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HomeMy WebLinkAboutApplication- PermitNo. 8826 GELD COUNTY BUILDING, SANITATION, and PLANNING DEPARTMENT 109 8th, Street, Suite303 Glenwood Springs, CCD 1.501(970) 94S-8212 Cler GARFIELD COUNTY BUILDING PERMIT APPLICATION GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO TELEPHONE: (970) 945-8212 366-D. r YOB Aa�DDRESS: . `�i G PERMIT NO. C.] (� INSPECTION LINE: (970)384-5003 .- PARCEL/SCIIEDU.E NO. i85' ,17 f - IID -ol p v PERMISSION IS HEREBY GRANTED TO TILE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF TIIE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS DETATELDONEANISANDSPECII•ICAT[ONSSUBMITTEDTOANDREVIEWEDBYTF3EBB,TI DINGDEPARTMEENT. IN CONSIDERATION OI+ Akti. ISSUANCE OF THIS TERMrF, THE SIGNER HEREBY AGREES TO COMFY WITHAI.L BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARB= COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.21.201 CRS AS AMENDED. TIT, SIGNER FURTHER. AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH 1NTEE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE BERNET MAY THEN BE REVOKED BY NOTICE FROM THE COUNITAND THAT THEN AND TM+ EFTSHALLBECOIti.IENULI,ANp VOID TELE ISSUANCE OF A PERMIT BASED UPON PIANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT TBE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DMA OR FRO PREVENTING BUIWIWG OPERATION BEING CARRIED ON THEREUNDER WHEN IN 'VIOLATION OFTHfS CODE OR. ANY OTHER ORDINANCE OR REGULATION OF THIS IURISDICI'ION. THE REVIEW OF THE SUBMITTED PLANS AND SPEWIvICA IONS AND INSPECTIONS CONIN CTD. THEREJAFFER DOES Nur CONS1I117T$ AN ACCEPTANCE OF ANY RESPONSIBILITIES OR. LIABILITIES BY GARFIELD. COUN,'TY FOR ERRORS, OMISSIONS OR DISCREPANCIES.. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DIMING CaNSTRUG'11t)NRESTSSPECIFICALLY WIDITBE ARCHITECT, DESIGNNER,BUILDER AND OWNER. CONr1VENTSARE INTENDED TO OF THE OWNERS INTEREST. B •�•a'VATTJEAND INSUPPORT Gufoi 4D3 I HEREBY ACKNOWLEDGE THAT I RAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INSTIALI ?V• 6,43 51 - .. • ti a (. t.T it. �, W ( d ! I %L; 1 LOT NO. . .ila- BLOCK NO. ° S SUBDNISION v►e' ON / 2 4wrrPR '1/1+'46/e j 16efiiie Amu.% i of 7`���(ir'J yil ....PHT6/3 4,410• _ ..12,` ,' ub j� it3i' . r% pgr'lter"' .65 „r a - LIQNa: 4 ARCMq:ECM/MEER J ADDRFS$ RFt - LICM: 5 3 ra SQ. ye, 4FBVII11QYd LJ)�.J ] 3Q I.4F1 FaYilic C1C;111-ed). � HECLIT p N4. cama0R3 vi 6 D3E orBLEDiNO 7 D.ESCRB$WORM (/ v - - ' 8 - CLASS OP WORK: °NEW oADDIl7ON OA1.117A DMOVB O6EMOVE 7, 9 _ • S7AAAQE:hid P6MLIEC oDOCBt$ CARYORT: o9RfOLE onOP8LE 107 t1DRIVEWAYPRRAtr �/ DONSITES /AGEDL9POsAL(SWIIC) - 091TEPLAN n� j�q ¢�,�a .. 'YN.IIA'ifONcFwoa1c:a 00 0,5 a Apau$:i:DvarmAE4NS 0.0 f'1 V 6 1 `i! `!'� BPECLlf_CQIID71101.�• Jf' � .1 r /Loctl /149141 IOW. O A� 01 ♦. PAY'- Y/'t al l , r fT+�+a�ot�IT ,_! ���I�- My U Z • f *- `Z., ti / 1V5 i •! WF i i% ai. `'' t 4 n-ey,1 fF W14 -6C161/ `� A a:� ti3 Y4tu.".`a �+�')—,TemPry.0)..) I.yJ NOTICE A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BR ISSUED BY THE STATE OF COLORADO. THIS PERM T BECOMES J PLAN EE: CIIECKF x/ -• 94 PERMIT FEE: 9`) . 7f - NULL AND VOID IF WORK OR CONSTRUCTION AUTRORfZED IS NOT COMMENCED WITHIN 184 DAYS, OR OF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTBRWORK IS COMMENCED. • TOTAL PBL: DATE PERMIT zSUl;D: 3`2, 6? • I 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 COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS QF ANY OTL�R STA' OB. OCC: ( OLTP: • • - - "Z (� �j CONST: TYPE: ` /� ( J Y (�( LOCAL •' • TING CONSTRUCTION OR THE PERFORMANCE OF CO TRU ON/ r % l�iM / �Iird� .lii► ZONING: A SETBACKS: . ,4.40.7. .,1( ;or_. 