HomeMy WebLinkAboutApplication- PermitJob Address q
Nature of Work
Use of : uildin
Opener
Contractor
GARFIELD COUNTY
BiiILDING, SANITATION
and PLANNING DEPARTMENT
109 Sth. Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
No. 8721
Amount of Permit$
Date
Clerk
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO
TELEPHONE: (970)4945-$212 $
JOB ADDRESS:
1
PERMIT NO. a P -----i
C1 ,2Cfii7'/e Co g/(52
LOT NO. BLOCK NO,
QwNE>t
INSPECTION LINE: (970)384-50 03
PARCFT /SCHEDULE NO. A:297153
SUBDNISIONE.XE i loN
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SPECIAL DUNDf1TONe•
ADN IED'01.AATION:S
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NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF
COLORADO,
TILES PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORI2:ED IS NOT COMMENCED WITInN ISP DAYS, OR. IF CONSTRUCTION OR.
WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME
AFTER WORK IS COMMENCED.
1 FIF.BEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW TBE SAME TO BE. TRUE AND CORRECT. ALL PROVISIONS OF LAWS
GOVERNING THIS TYPE OF WORK WILL BE COMiPJ.TFf W1rII WHETHER SPECIFEED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME, TO GIVE
AUTHORITY TO VIOLATE OR. CANCEL THE PROVISIONS OF ANY OTHER. STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE. OF
CONSTRUCTION,
PLAN CHECK FEE:
lc? 91e
PERNET FEE:
49zz, '
TOTAL FEE:
OCC: CROUP:
DATE PERMIT ISSUED:
72-3 c4-!
ZONING:
CONST: TYPE:
V -11a
SETBACKS:
MANU. HOME:
4
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AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER. CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE
DETAILED ON PLANS AND SPECJFICATIONS SUBMITTED TO AND REVIEWED BY TkIE BUIEDJNGDEPARTMENT,
IN CONSIDERATION OF THE. ISSUANCE OF THIS PERMIT, ltiE SIGNER HEREBY AGREES TO COMPLY WIITI ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED
GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 3125,201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT JF THE ABOVE SAID ORDINANCES ARE NOTFIJL
COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FR(
TBE: COUNTY AND THAT THEN AND THERE IT SHALL BECOMEN(3LL AND VOID.
THE ISSUANCE OF A PERMIT BASED UPON PLANS, SP 1 JJ LCATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING T
CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN
VIOLATION OF THIS CODE OR ANY OTHER ORDNANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF IEik SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS COMMUTED THEREAFTER DOES NOT CONSTINTE•411^"AC EFIT BICE OF A
RESPONSI11JLITIES 05. LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY F £HESE STEMS AND IMP MENTATI
DURLNOCONSTRUCTION RESTS SPECIFICALLY WITFI THE ARCMTECT, DESIGNER BUILDER OSVNEIL COMMENTS ARE /INTENDED TORE CJ N E/RV • TINE AND SUPPC
/
GazTaun.0o3 I BEREBY ACIG"IOAVi,EDGE; THAT 'HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE
,
1
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 wl ere 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;
S. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or
decks ovet 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
p , 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 RAVE,BEENi-COrPLETED.
****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 occupant use and theiisuanceof a ,
Certificate.of Occupancy for the dwelling under building permit #' 7(/ .
,,j/g7,;eah
Signature . Date
Bpcont082002
Applicant Dr,
PLAN REVIEW CHECKLIST
Date -7.0 3
Building
ALA Engineered Foundation
✓Driveway Permit
✓urveyed Site Pian
fSeptic Pe nit and Setbacks
• 7 Grade/Topography 30%
Attach Residential Plan Review List
um Application Questionnaire
N.61 Subdivision Plat Notes
„9. .Fire Department Review
Valuation Determination/Fees
d Line PlansiStanaps/Sticker
irAkAtach Conditions
Application Signed tia,:.: 3
Plan Reviewer To Sign Application
',1arcel(Schedule No.
