HomeMy WebLinkAboutApplication- Permitfala
Garfield County
Building, Sanitation,
& Planning Department
108 8th Street, Suite #201
Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
NO. gg81
Job Address 1 9 Ck Wv �,,
Nature of Work Building Permit �� 1 —? 7 �`� — (`T,cA1
Use of Building t l \ /h LTj� �j ,� k ( CIIgG)
Owner I 4 a,sa *1 ►o. 0
— - 1
Contractor n
Amount of Permit $ I?` }\`J7Co
Date
Clerk
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Garfield County
Building, Sanitation,
& Planning Department
108 (h Street, Suite #201
Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
NO. 89 8l
Job Address+Ck 1)\1
Nature of Work Building Permit a.ck (Ty\
Use of Building 1 ] \ Ih r,n C),cp , (cog)
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Owner
Contractor n
Amount of Permits l` S
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GARFIELD COUNTY BUILDING PERMIT APPLICATION
1088'k Street, Sake 201, Glenwood Springs, CO 81601 ^�p ' O 66`11Phone: 970--913-5212 / For 970.384-3470 / l spMline:° Ie: 970-384-5003 Ay -no I
Permit No: 12 I _ Parcel/Schedule No: L'4'\ 1 3id J
PERMISSION IS HEREBY GRANTED TO THE AIPIJCANF AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAIIFD ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY TEL BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT. THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE.
REGULATIONS ADOP FD BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN 174 30.25301 CRS AS AMENDED. THE SIGNER FARTHER AGREES THAT
P THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED W1TH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRICTURE, TIF PERMIT MAY BE REVOKE) BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT STALL BECOME NULL AND VOID.
THE ISSUANCE OP A PERMI BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUIIDHNG OFFICIAL FROM THEREAFTER
REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BUNG
CARRED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THE JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND ISPECIIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBIUTES OR LIABLITTFS BY GAWIEID COUNTY FOR ERRORS, OMISSIONS OR DISC -REPLACES. THE RESPONSIBILITY FOR THESE DESS
AND IIILEMHNTATION DURING CONSTRUCTION RESTS SPECIFICALLY 00TH THE ARTICIFCT, DESIGNER, BUILDER. ANI) OWTJER COMMENTS ARL
WITENDED TO BE CONS/SWAMI AND IN SUPPORT OF THE OWNERS INTEREST.
Or4a0IS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMET ABOVE (INITIAL):
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Job Addrs: I---�/g p ` �7 ( / (x{011 C 7fb?.3
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No.
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A .1 - t/Engineer:
A .. s: 41,
Ph:
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5
leg. 1830
Sq. F -71411K.
Sq Ft. of Lot:
Z C7�V-.
Heigh : 1 �)
No.
6
Use of H 11^ a� t l I„
1 `(1
(\
A l
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�of�Floors:
�
F 1AAIA4 `C e t C�t9
7
Describe Wo,tr\8
\C ' t� "„x.,(itri !-C%o .V0 ^
8
Class of Work; EA New o ARer°ilon ❑ Remove
b Addition o Move
9
10
Garage: o Single
G 4VNi Clq '1 V\ DS Double
Carport: o Slagle
o Double
X Driveway Permit// 1•• % CM -Site Sewage Disposal �6 Site Plan
7 0600)
11
Valuation of Work: g I`
Adjusted Valuations: S if ' 'I `
1°/ 7C r
12
Special Conditions:
A SEPARATE
ISSUED
THIS
AUTHORIZED
CONSTRICTION
PER
I HEREBY
PE
ALICATIONAND
PROVISIONS
COMPLETED
GRANTING
TO VIOLATE
LOCAL
OP
ELECTRICAL
BY THE STATE OF COIDRADO.
PERMIT BECOMES NULL
IS NOT COMMENCED
OR WORK
OD OF ISS DAYS AT ANY
CERTIFY THAT
KNOW
OF LAWS GOVERNING
WITHIN WHETHER
OF A PERMIT
OR CANCEL THE
LAW REGULATING
: CHOLA.
4
' asi
NOTICE
PERMIT 1S REQUIRED
AND VOID IP WORK OR
WITHIN 1M DAYS,
IS SUMMED OR ABANDONED
TIME AFTER WORK A
IN
I HAVE READ AND
THE SAME TO BE TRUE AND
THIS TYPE OF WORK
SPECIFIED HEREIN
DOTS NOT PRESUME TO
PROVISIONS OF ANY
CONSTRUCTION OR THE
$ Il..&
AND MUST BE
CONSIRIICTON
OR, IF
FOR A
COMMENCED/
EXAMINED THIS
CORRECT. ALL
WILL BE
OR NOT. THE
GIVE AUTHORITY
OTHER STATE OR
PERFORMANCE
i�
Plan Cheek Fee:
181.5'/
Permit Fee:
Q
27 /. 25—
Total Fee: Dated Permit Issued:
/0 /0. 74
OCCroup: Coast. Type:
2 ��
J
Zoning:
Setbacks:
anu. Home:
50
ciU R7
431/4-- �jf1 -3AOVs
1
1 - ,
a a-
�� DA 7
' •03 : %//%i ; �/"•
IT. : I ►PR
'ATE ,"ALiP TE
PERMISSION IS HEREBY GRANTED TO THE AIPIJCANF AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAIIFD ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY TEL BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT. THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE.
