HomeMy WebLinkAboutApplication- PermitJob Address
GARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 Sth. Street, Suite 303
Gk¢wood Springs, CO 81601(910) 9454212
Nature of Work Building Permit
U f Build" �/ c� n x n Y X. .
Use
u g f ry {�.
owner n 1 t��} L e e c1— Marts
\arts
Contractor -, I fl ra ' ‘trn e3
Amount of Permits O p ,•- . (49
Date
No. 8745
NC01-1Q__
y ri-wtracka_
Clerk
TELEPHONE.
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO
(970)945.8213 is -79 1 INSPECTION LINE: (970)384-5003-
PERMIT NO. L 9 PARCEUSCHEDULE NO. 1 '2-S / 3100-684:-
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JOB ADDRESS. I &2. '1CN7 Z4qI CHIC -1.0 CASTT-L ql(,U I
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vamAnotiaa WORD l A4n/I lora co ADAPTED VALUATONF
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NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY
COLORADO.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR
AUTHORIZED BS NOT COMMENCED WITHIN 140 DAYS, OR IF CONSTRUCTION
WORK I3 SUSPENDED OK ABANDONED FOR A PERIOD OF 110 DAYS
AFTER WORK LS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER
OR NOT. THE NOT PRESUME
AUTHORITY TO VIOLATE OR CCANCEL THE PNG OF A P RRDVISLON OF ANY OTHER
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE
CO • STRllCRON. / M /
`✓/
THE STATE OF
CONSTRUCTION
OR
AT ANY TIME
AND
OF LAWS
SPECIE EDHEREIN
STATES
TO E R
OF
PLAN CHECK FEE:
244(9.7
PERMIT FEE:
zzzs'.75
TOTAL Ea Q DATE PERMIT ISSUED:
3R ! % . 4 7
OCC: GROUP: CONST: TYPE:
f'" • -' V -
ZONING:
SETBACKS:
rilin
�'E4
MANU. HOME.
IEDS NO. & FPB:
/ J
ilps
a44'fr 6'5031i./1/.
W-• ? IC
BluldmS DMP „,,IJ' PPIe PE ......FRE.
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AC tEnIENi
PERMISSION IS HEREBY GRANTED TO TEB APPLICANT AS OWNER, CONTRACTOR AND/OR THE ACENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE
DETAIL ED ONPLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUTL)INGDEPARTMENT.
IN CONSIDERATION OF TBE ISSUANCE OF THIS PERMIT, THE SIGNER AGREES TO COMPLY WITH ALL BUB -DING CODES AND LAND USE REGULATIONS ADOPTED
GARFIELD COUNTY PURSUANT TO AUIHORHY GIVEN IN 30.23.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FUI
COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FR
THE COUNTY AND THAT THEIN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING 1
CORRECTION OF ERRORS IN SAID PIANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN
VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF TILLS JURISDICTION.
THE REVIEW OF 11E SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF A
RESPONSIBILITIES OR LIABILITIES ITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBR.TIY FOR THESE ITEMS AND IMPI EMENTATI
DURING CONSTRUCTION RESTS SPECIFICALLY WITH TTE ARCHITECT, DESIGNER BUILDER AND OWNER. COMMENTS ARE INTENDED TO B ERVATIVE AND IN SUPPE
OF THE ,OB�Wq�NERS INTEREST.
Gdo®.VD 1 EREBY ACKNOWLEDGETHAT I HAVE READ AND UNDERSTAND TEE AGREEMENT ABOVE. 11J11 Ia`
PPR -22-2002 08:5041 FROM:BLDGPLRNGRRCO 9703843470 TO:986253607 P:2'B
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 1994 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 CER 1 IF1CATE 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 occupanc , use and the issuance of a
Certificate of Occupancy for the dwelling under building permit #
Signature Date
bpcont
VALUATION/FEE DETERMINATION
Applicant KgtoTl+
Address C.R. 2.4/
Date 5. 5- D')
Finished (Livable Area):
Main 25P -p
Upper
Lower I:24
Other
Total Square Feet
Valuation
Basement:
Unfinished (0 91'
Conversion of Unfinished to Finished
Plan Check Fee for Conversion
Valuation
Garage:
Crawl Space:
GA Co
Valuation 572
(�1.3
Valuation
Decks/Patios:
Covered
Valuation
Open
Valuation
(. 5Q r
12
Subdivision V1 X f.SitlaJ • E mtloho„�
Lot/Block Parte l 1
Contractor G10kfd MT: ilnes
S
Total Valuation 3 fl e' -4a
Building Permit Fee 2 ::5,-75
Plan Review Fee 1411
Total BP&PR 3(o7=•`15
Li
Joh
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.