40# Snowload Letter Man
= GENERAL NO' ;S
l:
23S%
720 ) 1
2),Zo4
' /2,966
3`)44
Planning/Zoning
.Properly 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
4N SURVEY
EMPTION PLAT,
19, T. 6 S., R. 93 W. OF THE 6TH P.M.
,OLORADO
48.4'
PROPOSED
HOUSE
PROPOSED —
SEPTIC
)00 Fhb
14 mf 112.2'
x
07,'1_0' 40"W
994.73'
155.3'
PROPOSED
GARAGE
•
80.5'
65.4'
164.2'
15' DIRT
DRIVE
p. —INDICATES FOUND REBAR AND CAP PLS 19595
—BASIS OF BEARING IS THE NW CORNER AND THE NE
CORNER, BOTH DEMO REBAR AND CAP LS 19596 AS SHOWN.
SURVEYORS CERTIFICATE
BEST CO
I, BRIAN A. STEINWINDER BEING A REGISTERED LAND SURVEYOR IN THE STATE
OF COLORADO, D0 HEREBY CERTIFY THAT THIS SITE PLAN SURVEY WAS
5, u
PREPARED �fslr AND UNDER MY SUPERVISION FROM A SURVEY MADE BY W.!
AND U`F���td j1,3VISION AND THAT BOTH THE SURVEY AND PLAT ARE TRUE
AND ^" pa , iIiiki EST OF MY KNOWLEDGE AND BF:
ELIE
4-1z3/ 1
BRL l STEINWIN� : " P.L.S. 31944 DATE
as
ty, , 00400aa,W CY'
Are
'ON SURVEY COMPANY
3RD STREET
10. NO.: 03065
DATE: 4/22/03
DWG. BY: KJS
REV;
REV:
PARCEL SA, TASSADA EXEMPTION PLAT,
PARI OF THE E1/2 SE1/4,
.-..» .n .n n n n no v 4TF.f P!I
O.f
1 s,
GRAPHIC SCALE
SO
° SO IOD
aA
(n FEET )
1 inch 50 IL.
DOLL SITE
PARCEL 3A, TAS
PARCEL OF LAND IN THE E7/2SE9,
CARFIELD C1
NORTH
BASIS OF E
SOO'39'.
-x- -
849.1
PROPERTY DESCRIPTION
A PARCEL OF LAND SITUATED IN THE E1/2331/4 OF SECTION 19, TOWNSHIP 6 SOUTH, RANGE 93 WEST OF THE
SIXTH PRINCIPAL MERIDIAN, COUNTY OF GARFIELD, STATE 01' COLORADO; SAID PARCEL BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT 7713 SOUTHEAST CORNER OF SAID SECTION 19; THENCE NORTH 00.39'56" WEST ALONG 7713
EASTERLY LINE OF SAID SECTION 19, 649.69 FEET TOA POINT ON THE NORTHERLY 310112' OF WAY OF COUNTY
ROAD 320, THENCE LEAVING SAID EASTERLY SECTION LINE SOUTH 56'40'04" (PEST ALONG SAID NORTHERLY
RIGHT OF }PAY 280.00 FEET, THE POINT OF BEGINNING; THENCE LEAVING SAID NORTHERLY RIGHT OF (PAY
NORTH 00'10'40" WEST 994.73 FEET; THENCE NORTH 90'00'00" EAST 232.39 FEET TOA POINT ON THE EAST
QUARTER LINE OF 3,41D SECTION 19; THENCE SOUTH 00"D65" EAST 849.18 FEET TOA POINT ON THE
NORTHERLY RIGHT OF WAY OF COUNTY ROAD 320; THENCE ALONG SAID 31037 OF WAY SOUTH 58'40'04" WEST
280.00 FEET TO T113 P0I37' OF BEGINNING.
ALSO KNOWN AS
PARCEL 34
ACCORDING TO THE AMENDED PLAT OF PARCELS 2A AND 3A
TASSADA EXEMPTION PLAT
RECORDED DECEMBER 2, 2002
AS RECEPTION N0. 615839
507IC1 ACCORDING 10 COLORADO LAW YOU MUST COMMENCE
ANY LEGAL ACTION BASED UPON ANY DEFECT IN MIS SURVEY
$11REE YEARS AFIER YOU ED SUCH
EF�ECT.� INN EVENT. MAY AN AC110N DALEST S UPN ANY
DEFECT HI THIS SURVEY BE COLDIFNCED MORE THAN LEN YEARS
FROM TOE DATE OF 111E CMTVRCKEON 5)101*) HEREOF!.
