOSAL PER
PROPERTY
109 8th Street Suite 303
Glenwood Springs, Colorado 81801
Phone (303) 945.8212
Owner's Name
System Locatio
Assessor's Parcel No.
This does not constitute
a building or use permit.
Present Address -778 \
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
JoOO
Septic Tank Capacity (gallon) Other
Percolation Rate (minutes/inch) Numberjof Bedroo s (or.,other) -
035 J'„ -f 2� Yy�4-A—Q
✓O I 0 fm C'_
3q L.t^4_.td
Required Absorption Area - See Attached
Special Setback Requirements:
Datell I-0''7
Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
lL
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
LA/It/C.76 fm
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other -
Date /r- ? r - y' Inspector 14 J r.� ! _k7 7L.... -
RETAIN
7L.... -
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 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 tine — 6
months in jail or both).
White - APPLICANT Yellow - DEPARTMENT
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When correction(s) have been made, call for inspection at 970-384-5003.
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DWILPER
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Assessor's Parcel Nofa L' Gb- (:),\Date 11 1D/63
T CARD
Address Phone #
Address Phone h-�YJ (175
RH LH Zoning9 �4c�3�
4/42.7 jidee,
Weatherproofing I CIO 31010
Mechanical
Electrical Rough (State)
Electrical incl tate) r L 4v
Final - cklist Completed?
Certificate Occupancy #
Date
Septic System # 3
Date //%
ks: Fro Rear
err._
SoilsTest I-, �/ ^
Footing f[- J4'.. 03 A•
Foundation
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping 12
1p( o
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INSPECTIONS
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11 -o3 oS' oGyzy3
V (cpnti ton back)