4 J _ .. _ f/ / / MANLY. HOME: ISDS NO. Jec FEE: i . , TaV. _ ✓:uildingpept.A Si tT.. v PERMISSION IS HEREBY GRANTED TO TILE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF TIIE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS DETATELDONEANISANDSPECII•ICAT[ONSSUBMITTEDTOANDREVIEWEDBYTF3EBB,TI DINGDEPARTMEENT. IN CONSIDERATION OI+ Akti. ISSUANCE OF THIS TERMrF, THE SIGNER HEREBY AGREES TO COMFY WITHAI.L BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARB= COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.21.201 CRS AS AMENDED. TIT, SIGNER FURTHER. AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH 1NTEE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE BERNET MAY THEN BE REVOKED BY NOTICE FROM THE COUNITAND THAT THEN AND TM+ EFTSHALLBECOIti.IENULI,ANp VOID TELE ISSUANCE OF A PERMIT BASED UPON PIANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT TBE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DMA OR FRO PREVENTING BUIWIWG OPERATION BEING CARRIED ON THEREUNDER WHEN IN 'VIOLATION OFTHfS CODE OR. ANY OTHER ORDINANCE OR REGULATION OF THIS IURISDICI'ION. THE REVIEW OF THE SUBMITTED PLANS AND SPEWIvICA IONS AND INSPECTIONS CONIN CTD. THEREJAFFER DOES Nur CONS1I117T$ AN ACCEPTANCE OF ANY RESPONSIBILITIES OR. LIABILITIES BY GARFIELD. COUN,'TY FOR ERRORS, OMISSIONS OR DISCREPANCIES.. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DIMING CaNSTRUG'11t)NRESTSSPECIFICALLY WIDITBE ARCHITECT, DESIGNNER,BUILDER AND OWNER. CONr1VENTSARE INTENDED TO OF THE OWNERS INTEREST. B •�•a'VATTJEAND INSUPPORT Gufoi 4D3 I HEREBY ACKNOWLEDGE THAT I RAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INSTIALI ?V• 6,43 51 The following items are required by Garfield County for a final inspection: I. 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, Le. 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. .44 I understand and agree to abide by the above conditions for'occupanc' , use and the>issuarice of a Certificate of Occupancy for the dwelling under building permit # . Signature — .. Bpcont082002 l a4a /1(01 _Date~ c July 18, 2003 Attn: Richard Backe & Indy Mac Bank Garfield County BUILDING & PLANNING DEPARTMENT This memo is in reference to building permit fees for Richard Backe for property located at 3650 Highway 82, Glenwood Springs, CO 81601. The fees are based on a valuation amount of $100,000 which is what the owner/contractor valued the work to be to completed for this project will cost. Valuation: $100,000. Permit Fee: Plan Check Fee: $993.75 $645.94 Total Fees: $1639.69 Owner Paid at submittal: $649.58 Leaves a balance due of: $990.11 Please make check payable to the Garfield County Treasurer for the balance due. The permit will be issued upon payment and owner coming into pick up the paper work. If you have any questions please give me a call. Sincerely, h � Cathi Edinger Planning Technician 108 8th Street, Suite 201, Glenwood Springs, Colorado 81601 (970) 945-8212 (970) 285-7972 Fax: (970) 384-3470 PLAN REVIEW CHECKLIST Applicant 7:1-040( G( r`z Date b- /4a - 03 Building Engineered Foundation `tYe-1 Driveway Permit r\r Surveyed Site Plan A Szey Septic Permit and Setbacksy_{vcrrgy Grade/Topography 30% Cr,{a e n i J Attach Residential Plan Review List v Minimum Application Questionnaire /COSubdivision Plat Notes Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions PlanninglZo i Ong Property ine Setbacks 30ft S ' eam Setbacks Floc, ,i Plain B . ding Height g Sign -off R ad Impact Fees OA/DRC Approval ade/Topography 40% Planning Issues Subdivision Plat Notes Application Signed gip$ `-o&cia `p Plan Reviewer To Sign Application Parcel/Schedule No. it..S� Snowload Letter- Monts. Hms. GENERAL NOTES: SOLD 'Tcorcp. 1 S Cer-(LrRA47 t ietc_ Aa n9iy Sys i cy{ C:io, P � iP'' o . r bD6 0 ALcitzuc�4 By OcOi{L Cs� 2i`&e-d l' r a It 'y ` r't t.tea ' t) 14-E 40,474,0/47 my rSAb -CP`aiC o_ mz.. 15-15' rbc , . )1,2, _-.. i __.. _f _._p-e.z. COUNTY OF GARFIELD - BUILDING DEPARTMENT CORRECTION NOTICE 108 8th St., Suite 201 Glenwood Springs, Colorado Phone (970) 945-8212 Job located at 365 7) 1L g2 Permit No. 24 have this day inspected this structure and these premises and found the following .corrections needed: Q 100 /Yl.ogr Th ru J� Agogeoft,a a t food c 674-5 Ft n e /% ie 1 i ks p5 .S onc/ , situ J 1)141" iU, C/asear g , l o e 7%/1.,,31 You are hereby notified that the above correction must be inspected before covering. When correction(s) have been made, call for inspection at 970-384-5003. Date /Fig Building Inspector Phone (970) 945-8212 t�- Owner Contractor tour - Assessor's Parcel No. Date 1-6/g -W BUILDING'PERMIT CARD Job AddAi Setbacks: Front e Address t 4 'tea t 1. W hone , 560 AddressPhone # • " Rear