f
BEST COPY
TR
122
RI
nn.
i s
1
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 of40% or more
must be shown on site plan.
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. Doe the site plan include any other buildings, setback easements and utility easements?
Yes t/
4. Does the sitean 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 wjth the uniform building code or per stamped engineered design?
Yes y/
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 buil ing plans?
Yes No
7. Will this be the only residential structure on the parcel?
Yes t/f No If no -Explain:
8. Rave two (2) complete sets of construction drawings been submitted with the application?
Yes
9. For the placement of a manufactured home, have the following been specified?
The size of the unit (min. 20ft. x 20ft.); live roof load (min. 40# could be more depending on elevation
_of property); wind design (min. wind speed of 80 mph & 15 ib. wind load); foundation design; method
of anchoring?)
Yes �/
10. Have you designed or had this plan designed while considering building and other construction code
requirements?
2
-w, R
i S L
Yes No
11. Does the plan accurately indicate what you intend to construct and what will receive a final inspection
by.the, Garfield County Building Department?
Yes i,/ No
12. Do you understand that approval for design and/or construction changes are•required prior to the
application of the a changes?
Yes No
13. 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" fees required, at the time you pick up your building permit?
Yes +,,r No
14. 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 afternoon. Morning inspections must be called in by 12:00 p.m, the day
before; afternoon inspections must be called in by 4:00 p.M. the day before. Failure to give
twenty-fwir (24) hour Notice for inspections will delay your inspection one (1) day. Inspections
are to be called in to 384-5003.
Yes V No
15. Am 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 b ` ding?
Yes No
16. 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? ou can contact the Road & Bridge Department at 625-8601.
Yes , No
17. Attached is information for placement of a manufactured home. Please review. If you have any
questions, please call this office at 945-8212.
18, 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 numb ofthe person performing the work will be required at time of applicable inspection.
Yes t No
19. Are you aware, that on the front of the Building Permit Application you will need to fill in the
Parcel/Schedule Number for the Jot you are applying for this permit on prior to the issuance of a
building per m''t? Your attention in this is appreciated.
Yes v No
3
0. 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 inspectio .
Yes No
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
c/----.23 - 3
Signature Date
Phone: 0 7,,5cZ (days); ,3a", //3 / (evenings)
Project Name:
Project Address:
Notes:
Do /1 Alone,
7--p) cR3a p Ar7i'/e
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.
bpregi
04/02
4
04/24/2003 01:35 6259627
s.
A
ROAD AND BRIDGE PAGE @3
Garfield County
Application for Driveway Permit
Application Date: 4123/2003 Permit Number: 40
Termination Date: 05/23/03 County Road Number: 320
District: 3 Sub -Contractor:
Permitee: Daniel and Sheri Doll
inspector: Jake Mall
hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es)
on the right-of-way off of County Road, 320. intersection of CR 320 and 317 on CR 320, adjacent to Applicant's property
located on the Nortliii side of road for the purpose of obtaining access to property,
Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the
proposed installation showing all the necessary specification detail including:
1. Frontage of lot along road.
2. Distance from centerline of road to property lune.
3. Number of driveways requested
4. width of proposed driveways and angle of approach.
5. Distances from driveway to road intersection, if any.
6. Size and shape of area separating driveways if more than one approach.
7. Setback distance of building(s) and other structure improvements.
8, No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision
expense.
9. Responsible for two years from the date of completion.
Gjueral kroviiiifins
1) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by
him for the bona fide purpose of securing access to his property and not for the purpose of doing business or
servicing vehicles on the road right of way.
