HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 8th. Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
ob Address Mitaik,Ount. 4V-7
Nature of Work Buil • g Perstv.t
Use of Building
Owner
]\R.
Contractor
Amount of Permits
No,8560
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Clerk
GARFIELD COUNTY BUILDING PERMIT APPLICATION
s GARFIELD COUNTY (GLENWOOD SFR/NOS/ COLORADO
TELEPHONE: (970) 945-8212
'
PERMIT NO. 2s-e.y)
INSPECTION LINE: (970)384 5003
PARCELASCHEDIRE NO0'.43 -1/c2-"a-
IQBADDRESS:
;
VALUATION/FEE DETERMINATION
Applicant kl );;7.,s 4,4 110
'Address_
Date 10-11 O2.
Finished (Livable Area):
Main
Upper
Lower
Other
Total Square Feet
Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Plan Check Fee for Conversion
Valuation
Garage:
Crawl Space:
Valuation
Valuation )W7 !¢ 7
Decks/Patios:
Covered
Valuation
Open
Valuation
Subdivision
Lot/Block
Contractor
Able
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Total Valuation
Building Permit Fee
Plan Review Fee
Total BP & PR
2 ,?
117 I
Z TK %A.F4T1 Cit,
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�'im FYrnett 970--384--5808
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,
anchorbolts, 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.
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 structures) 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
Does the site plan also include any other buildings an the property, setback easements and
utility easements?
Yes
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
Does the site plan indicate the location and direction of the County or private road accessing
the propery?
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
2
p.2
71F7".:,
is'a site plan included that identifies the location of the proposed structure or addition and distances to
the property lines from each corner of the proposed structure prepared by a licensed surveyor and has
the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or more
must be howoz�site plan.
Yes C�
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?
Yes
4. Does the site plan indicate the location and direction of the County or private road accessing the
property? _ _---•
Yes
5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel
in accord ce ' the -uniform building code or per stamped engineered design?
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 only residential structure on the parcel?
Yes No If no -Explain:
8. Have two (24 -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. 2011. x 201I.); live roof load (min. 40# could be more depending on elevation
ofproperty); wind design (min. wind speed of 80 mph & 151b. wind load); foundation design; method
of anchozi?-----
Yes
10. Have you designed or had this plan designed while considering building and other construction code
requirements?
Yes °No
2
1 1 . , Does the plan accurately indicate what you intend to construct and what will receive a final inspection.
1 ; 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 f these 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 S tem" fees required, at the time you pick up your building permit?
Yes 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 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
15. 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 { 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? You can contact the Road & Bridge Department at 625-8601.
Yes No
17. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and
Plumber to perform installations and hookups, unless you as the homeowner are performing the work?
The license number of the person performing the work will be required at time of applicable
inspection.
Yes X No
18. 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 issuance of a
building pe it? Your attention in this is appreciated.
Yes No
19. 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 inspection
Yes No
3
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'I,hereby acknowledge that I have read, understand and answered these questions to the best of my
abffity.z_
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n 2 A i
Signature
Phone: ?6 3 -- 9 3Y- (days);
Project Name: 3 -R % 3
Date
*6 2
7‘3 - 29 3,C
(evenings)
Project Address: S^ 0 /e �2GP C,/.�jr, 0ii)/9a' e
Notes:
If you have answered "No" on any of the questions, you may be required to provide this information at the
request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to
be expected. Work may not proceed without the issuance of a permit. If it is determined by the Building
Official that additional information is necessary to review the application and plans to determine minimum
compliance with the adopted codes, the application may be placed behind more recent applications for
building permits in the review process and not reviewed until required information has been provided and the
application rotates again to first position for review, delay in issuance of the permit or delay in proceeding
with construction.
bpreqmh
08/02
4
Date: /2-'1 7-0 3
To v 1, -I 1
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BUILDING & PLANNING DEPARTMENT
Code Compliance Office
shackett(4gaeid-evnnty,eorn
Dear Permit Holder,
Please refer to your building permit number S 0 , issued 10 - Z%—D
A routine review of our open building permits indicates that we have not received a request for an inspection
on this permit since /NS" -•-D 3
Please be advised that building permits expire, per Uniform Building Code,
seon 106.4A. "Every pe
issued by the building official under the provisions of this code shall expire by limita ion and bec me null t
and void if the building or work authorized by such permit is not commenced within 180 days from the date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time
after the work has commenced for a period of 180 days. Before such work can be recommenced,
a new
permit shall first be obtained to do so, and the fee therefore shall be one half the amount requirfor new
permit for such work, provided no changes have been made or will be made in the original plans and
specifications for such work, and provided further that such suspension or abandonment bas not exceeded
one year. In order to renew action on a permit after expiration, the permittee shall pay a new full permit fee."