RH LH Zoning INSPECTIONS Solis Test Footing 12 _ Y 1 Foundationt '"' Grout Underground PiurnbingQs_a- Rough Plumbing re* Framing Insulation Roofing 111° i Drywall Gas Piping' Weath Me roofing al al Rough (State) cal Final (State) /Checklist Complekesj' ccupancy # Date System # 30 #212 Date /P. Final 3--4- 99 5 NOTES O'i°rSf'?C- J(OE PAoN't f Ur€..V4CcEy No. tmk Job Add �j_ i� � 01 . Owner • Contractor /51,N.._ BUILD G J'_,1. Setbacks: Front qF Soils Test Footing Foundation Grout Rear Ad A Other (continue on bac STOP WORK ORDER - INSPECTOR'S POR !ON DATE n PERMIT NO. RH LH Zoning INSPECTIONS Weatherproofing Mechanical Electrical Rough (State) ri Final (State) /Checklist Completed? Certificate Occupancy # *Lr. Date ACPSeptio System # QOtherDate Final 3'01 ,-`c7 Underground Plumbin Rough Plumbing Framing Insulation Rooting Drywall Gas Piping .3-9-91 aovb4y2,w c NO�44,4,0& Iwo ,/LL iy_L_ (continue on back) J 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, roofmust be designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, an 80 M.P.H. windshear, wind exposure B, windload of 15 pounds per square foot, and a 36 inch frost depth. All sheets to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. All plans submitted must be incompliance with the 1997 UBC, UMC and 1997 UPC. 1. Is a site plan included that identifies the location of the proposed structure or addition and distances to the property lines from each 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 2. Does the site plan also include any other buildings on the property, setback easements and utility easements? Please refer to Section 5,05.03 in the Garfield County Zoning Resolution if the property you are applying for a building permit on is located on a comer lot. Special setbacks do apply. Yes 3. Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water co rses? Yes 2 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the uniform building code or per stamped engineered design? Yes e 6. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the ciearancesq 'red 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 soffits? 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 r� joists, roof rafters or joists or trusses? Yes 11. Does the building section drawi g or other detail include the method of positive connection of all columns and beams? Yes 1- 12. Does the plan indicate the height o he building or proposed addition from the highest point of the building or addition Measured at mid span' between the ridge, and the eave down to existing (undisturbed) grade contours? Yes 13. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or phase II EPA certification? Yes No 3 14. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the Uniform Building de Chapter 37? Yes 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 r s? 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 ars? Yes No �/ 18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the 9 Yes CNo 19. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, are building plans in compliance with all plat notes and/or covenants? Yes / No 20. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? If you do not have written pertnission from the association, do you understand that the plan check fee will not be refunded should the architectural ittee deny or reject your building plans? Yes / No 21. Will this be th6nly residential structure on the parcel? Yes No If no -Explain: 22. Have two (2) Oinplete sets of construction drawings been submitted with the application? Yes 23. Do you unders d that the minimum dimensions a home can be on a lot is 20ft.wide and 20ft, long? Yes V No 4 7 24. Have you designed or had this plan designed while considering building and other constru ti rr code requirements? Yes /7 No 25. Do your plans comply with all zoning rules and regulations in the County related to your properties zone istrict? Yes No 26. Does the planaccurately indicate what you intend to construct and what will receive a final inspection by th Barfield County Building Department? Yes No 27. Do you understand that approval for design and/or construction changes are required prior to the application 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 perm t?"