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.
Yes
2. Does the site plan also include any other buildings on the property, setback easements and
utility easements?
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 courses?
Yes y-
4. Does the site plan indicate the location and direction of the County or private road accessing
the property?
Yes X
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 a 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 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
Toads and wind loads?
Yes i,
9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof
construction?
Yes ?C'
10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roof rafters or joists or trusses?
Yes 7C
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 (undisturbed) grade contours?
Yes u
13. Does the plan include any stove or zero clearance fireplace planned for installation including
make an odel and Colorado Phase II certifications or phase II EPA certification?
Yes__ No
14. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform Building Code 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 iC 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 the plan?
Yes y 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 )C 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 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 Ifno-Explain:
22. Have two (2) complete sets of construction drawings been submitted with the application?
Yes 2C--
23.
23. Do you understand that the minimum size a home can be on a lot is a 20ft. x 20ft.?
Yes No
24. Have you designed or had this plan designed while considering building and other
constructio code requirements?
Yes No
25. Does the plan accurately indicate what you intend to construct and what will receive a final
inspection the Garfield County Building Department?
Yes No
4
26. Do you understand that approval for design and/or construction changes are required prior to
the app 'c tion of these changes?
Yes No
27. 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 permit?
Yes No
28. 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 Y No
29. 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 %C No
30. Are you aware that the person signing the Permit Application, whether the "Owner", "Agent
of the Owner", "General Contractor", "Contractor" or otherwise, is the party responsible for
the project complying with the Uniform Building Code?
Yes No
31. Are you aware that prior to issuance of a building permit 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
625-8601.
Yes y No
32. 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 a of applicable inspection.
Yes No
5
33. 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 issuance
of a building,Permit? Your attention in this is appreciated.
Yes X No
I hereby acknowledge that I have read, understand and answered these questions to the
best o yab"ty.?f pXps G
/
av/ f�fj
ture
Dab tP /4-s
Phone: q 70 6p 2 S 2 3 4/ 7 (days); (evenings)
Project Name: KtAtiTh //��
Project Address: 1113 ( P `2 Lj f ' l '1(0 7
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
08/2002
6
PLAN REVIEW CHECKLIST
Applicant k)/{q-u- —44
Building
'Engineered Foundation
Driveway Permit
purveyed Site Plan
/Septic Permit and Setbacks
Grade/Topography 30%
✓Attach Residential Plan Review List
Minimum Application Questionnaire
/.I 4 Subdivision Plat Notes
/.�
4Fire Department Review
Val }cation Determination/Fees
Red Line Plans/Stamps/Sticker
✓Attach Conditions
`— Application Signed
an Reviewer To Sign Application
Parcel/Schedule No.
/.1 4.40# Snowload Letter- Manf. Hms
GENERAL NOTES:
Date 5 S
Plant' ingauging
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building Height
Zoning Sign -off
Road Impact Fees
HOA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat Notes
04/22/2003 00:03 6258627
ROAD AND BRIDGE
Garfield County J
Garfield County Road and Bridge Department
April 22, 2003
-,cJikte & MerylGlatt
1761 CR 241
Rifle, CO 81650
CC: Garfield County Building and Plannutg Department
Dear Mr. & Mrs. Krauth,
The driveway that you have m place in is accordance with the Garfield County Road and
Badge Department's specification for driveways and you do not need a permit for this
driveway.
If you have any questions or problems, please fed free to contact me.
Sincerely,
Kraig Kuberry
Forerun
Garfield County Road and Bridge Department
902 Ts. bnbr# Blvd. Suite 305
Riles, CO 9165,
Piton 9761254601
Fa: 970Qs-127
PAGE 02
UV, L
M LDNdG g pLANNI r
NG
FFOr" :
EPX NO. :3038161418 Jun. 17 2003 09:00gM F2
BARTA 4 ASSOCIATES, INC.