2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the
construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date.
3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their
representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the
Board of County Commissioners or their representative.
4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board
of County Commissioners and thlir duly appointed agents and employee shall be held barxnless against any action
for ?sooal injury or property damage sustained by any reason of the exercise of the Permit.
5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of
the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal
operations.
04/24/2003 01:35 6258627
ROAD AND BRIDGE PAGE 04
6) I% the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall
be surely braced before the fence is cut to prevent any slacking of the remaining fence, and all posts and wire
removed shall be turned over to the District Road Supervisor of the Board of County Commissioners.
7) No revisions or additions snail be marcs to the driveway(s) or its appurtenances on the right-of-way without written
permission of the Board of County Commissioners,
8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County
Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and
incorporated herein as conditions hereof.
Spacial Condone:
1. 15"33Oft culvert vert req wired
2. 30'=10'x4" thick s aphalt and concrete pad required.
3. 40f gravel portion required.
4. Work zone signs required.
In signing this application and upon receiving authorization and permission to install the driveway approach (es)
described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions
and agrees to construct the driveways) in accordance with the accompanying specification plan reviewed and approved
by the Board of County Commissioners.
Signed;
Daniel anncl Sheri Do/7'l�
Address;' /
Telephone Number.
gas'1)77
Permit granted 4123/2003, subject to the provigious, specifications and conditions stipulated herein.
For Board of County Commissioners' of Garfield County, Colorado:
Representative of Garfield County Road and Bridge Signature
Z4/24/2003 01:35 6258627
ROAD AND BRIDGE PAGE 65
•
Special Provisions for Excavation of Road Surface and Installation
1) Any oversized material, (larger than 10 inches in diameter), that is not utilized in backfill will be hauled off by
perrnite e. Further, any frozen material will be recaovtxl from site by permittee.
2) When a paved or chipped surface is cut, it is to be replaced with a minimum three-inch (3") hot mix asphalt patch
Temporary patch with cold mix asphalt would be allowed, which would be replaced with hot mix asphalt when
the weather or availability of materials allow the work to be completed. An asphalt or chipped surface cut would
require the road to be straight cut and squared by means of a pavement cutter or saw. A chipped surface cut will
require a seal coat of the patch, which will be full width or half width of roadway when trenches run with the
road. For trenches across the road, the edges of the seal cast will overlap the existing edge. All seal coats will
overlap edges by a two of the roadway in the vicinity of the excavation. Asphalt hot mix or cold patches will be
completed in a maximum of five (5) working Days. Weather permitting.
3) When possible all installations should avoid the top edge of a fill slope.
4) Installations in drainages subject to flash flooding will have a minimum bury of 4 feet deeper than aozmai flow
line at nearest abutment, wing wall, or culvert.
5) Installations at culvert crossings will be buried beneath the culvert with a minimum separation of 18 inches
between installation and the bottom of the culvert.
6) Open trenches adjacent to the traveled roadway shall be backfilled daily to within 100 feet of the working area of
the trench, and shall be barricaded with warning devices after dark. A 3 foot high orange plastic fence will be
installed daily to keep livestock out of the open trench after hours.
7) In areas being disturbed where vegetation is established, reseeding with a mixture; either by broadcasting, drilling
and mulching with seed mixtures suitable to the climatic conditions or existing vegetation will be performed. Use
only certified weed -free seed. Noxious weed control will be ongoing along with re -vegetation.
8) The permittee should check the R O -W of surrounding landowners to see if other permits are required, i.e., BLM,
Forest Service.
Representative fLiield County Road and Bridge
Daniel and Sheri Deli
04/24/2693 61:35 6258627
ROAD AND BRIDGE PAGE 06
Specifications
1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge
and the property line that is designed and used for the interchange of traffic between the roadway and abutting
proPerty
2. At any intersection, a driveway shall be restricted for n sufficient distance from the intersection to preserve the
normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum
intersection clearance of 50 feet be provided and for nural commercial entrances a minimum of 100 fed bo
provided.)