- 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 clay 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 L/ No 30. Are you aware that requesting inspections on work that is not ready or not accessible will result in a$47 re-inpsection fee? Yes v No 31. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of Occupancy andel € cupancy of the building? Yes f/ No 32. Are you aware th the Pennit Application must be signed by the Owner or a written authority be giv iffor an Agent and that the party responsible for the project must comply with the Un'f Building Code? Yes No 5 0 33. Are you aware that prior to submittal issuance 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 Depa ent at 625-8601. 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 wor ? The license number of the person performing the work will be required at time cf 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 pe application? Your attention in this is appreciated. Yes f No 1 Signature of Owner Phone:Qt`l - '17 ( _— _(da s); Project Name: V li hereby acknowledge that I have read, understand and answered these questions to the besttpf agility. 4/77a 3 Date qC3 -00 (evenings) Project Address:6,�� 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 peiinit. 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 maybe 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 peunit or delay in proceeding with construction. bpminreq 04/2003 6 Irte`' r r. y £ GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT f J t f d • rr ft. 1 INDIVIDUAL SEWAGE DISPOSAL PERMIT I t PROPERTY f i Owner's Name fSystem Location { ( SYSTEM DESIGN i,�7 1. u5eptic Tank Capacity (gallon) Other ; i t Required Absorption Area - See Attached 109 8th Street Suite 303 Glenwood Springs, Colorado 81001 Phone (303) 945.8212 „ Permit N^ 3077 Assessor's Parcel No. This does not constitute a building or use permit. (U w T t kr ` Pritsent Address VS1AWg V2: t'tPhons ` 5 to U./ fiti)St CD, 1 Legal Description of Assessor'srcel r6 Percolation Rate (mInutes/Inch) Number of Bedrooms (or other) Special Setback Requirements: 5 Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation "s l r 0 I r7:' 4 ,. t r I Y System installer / f • 7 i. Septic Tank Capacity, o } Septic Tank Manufacturer or Trade flame Septic Tank Access within 8" of^su�ry y fgoe V " ♦ f Absorption Area it f t !Ai Absorption Area Type and/or Manuracturer oY Trade Name co`oC L rrJ Adequate compliance with County and State regulations/requlrements,,..� Other _ . — ty 4 w Date 4.e '; *CONDITIONS: c..... -..'—mss j� RETAIN WITH RECEIPT REC RDS AT CONSTRUCTION SITE 2 -9inspector 1. All Installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.A.S. 1913, 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, altars, 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 Offensa (3500.00 fine --- 6 months In Jail or both). White - APPLICANT Yellow - DEPARTMENT 4 f 4 r 5 3 1 OWNER/me rra-,/tv4( orA4 INDIVIDUAL SEWAGE DISI'bSAL SYSTEM APPLICATION ADDRESS 3(042- CONTRACTOR PRONE 2'C -6Z 9 ADDRESS PHONE 94 � szo YC' PERMIT REQUEST FOR NEW INSTALLATION ( ) ALTERATION ( ) REPAIR Attach separate sheets or report s owing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4), #. 1 i • , 1 Near what City of Town of / Legal Description or Address ' y`t it%e fit TAtf/1 £ _ ? 9 Size ofisit /> AcA)-4--J WASTES TYPE: f DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: .ate Number of Bedrooms 7 Number of Persons (i -f. Garbage Grinder (utomatic Washer ( ) Dishwasher QURCE AND TYPE OF WATER SUPPLY: (ELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: D� �,c� DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: `1d d, d S Was an effort made to connect to the Community System? A site plan is required to_be submitted that indicatesibe following MINIMS distances: Leach Field to Well: ( 3 D ._ 100 feet Septic Tank to Well: /,,v 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: Septic System to Property LinesOMP 10 feet _K) 4 .) 