(✓
303-674-3025
• STRUCTURAL DESIGN
• SEPTIC SYSTEMS DESIGN
June 17,2003
Glard Homes
1431 Airport Road
Rifle, CO 81650
30752 Southview Drive, Suite 250
Evergreen, CO 80439
Fax 303-674-1889
Re: Krauth Residence
County Road 241 (East Elk Creek Road)
Garfield County, CO
This letter will confirm that the inspection of the reinforcing steel and form work for the
concrete foundation for the referenced new residence can not be performed by Barta &
Associates at this time. Thus, we will allow this inspection to be performed by a
qualified independent inspector or a Garfield County inspector. Inspections shall be
performed in accordance with the 1997 Uniform Building Code requirements.
if you have any question regarding this letter. please call me at 303-674-3025.
Sincerely,
(722
Heather G. Hanson, PE
BARTA & ASSOCIATES
REB/HGH/gg
JUr-1E-2003 1:25 H—P GEOTECH
Ger
h
HEPWORTH • PAWLAK GEOTECHNICAL
June 12, 2003
Girard Homes
Attn. Jeff Girard
1L31 Airport Road
Rifle, Colorado 81650
Hcpvrorci-Pawlak Oec:ec:u.:al, L•c
522C CL•_nt) Rosi 154
Glen.vacd Springs. Gi oreJa 5:E1/4:1
Pnonc-9"C-A.,.796d
Fax 97C-9438434
crco[l. hp;ec Ohpgeocecn corn.
Job No. 103 369
Subject: Observation of Excavation, Proposed Krauth Residence, County- Road
241 (East Elk Creek Road). Garfield County, Colorado
Dear Mr. Girard:
As requested. a representative of Hepworth•Pawlak Geotechnical, Inc. observed the
excavation at the subject site on June 9. 2003 to evaluate the materials exposed for
foundation support. The findings of our observations and recommendations for the
foundation design are presented in this report. The services were performed in
accordance with our agreement for geotechnical engineering services to you. dated June
5, 2003. Evaluation of potential geologic hazards that may impact the residence is
beyond the scope of services requested.
The residence will be single story wood -frame structure over a walkout basement level
with an attached garage. Ground floors will be slab -on -grade. The building his been
designed to be supported on spread footings assuming an allowahle soil bearing
pressure of 1,500 psf. The site is moderately steeply sloping down to east with steep
slopes above the building site. The site has been graded with moderate cuts and fills.
At the time of our visit to the site, the foundation excavation was nearly complete and
had been cut in two levels from about 4 to 10 feet below the adjacent ground surface.
The footing trench along the downhill side of the residence was being dug at the time of
our visit. The materials exposed in the bottom of the excavation consisted primarily of
medium dense silty clayey sand with scattered gravel and cobbles. In portions of the
deeper cuts along the uphill side, sandstone bedrock was exposed at subgrade. Results
of swell -consolidation testing performed on a sample taken from the site, shown on
Figure 1, indicate the sand soils have low to moderate compressibility under conditions
of loading and wetting. The sample showed a low hydro -compression potential. No
Parker 303.841-7119 • Colorado Springs 719.633.5562 • Silverthome 970.468.1989
TOTAL P.05
H -P GEGTECH
Girard Homes
June 12. 2003
Page
free water was encountered in the excavation and the soils and bedrock were slightly
moist.
Considering the conditions exposed in the excavation and the nature of the proposed
construction, spread footings placed on the undisturbed natural soil and bedrock
designed for an allowable bearing pressure of 1.500 psf can be used for support of the
proposed residence. Footings bearing entirely on sandstone bedrock can be designed
for an allowable bearing pressure of 3,000 psf. There is some risk of differential
settlement due to the variable bearing conditions, especially if the soils become tiet.
Footings should be a minimum width of 16 inches for continuous walls and 2 feet for
columns. Al] existing fill, topsoil and loose or disturbed material in footing areas
should be removed and the bearing level extended down to the undisturbed natural soils
or bedrock. Exterior footings should be provided with adequate soil cover above their
bearing elevations for frost protection. Continuous foundation walls should be
reinforced top and bottom to span local anomalies such as by assuming an unsupported
length of at least 12 feet. Four.dation walls acting as retaining structures should also be
designed to resist a lateral earth pressure based on an equivalent fluid unit weight of at
least 50 pcf for on-site soil and well broken bedrock as backfill. A perimeter foundation
drain should be provided to prevent temporary buildup of hydrostatic pressure behind
the walls and prevent wetting of the basement level. The underdrain system should
include and be connected to at least 4 inches of free draining gravel below the basement
slabs. Structural fill placed within floor slab areas can consist of the on-site soils
compacted to at least 95% of standard Proctor density at a moisture content near
optimum. Backfill placed around the structure should be well compacted and the
surface graded to prevent ponding within at least 10 feet of the building. A. swale may
be needed around the uphill side of the residence to divert surface water.