REGULATIONS ADOP FD BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN 174 30.25301 CRS AS AMENDED. THE SIGNER FARTHER AGREES THAT
P THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED W1TH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRICTURE, TIF PERMIT MAY BE REVOKE) BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT STALL BECOME NULL AND VOID.
THE ISSUANCE OP A PERMI BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUIIDHNG OFFICIAL FROM THEREAFTER
REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BUNG
CARRED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THE JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND ISPECIIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBIUTES OR LIABLITTFS BY GAWIEID COUNTY FOR ERRORS, OMISSIONS OR DISC -REPLACES. THE RESPONSIBILITY FOR THESE DESS
AND IIILEMHNTATION DURING CONSTRUCTION RESTS SPECIFICALLY 00TH THE ARTICIFCT, DESIGNER, BUILDER. ANI) OWTJER COMMENTS ARL
WITENDED TO BE CONS/SWAMI AND IN SUPPORT OF THE OWNERS INTEREST.
Or4a0IS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMET ABOVE (INITIAL):
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The following items are required by Garfield County for a final inspection:
1. A final Electrical Inspection from the Colorado State Electrical Inspector
2. Permanent address assigned by Garfield County Building Department posted where
readily visible from access road;
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running water, non-
absorbent kitchen floor coverings, counter tops and finished walls, ready for stove and
refrigerator, all necessary plumbing;
4. A complete bathroom, with washbowl, tub or shower, toilet stool, hot and cold running
water, non-absorbent floors and walls finished and a privacy door;
5. All steps outside or inside over three (3) steps must have handrails, guard rails on
balconies or decks over 30" high constructed to all 1997 UBC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration
of extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until
all the required items are completed and a final inspection made.
A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE
ITEMS HAVE BEEN COMPLETED.
****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, j e and the issuance of a
Certificate of Occuy cy for the dwelling under building permit# ' 1
yam' 1 16103
Signature Date
BpcontO82002
r
PLAN REVIEW CHECKLIST
Applicant SitSa20
Building
/l .a.Engineered Foundation
./priveway Permit
- roeyed Site Plan >
-----S;ptic Permit and Setbacks
6de/Topography 30%
✓Attach Residential Plan Review List
— Minimum Application Questionnaire
Subdivision Plat Notes
`11.4• Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
4 Attach Conditions
Application Signed
Plan Reviewer To Sign Application
�a�FeeuSeheduielQo. DM -b
✓40# Snowload Letter- Manf. Hills.
GENERAL NOTES:
rs3D } 9
Date /2- 8•03
Planning/Zoni
Property Le Setbacks
30ft Stre Setbacks
Flood Plain
Buildipg Height
Zon g Sign -off
R ad Impact Fees
OA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat Notes
r
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GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
for
MANUFACTURED HOMES
In order to understand the scope of the work intended under a permit application and expedite the
issuance of a permit it is important that complete information be provided. Adequate and complete
information will prevent delays in the plan review process. Reviewing a plan and the discovery that
required information has not been provided by the applicant may result in the delay of the perrnit
issuance and in proceeding with building construction. The owner or contractor may be required to
provide this inforrnation before the plan review may proceed. This causes delays because other
plans that are in line for review may be given attention before the new information may be reviewed
after it has been provided to the Building Department.
Please review this document to determine if you have enough information to design your
project and provide adequate information to facilitate a plan review. If you do not, it may be
helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code".
This book is available to you through this department at our cost. Also, please consider
using a design professional for assistance in your design and a construction professional
for construction of your project.
To provide for a more understandable plan in order to determine compliance with the building,
plumbing and mechanical codes, applicants are requested to review the following checklist prior to
and during design. Applicants are required to indicate appropriately and to submit the completed
checklist at time of application for a permit.
All Plans submitted must be incompliance with the 197 UBC, UMC and 1997 UPC.
1
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r
1. Is a site plan included that identifies the location of the proposed structure or addition and
distances to the property lines from each comer 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 comer lot. Special setbacks do apply.
Yes_ f_
4. Does the site plan indicate the location and direction of the County or private road accessing
the propertyj_
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 Unit showing exterior doors is required.