3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to
obtain adequate sight distance in both directions along the county road in order to maneuver safely and without
interfering with county road traffic.
4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on cr
extending over any portion of tate county road right-of-way.
5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than
one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100)
feet shall be permitted only after showing of actual convenience and necessity.
6. All driveways shall be so located tbat the flared portion adjacent to the traveled way will not encroach upon
adjoining property.
7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline
of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater
than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased by
permissible radii.
8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle
between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will
be made according to the type of traffic to be served and other physical conditions.
9, The construction of parking or servicing areas on the county road right-of-way is specifically prohibited.
Commercial establishments for customer vehicles should provide off -the -road parking facilities.
10_ The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the
normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20)
feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%).
11. Alt driveways and approaches shall be so constructed that they shall not interfere with the drainage system, of the
street or county road. The Applicant will be required to provide, at his own expense, drainage structures at
entrances and exits, which will become an integral part of the existing drainage system. The Board of County
Commissions or their representative, prior to installation, must approve the dimensions of all drainage
structures.
Note: This permit shall be made available at the site where and when work is being done. A work sketch or
drawing of the proposed driveway(a) must accompany application. No permit will be issued without drawing,
blueprint, or sketch.
k‘e QCernier
2227 Airport Road
Rifle, Colorado 81650
'Jle
sa
Ph.: (970) 625-0732
Fax: (970) 625-0619
1-888-412-8088
es
6i)e“--3 \01 ( , give permission to Rifle Premier ttotne Sales to obtain all
permits pertaining to my home.
Customer Signature
,ampion
HOME BUILDERS CO
1, THIS BtOK` .ET WITII YOUR MOBILE HOME
,ire VI of the Housing and Community Development Act of
1974 provides you with protection against certain construc-
tion
onstructtion and safety hazards in your mobile home. To help as-
sure your protection, the manufacturer of your mobile home
needs the information which these cards, when completed
and mailed, will supply. If you bought your home from a
dealer, please be sure that your dealer has comp[eted and
mailed a card for you. If you acquired your home from some-
one who is not a dealer, you should promptly fill out and
send a card to the manufacturer. It is important that you
keep this bookiet and give it to any person who buys the
mobile home from you.
THIRD PURCHASER
HUD requires that you fill out this card completely and mail
promptly at the time of purchase.
SECOND PURCHASER
Hud requires that you fill out this card completely and mail
promptly at the time of purchase.
DEALER
You are required under Section 3282.255 of Title VI of the
Housing and Community Development Act of 1974 to com-
plete and to mail the HUD Information Card at the time of
sale.
Homeowner Information Card
Sold by (Retailer or Developer).
Address:
City: State: Zip -
Date of Sale to Purchaser
Purchaser: Phone No •
Mailing Address:
City: State: Zip:
Nome location if different from mailing address above:
Address.
City: State
To be filled in by Manufacturing Facility
Date of Manufacture: Month JANUARY Day
Zip•
Year 7003
SN: 17-f1R-1(11-f1737G ❑/rt Model. SPRIT qPr IAI
Design Wind Zone: Design Roof Load'
X Zone 1 (P5F) South (20 PSF)
Zone 11 (100 mph) Middle (30 PSF)
Zone 111(110 mph) „North (40 PSF) Zone 3
Other PSF
Climatic Zone:
Zone 1
Zone 2
Homeowner Information Card
Sold by (Retailer or Developer).
Address•
City: State: Zip"
Date of Sale to Purchaser
Purchaser: Phone No -
Mailing Address'
City: State: Zip:
Home location if different from mailing address above:
Address -
City' State" Zip -
To be filled in by Manufacturing Facility
Date of Manufacture: Month JANUARY Day
SN: 17-l3-101-07379 A/R Model.