The recommendations submitted in this letter are based on our observation of the
materials and bedrock exposed within the foundation excavation and do not include
subsurface exploration to evaluate the subsurface conditions within the loaded depth of
foundation influence. This study is based on the assumption that materials beneath the
footings have equal or better support than those exposed. The risk of foundation
movement may be greater than indicated in this report because of possible variations in
the subsurface conditions. In order to reveal the nature and extent of variations in the
sob #103 369
G5tech
•
h -h' UtuitL.H
Girard Homes
June 12, 2003
,Page 3
subsurface conditions below the excavation, drilling would be required. It is possible
the data obtained by subsurface exploration could change the recommendations
contained in this letter.
If there are any questions or if we may be of further assistance please let us know
Sincerely,
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
• :,
1 !
v
David A. Young, P.L.'a'I /32-216 ifti ic„
REG rite,
Rev. by: DEH
DAY/ksw
attachment - Figure 1 - Swell -Consolidation Test Results
Job #103 369
7
JUN -16-200: 13,28
H -P GEGTECH
p
Compresscon
A W N 0
i
1
Moisture Content = 6.0 percent
Dry Density = 98 pcf
Sample of: Silty Clayey Sand
From Bottom of South—Centro! Portion
of Excavation
11__
—1
Compression
upon
weft ng
—,
_
1
0.1 1.0 10 100
APPLIED PRESSURE — ksf
103 369
HEP WORTH—PAWLAK
GEOTECHNICAL, INC.
SWELL CONSOLIDATION TEST RESULTS
1
Figure 1 j
1
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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
Owner's Name
Permit N= 3 8 1 0
Assessor's Parcel No.
This does not constitute
a building or use permit.
Present Address - Phon
System Location
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
/COO Septic Tank Capacity (gallon) Other L / n.,,f .
✓' Percolation Rate (minutes/inch) um r of Bedroom (or other) /? 7 V 41.4„."1"1"17-- 1"'"j )'Y
41
/173 fiq ielr �P�11f ...ee { 7i 1J1
Required Absorption Area - See Attached .5g r ,1 r/�y,�ry1 s 1 (3 i) ���
?°7 444 K gaa = 38 (a l� J / �C
Special Setback Requirements:
Date
-? /D3
Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity 71o'n 0
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface ��Id
Absorption Area ['Pe- e'701
ty, 14
Absorption Area Type and/or Manufacturer or Trade Name r- 4•1'79.j� _i7/
Adequate compliance with County and State regulations/requirements
Other
Date / /r / i o'3 Inspector�frA-
fff/ 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 aviolation 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 Of tense ($500.00 fine —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.
When correction(s) have been made, call for inspection at 970-384-5003.
No. S-14
Job Add ess / 7 90 ` a4 IILDING pEpRl'M`I>T ARD R,
Owned 11�C-11 �� Qe��Q Address �¢�o #�
Contractor) 'sl C,.l• t'�L.At t Cg Address)` F ,Yr�Dr' f2 kP-hlone # � '-al-1-.7
Set 9s: Front Rear RH LH Zoning
� �ri . INSPECTIONS
st Weatherproofing
Footing Gig -0301 Mechanical
Foundation b•2-1-03dein *qi,n 7 2%°,lar Electrical Rough (State)
Grout
Underground Plumbing 77/103
Rough Plumbing 1/49-3o
Framing /O- 30 -ctS.p
Insulation if- f'-' Oca
Roofing
Drywall it- i 9--0 3V71 --
Gas
_Gas Piping /O ".%-0S- Other
NOTES o./4 To+t Qanca ...O
Assessor's Parcel Noa las- «r -nn .
Date 6-a -03
Elect( al Final (St te) 'F1 t&Ot1C�etticrl
Final 2 ecklist Completed? .—
Certificate Occupancy #
Date
Septic System #
Date
Final
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