Please contact this office at your very earliest convenience, in writing, to advise us about the status of your
permitted work
If you have not responded within thirty days from the receipt of this notice the permit will he closed
and a permanent notation will be placed in the property records at the County Assessors office that
indicates that the work permitted was not inspected, is not approved and that the building or area may
not be legally occupied.
Thank you for your cooperation.
va.goffiday
Dave Mead
Building Inspectors
Y ° 4 108 8th Street, Suite 201, Glenwood Springs, Colorado 81601
COUNTY OF GARFIELD - BUILDING DEPARTMENT
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When correction(s) have been made, call for inspection.
Agricultural Employee Affidavit
BUILDING & PLANNING DEPARTMENT
�Oloe r - t- LUok.r L icui tk-. , state that the residential structure
described below will be occupied solely as an agricultural employee dwelling unit
provided to an individual and related family member who is/are employed in an
agricultural use, including farms, garden, greenhouse, nursery, orchard, ranch, small
animal farm for production of poultry, fish, forbearing or other small animals, as
prescribed in Garfield County Zoning Resolution Section 3.02.01 and in Section 2.02.02
Agricultural Land, on the property at which the dwelling is located and further, pays no
rent.
It is agreed that proof of employment, in the form of Internal Revenue Service Forms
W-2 or 1099 for each person employed as described above will be submitted to the
Garfield County Building and Planning Department upon request by the county.
It is agreed that this property will not be sold to another party without representing that
the agricultural employee dwelling structure is for agricultural employees only and may
not be used for any other purpose.
Property and Building Description: /�
Address 0500 I(&5 1201,4(�G ichoi1&t , Co en baa
Assessors Parcel Number 2$-f - 112 - oo - 005
Building Description Mall LA er-1 ne
Building Square Feet Habitable 1,-105
Building Permit Number 5gSt0
ISDS (Septic) Permit Number
Ownersc41, Gr.il
Owne A dress 0322 (QS Ca.(Sa n ,' oto-te , Co $ l(e. 03
Date to --1•o —
Witness (vut.i.e. Je,r)
109 8th Street, Suite 303, Glenwood Springs, Colorado 81601
(970) 945-8212 (970) 285-7972 Fax: (970) 384-3470
(Signature)
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Palm
Harbor
Homes
970-242-5B22
September 26, 2002
PALM HARBOR PAGE 04
To whom it may umcern;
Palm Harbor Homes is constructing Serial Number PH0227582XI with 4Q aur
load. This home is, being constructed „ or customer Nieslan&c and is being buil as model
number PKPX640.
Sincerely,
District Sales Manager
Anti all aha QuaGry Manes at Palm Harher Hamm
d
No.
Job Add essn 4 �
Assessor's Parcel No
Date c/a i IQ_
ING PERMIT IA
Owner 1,
Contracto
Setbacks: Front
M/µ E
Soils Test
Footing /6,2-0z-6.) 24-4—
FoundationGrout
Underground Plumbing
Rough Plumbing
Framing
Insulation
Roofing.
Drywall
Gas Piping /1--1 Other
gib 100/0 No"i Es otya, Za2 z.k) --'
Phone #
Address PEiorie #_
Zoning
Rear RH
ole 4-
PECTIONS
LH
Weatherproofing
Mechanical
Electrical Rough (State)
Electrical Final (State) f, /4'2 •6,t)
f=inal / hecklist Completed?
Certificate Occupancy # Lls4s l
Date 101-3ti��3
Septic System #cod -ca -r-7
Date
Final
12d-Cd01.— qz /v eeVr_1(
(continue on back)