9 Year 2003
SPRING SPFCIAL
Design Wind Zone. Design Roof Load: Climatic Zone:
X Zone 1 (PSF) South (20 PSF) Zone 1
.Zone 11 (100 mph) ,Middle (30 PSF) Zone 2
Zone 111(110 mph) X North (40 PSF) Zone 3
Other PSF
Homeowner information Card
Sold by (Retailer or Developer)'
Address -
City: State: Zip•
Date of Sate to Purchaser
Purchaser: Phone No •
Mailing Address.
City: State: Zip:
Home location if different from mailing address above:
Address:
City: State'
To be filled in by Manufacturing Facility
Date of Manufacture: Month JANUARY Day-
9
Zip -
SN: 17-03-1 01-07379 A/R Model•
Design Wind Zone: Design Roof Load:
X Zone 1 (PSF) South (20 PSF)
Zone I1 (100 mph) Middle (30 PSF)
Zone 111010 mph) ....X. -North (40 PSF)
Other
Year 2003
SPRING SPFCIAI
Climatic Zone:
Zone 1
Zone 2
Zone 3
PSF
12/30/2002 12:83 2685900i71,0
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Jun 9 2003
Aody
Vit: Permit . '721
Andy,
Thisletter s o.request that you amend
the plans for permit #8721 for Daniel
and Sherri Doll* We are requesting
that you delete the garage from the
�nal plan from the house., You
a. reissue a permit or keep the
originals whichever is u fi i t to you.
hank you so much for your time and
a
ence
herd
(97O)625l 587
Page 1 of 1
file://e:DDocuments and Settingslaschwa11er1Loca1 Settings\Te...106-20.2003 12;50;39PM jp 6/20/2003
GARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 8th. Street, Suite 303
G4enwood Springs, CO 81601(970) 945-8212
Job Address 9, 3c C L
Nature of Work Building Pexiti3.t
Use of Buiidin
Owner
Np. 8781
L-3.?tr PA? )
Amount of Permits
waved PrOrrl `-e) .4�er rn�4N7 2, )
•
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLEN\1jc OD SPRINGS), COL
TELEPHONE: (970) 945-8212 COLORADO
INSPECTION LINE: (970)384-50 03
PERMIT NO. 97.5-.1 g 1 PARCEL/SCHEDULE NO.
r �
TOE ADDRESS:
2
3
LOT NO.
1
BLOCK NO. S IWSION/EXEMPTION
CONTRACTOR,
Uri/Ie.-6-
ADDRESS / s� G<2/ / / / 07(V PH:6 "/57. 7' i 7c/
autos
LIG NO:
4
5
ARCLarF. MINI t
sq..Fr. CBLCn.Dm j
S¢Fr.D IA1'
PH:
HECGEir
LIC NO:
N6 OV MOORS
6
MEW BV LDDIO
1'd 5�
DF CBISEWORK:
8
9
10 •
CIA -99 OF FyoRIC
aARACk.:: ,
DaNFWAY palm?
5'f 4'/.r7
WEYF
CAD0I1E0N CALTESATION aMOVH ¢REM V$
ollINc 6 QUElLn
CARPORT:
aCNSiUE SEWAGE DIS1,09A1, Caarr1 )
8¢1 TLE.
OSITZVAN
VALOATIQNOFLYORB:
ADXSIEa VALOATIOES:S
SPECtALCQNDmONS:
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF
COLORADO.
TIES PERMIT BECOMES NULL AND 'VOID IF WORK OR ` CONSTR.UCTION
AUDTHORDZED IS NOT COMMENCED WITTITh! 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TI1
ANTERWORKIS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMD ED 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
HEREDL OR NOT. TETE .GRANTING OF A PEBM1T DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOC • REGULATING CO a UCTION OR THE PERFORMANCE OF
STkU ON.
Signature ofOwner,
Building Dept. ApprrvatiData
PiamDingDept, Appreval/Date
PLAN CHECK FEE:
TOTAL FEE:
OCC: GRQDP:
PERMIT FEE:
C2C1/ DATE PERMIT ISSUED:
CONST: TYPE:
ZONING:
SETBACKS:
MANLJ. HOME:
ISDS NO. & FEE:
AGREEEMEI• T
3RMISSION IS HEREBY GRADit..0 TO THE APPLICANT AS OWNER, CONTRACTOR ANI:)/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS
STARED ONPLANS ANI? SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDINGDEPARTMElv'T.