Yes ✓
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 gply residential structure on the parcel?
Yes ✓ No If no -Explain:_
2
'Have 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 (minimum 20ft. wide x 20ft. long); live roof load (minimum 40# could be
more depending o elevation of property); wind design (minimum wind speed of 80 mph &
15 Ib. wind loadundation design; method of anchoring?
Yes
10. Have you designed or had this plan designed while considering building and other
construction code requirements?
Yes t' 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 County Building Department?
Yes_ k� No
13. Do you understand that approval for design and/or construction changes are required Drior
to the applicatjon of these changes?
Yes_No
14. Do you understand that the Building Department will collect a "Plan Review" fee from you at
the time of application and that you will be required to pay the "Permit Fee" as well as any
"Road Impact" or "Septic System" fees required, at the time you pick up your building
permit?
Yes No
15. Are you aware that twenty-four (24) hour notice is required for all inspections?
Inspections will be made from Battlement Mesa to West Glenwood in the mornings
and from Glenwood Springs to Carbondale in the afternoons. All inspections must be
called in by 3:30 p.m. the day before. Failure to 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 No
16. Are you aware that requesting inspections on work that is not ready or not accessible will
result in a $47510 re -inspection fee?
Yes 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?
3
' Yes t/ No_
18. Are you aware that prior to submittal 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_✓ No
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 applica inspection.
Yes No
20. Are you aware, that on the front of the Building Permit Application you will need to fill in the
Parcel/Schedule Number for the lot you are applying for this permit on prior to the submittal
of a building permit application? Your attention in this is appreciated.
Yes No
21. Are you aware that you will need to call the State Division of Housing to have your modular
inspected prior to the County building department doing their final inspection? The State will
charge a fee fo is inspection.
Yes No
22. Are you aware that the Permit Application must be signed by the Owner ora written authority
be given for an Agent and that the party responsible for the project must comply with the
Uniform Buildi de?
Yes_No___
I hereby acknowledge that I have read, understand and answered these questions to the
best of my ability.
S 14(Pr
Signature ¢j Owner Date
Phone: 1 l
Project Name: J1 (1 3r\
j -q%9 RIA -1
?)5i_ 5_ (days);
Project Address:
Notes:
u-14
03
q21 �4�2-(evenings)
L-1 IeSjCLOGC Q
El t*ICLOI c-) 81(D' (
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
4
Garfield County
Road and Bridge, District 1
7300 Hwy 82, Glenwood Springs, CO 81601
970-945-1223 ph. 945-1318 FAX
Date: Simpson Holdings LLC
To: Building & Planning
From: Bobby Branham
Re: Driveway permit exemption
For: Ray and Sarah Simpson
Location: Lot 4 Arnold Subdivision
Old Hwy. 82
Carbondale CO 81623
Scope of Work: Obtain building permit
Road and Bridge Concerns: This property lies outside the system of maintained county
roads, and is therefore exempt from County driveway permit requirements.
Bobby Branham
Dist.1 Road and Bridge
DEC -08-2003 MON 11:00 AM MODULARHOUSING
DEC -08-2003 10:22 CHAMPION COL DO
December 8, 2003
Modular Housing
2440 Airport Rd
Rifle, Co 81650
FAX NO. 9706254865 P. 02
970 532 4352 P.02/06
SUMMIT CREST
HOMES
DMslon of Cba w on Hunieb adders ca'pan'
Garfield County Building Department
Customer: Raymond Simpson, 17989 Old Hwy 82, Carbondale, Co 81623
Serial Number. 220404209961
To Whom It May Concern:
The home, model 042, to be built for customer Si Cpm a 712 lbeerbuih
of h tothe
a UBClease feel free
e
with a 40ab snow load, 90 mph wind @ exposure
to call if you have any questions. 14004184632.
Sincerely, l.1A/�1
LW/r"'
Michelle Anderson
Summit Crest Homes
nn Grim Inc • PO. Pax 10 • acrdwud, Colorado 80513
(970) 5322692 • pax (970)537-4552
a
LOT 5
P O.B. LOT 4�
SCALE:
LOT 4,
ACCORDING
NO. 555787,
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BOUNDARY ADJUSTMENT MAP
NOVEMBER 24, 1999 UNDER RECEPTION
STATE OF COLORADO
A' sr
Np qr
a2 `
= 2.00'00"
= 2787.79
= 97.31
5 57'45'00" E
= 97.31
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ELECTRICAL
EASEMENT
REC NO 298693
,10' INGRESS, EGRESS &
EMDRANACCESS. UPLII
(y\& DRAINAGE EASEMENT
15' WIDE
\ GRAVEL ROAD
\ \\\
\ \ \\
•
ExIS
TO THE
COUNTY
TING ?CLLO
REBAR & CAP
L 5 /19598
(TYPICAL)
5 :9.07'09"
FENCE LINE
ARNOLD LOT
PLAT RECORDED
OF GARFIELD,
• PROPOSED BUILDING LOCATION
• 1, FRANK W. HARRINGTON,
BUILDING LOCATION
ENGINEERING, INC
BUILDING LOCATION
OF MY BELIEF AND
.,.-ri/OMNI
LlMRY
SURVEYOR'S STATEMENT
THE BEST
DO HEREBY STATE THAT THIS PROPOSED
MAP WAS PREPARED BY HIGH COUNTRY
FOR RAY SIMPSON TO SHOW THE PROPOSED
AND THAT IT IS TRUE AND CORRECT 70
KNOWLEDGE.