1 1 i 50 feet WITHQUT A_SITE_PIAN, GROUND CONDITIONS: Depth to first Ground Water Table Percent Ground Slope 2 41 TVPE*OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( , SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOTT.FT ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE FINAL DISPOSAL BY: ( Gil.' ABSORPTION TRENCH, BED OR NT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ' ( ) OTHER - DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? PERCOLATION TEST RESIJLTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes per inch in hole No. 1 Minutes per inch in hole NO. 3 Minutes per inch in hole No. 2 Minutes per inch in hole NO. _.., Name, address and telephone of RPE who made soil absorption tests' Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted bas ' upon said application and in legal action for perjury as provided by law. Signe Date F PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 0 g g 00 mal oa t-4 ©;� � ra Figffg cY a. -0 �*e v� Iv w ig 8 r L:O s -2_ 20 t8 Frit " 2 3 2 0 f r 2-1,0 114 d is �--•\ 1( g 2 SYs rol- • 1 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945.8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY j Yr�I�r ��� �� Owner'* Name(, t� resent Address System Location Legal Description of Assessor's Parcel No. SYSTEM DESIGN ;J_ ^�eptic Tank Capacity (gallon) Other f I .0 Percolation Rate (minutes/Inch) Number of Bedrooms (or other) Permit NT. 3 U 7 7 Assessor's Parcel No. This does not constitute a building or use permit. &y. V2L1((t,LSPhorieq 5 -- Required Absorption Area - See Attached Special Setback Requirements: Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer / y t Septic Tank Capacity Septic Tank Manufacturer or Trade Neme C...) 1" Septic Tank Access within 6" of surface --- Absorption Area • Absorption Area Type and/or Manufacturer ol• Trade Name C 0f-•• C 1. r'3 1.1 1.) Adequate compliance with County and State regulations/requirements t t Other 1 ` Data Q ��` Inspectors �1 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 Mapes& Systems Chapter 25, Article 10 C.R.S.1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully compiled 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 e requirement of the permit end cause for both legal action and revocation of the permit. 3. Any person who constructs, aliens, or Installs en individual sewage disposal system in a manner which Involvee a knowing and material variation from the terms or specifications contained in the application of permit commits a Claes t, Petty Oifenae (5500.001 ine --- 0 months In jail or both). RECEIVED JUN 10 2003 GARFIELD COUNTY BUILDING & PLANNING Garfield County Road and Bridge, District 1 1300 Hwy 82, Glenwood Springs, CO 81601 970-945-1223 ph. 945-1318 FAX Date: 06-10-03 To: Building & Planning From: Bobby Branham Re: Driveway permit exemption For:_ Rich Backe - Location: 3640 Hwy 82 fpope of Work: Obtain building permit Agra and Bridge Concerns: This property lies outside the system of maintained county ids, sod is therefore exempt from County driveway permit requirements. Bobby Btanh m Dist.' Road and Bridge INSPECTION WILL NOT BE MADE UNLESS THIS CAR IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS Date Issue BUILDING PERMIT ARFIELD COUNTY, COLORADO Zoned Area Permit No.. AGREEMENT In consideration of the issuance of this permit, the. applicant hereby agrees to 'comply with alt laws and regulations related to the 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 Inspectors MEDIAELy BECOME NULL AND VOID. Useg .mss, Addr Legal Descriptio /���, Jjj�1b �yy� Owner Y w.=AY:LK7 F�Ton Setbacks t Side 5i it Rear This Card Must Be Pasted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD Footing Foundation Underground Plumbing Insulation q-,7-03 ,,L, RI 1 1 ) , _ •-3-o 3 4 Drywall ' — 15---o 3 I �t�i1 Chimney & Vent " , ., Electric Final (by State Inspector?/%j 11 J Gas Piping —a3 AIA__ ., Final _I 7_0 3 A_i, Electric Rough (By State inspector)` % t,0 Ifili Septic Final Framing �1.�7pa, (To include Roof in place and Windows and Doors installed). Notes: _ ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE k ifonie 384»50;033, 109 8th Street County Courthouse Glenwood Springs, Colorado. APPR V E DDO NOT DESTROY THIS CARD By .y IF PLACED OUTSIDE - COVER WITH CLEAR PLASTIC