T CONSIDERATION OF THE:ISSUANCE OF THIS PERMIT THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY
1RFIEI.D COUNTY PURSUANT TO AUTHORITY GIVENTN 30.21.201 CRS AS AME. NT)ED. THE SIGNER FURTHER ASS THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY
)MPUED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED 'STRUCTURE, thL PERMIT MAY THEN BE REVOKED BY NOTICE FROM
IE COUNTY AND THAT THEN AND TFiEREFF SHALL BECOME NULL. ANIS VQID:
IR ISSUANCE OF A PERMIT EASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT U-fE BUILDING OFFICIAL PROM THEREAFTER MEOMEN'G THE
/ERECTION OF ERRORS IN SAID .PLANS, SPECIFICATIONS AND OTHER DATA OR FRO PI/EVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN LN
OLATIQN OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS IURISDICTION.
IE REVIEW OP Etife SUBMI'T'TED PIANS AND , SPECIFICATIONS AND- INSPECTIONS CONDUCTED. THEREAFTER -DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY
;SPQNSIBILI TES OR.LIABILUFIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES, THE RESPONSIBILITY FOR THESE TEEMS AND I IPLEMEN"TATlON
IR1NGCONSTRUCTION RESTS SPECIFICALLY Wm TH8ARCHITECT,DESIGr TER,1117EDERANDQWNER. COMMENTS ARE fN.TENDED TO -BE CONSERVATIVE AND INSUPPORT
' THE OWNERS INTEREST.
rtbmLo*3 IHEREBYACKNOWLEDGE T 'HAVE READ AND UNDERSTAND THE ACEREEME'NTABOVE. (INITIAL)
The following items are required by Garfield 'County for a final inspection:
1. A final Electrical Inspection from the Colorado State Electrical Inspector;
2. Permanent address assigned by Garfield County Building Department posted where readily
visible from access road;
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running.water, non; absorbent
kitchen floor coverings; counter tops and'finished walls, ready for -stove and refrigerator, all
necessary plumbing;
4. A complete bathroom, with washbowl, tub or shower, toilet stool, hot and cold running water,
non-absorbent floors and walls finished and a privacy door;
5. All steps outside or inside over three (3) steps must have handrails, guard rails on,balconies or
decks over 30" high constructed to all 1997 UBC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of
-extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until
all the required items are'completed and a final inspection made. -
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 occupanccY, use and the issuance of a'
Certificate Occupancy for the dwelling under building permit # �] !21
Signature Date
Bpcont082002
,R1SPfCTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued..#... Quad Area Permit No.. .......
k.
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with all
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 them
County Buildin
Ins i ector d IMME.l.. ; TELY B OME NULL AND VOI l
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
•
INSPECTION RECORD .
Footing ,-'r/ -03 !g214- _L1 i, 44a -• 2,4 "`OBJ
Foundation . r
Underground Plumbing
Insulation
Rough Plumbing
Drywall
Chimney & Vent
; Electric Final o S : to Inspector)t-
Gas Piping ,.- z' 03 .!
`1a 'a.c-.-" -0, r
Uiiiii� =i
Electric ' r By tate Ip:‘; e 70 -5-03g,
Septic Final - 'o Wl e
Framing
(To include Roof in place and Windows
and Doors installed).
Notes: Seto # 17 -03- a/ -1' 7'7 6
90' . oc) .•_
Y� �► s. _ yL 973T
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETIIER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND)- e
THIS PERMIT IS NOT TRANSFERABLE
c Phone 384-5003 r 109 8th Street County Courthouse Glenwood Springs, Colorado.
APP - E DDO NOT DESTROY THIS CARD
Dat = °t`r5 By
IF PLACED OUTSIDE . CO `' WITH CLEAR PLASTIC