_ ='p1
BY -' _ \Nlldwy
AEC A•,1
+
FRANK W HARRINGTO .- ..N
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COUNTRY ENGNEERNO, IC. DATESEPT
BLAKE AVENUE - SURE 101
9PRWOS. CO 81601
(970) 945-8676 JOB NO.
1.'?�C
1958 9
ASA
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20. 2002
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GARFIELD 'I' UN !I BUILDING AND SANITATION DEPARTMENT Permit N_ 3 8 Q 3
INDIVIDUAL SEWAGE DISPOSAL PERMIT
A PROPERTY "t„
Owner's Name 1/4.
System Location L
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
/00 c Septic Tank Capacity (gallon) Other
109 8th Street Suite 303
nwood Springs, Colorado 81601
Phone (303) 945-8212
Assessor's Parcel No.
This does not constitute
a building or use permit.
Present Address/J1�C- / .�l.�lJ Phone
h 11c sa
gv
X91 -33 -Do -
2 - Percolation Rate (minutes/inch) Number of Bedrooms (or other) 19
Required Absorption Area - See Attached 34//
Special Setback Requirements.
Date / - Z p - 01/lInspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
F
System Installer • Jeirjfd ,(t 9(
Septic Tank Capacity 'Or
Septic Tank Manufacturer or Trade Name LIZ3
Septic Tank Access within 8" of surface
Absorption Area = ° a :" ;i
/ s
Absorption Area Type and/or Manufacturer or Trade Name - 7-+ta'•e••
Adequate compliance with County and State regulations/requirements •i&
Other
Date -• Inspector
RETAIN WITH RECEIPT RECORDS T 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 ora
requirement of the permit and cause tor 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 ($500 00 fine — 6
months in jail or both).
White - APPLICANT Yellow- DEPARTMENT
•
• M •
No S98-1
Job Ad
Owner
Contractorn-01 1J/�
Assessor's Parcel No.(
Date
BUILD . G ' R IT CARD
ress a ILA ►�. 'a I Ar r
►:.1 A�:•s. lab & l P. Addressfl��
Address
Setbacks: Front
im/h Dn El.
Rear
Soils Test
Footing • n-0er
Foundation 2 -Z3 -W
Grout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing
Drywall
Gas Piping Lett-oYt-
�5fi�JC , t Jrci 11.1(1
PIC 17 erc t f j 6273!$
SCIQtoa.PI OZLOM4t,g a lei (continue on back)
RH
INSPECTIONS
NOTES
LH
Phone #i1 "wL+ `a
Phone #
Zoning 219l" 15
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical Final tate)
Finan hecklist Completed'?y—
Certificate Occupancy #
Date
Septic System # /
Date
Final y -1 -
Other
INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS
POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS
MANUFACTURED IIOME
BUILDING PERMIT
II G IELD COUNTY, COLORADO
Date Issued.1/.4 .Zoned Area. Permit No... ....
AGREEMENT
In consideration of the issuance of this permit the applicant hereby agrees to comply with ail bws and
regulations related to zoning, location, construction and erection of the proposed structure for which
this permit is granted, and further agrees that if the above said regulations are not fully complied with
in the zoning, location, erection and construction of the above described structure, the permit may
then be revoked by notice from the County Building Official and IMMEDIATELY BECOMES NULL
AND VOID.
Use I
1NSPEC'TION RECORD
Footing : 49 `ot cu
Foundation or Blocking : 2, _33
Z3 et /, r eway :
Rough Plumbing :
Gas Piping
Electt4ai Finale : TI Tl�,
(by SvSue Inspector) I
fl— -6
Septic Final:
Final:
�
�- _affix_
Notes:
Unload�[) On
N
Serial NOUnit l7,fjtrlMQq,2OOnCUD I
VD [
Date ..�*"4
THIS PERMIT IS NOT TRANSFERABLE
1
108 8th Street, Suite 201. County Courthouse Plaza Glenwood Sprjngs,Colorado
DO NOT DESTROY THIS CARD
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)