HomeMy WebLinkAboutApplication- PermitC ' ` r a
GARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 8th. Street. Suite 303
Glenwood Springs, CO 81601(970) 945-8212
Job Address t) as
No. 7724
ect44t, 74w c.4.09L co vt, v7
Contractor
Amount of PermitS /280 .14(
/re -so
Date
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Clerk
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GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO 38* -5003
] C / INSPECTION LINE: (970) IMIMIS
/217?
PERMIT NO. / 17a / PARCEUSCHEDUiE NO,
ELEPHONE: (970) 945-8212
OB ADDRESS:
I
LOT O. BLOCK NO. SVBDIVISION,T. ¢ 1WTION
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0 DRIVEWAY POLE PON INR!!WADE D POPAL IIEPRCI , Bach- PLAN I l� i 7
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VALUATION Or MORE. s VALVATION:t /�.f�+. , %tie Ole
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SPRCLLL CONDITIONi� // e2 ! _' ! _ rs H ' • v v 7 • 8-07 7• V�V
HOD l /7 qqq Tiet• 1/ -P .-,1-6-5la
A SEPARATE
COLORADO.
THIS PERMIT
AUTHORIZED
WORK
AFTER
I HEREBY
1000W
GOVERNING
HEREIN
AUTHO
LOCAL
CONS
NOTICE
ELECTRICAL PERMIT 15 REQUIRED AND MUST BE ISSUED BY THE STATE OF
BECOMES NI,I.L AND VOID W WORK OR CONSTRUCTION
IS �iOT CONLMENCED WTIHLN Ito DAYS. OR IF CONSTRUCTION OR
1S SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME
WORK IS COND NCED.
CERT" THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
THIS TYPE OF WORK WILL BE COMPLIED WrrH WHETHER SPECIFIED
OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
TO A'IOI.aTE IN CANCEL THE PROVISIONS Ir ANY OTHER STATE OF
� T.ATING CONSTRUCTION OR THE PERFORMANCE OF
'• • N -
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Dace p. iia at 7�Q Qd
PLAN CHECK FEE
6. O9
PERMIT FEE: r
60W./ . P7$
TOTAL FEE4 DATE PERMIT ISSUED:
/3gb 2 tf
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OCC: GROUP: CONST: TYPE:
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SETBACKS:
of Owner. Centric 4 authorized agent b ad and nndennood notice above.
Or { ,p- I / ����� oya)
r1.1Nli. FIOME: 00 rr�
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Building Dept. ApprevaUD` ale Planning Dept 'Daft
AGREEMENT
.;RiU1SSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER. CONTRACTOR AND OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE A
,ET,ULED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
*I CONSIDERATION OF THE ISSUANCE OF THIS PERMIT. THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED B'
•4RFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOTPL'LL
-OMPLIED WITH LN THE LOCATION. ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUC'TL'RE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FRO`'
as COUNTY AND THAT THEN AND THERE IT SHAHS. BECOME NULL AND VOID.
itt ISSUANCE OF A PERMIT BASED UPON PLANS. SPECIFICATIONS AND OTHER DATA SHALL. NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING TII
-ORRECTION OF ERRORS IN SAID PLANS. SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THERELNDDER WHEN 1
1OLAT1ON OF T1DS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS IURZSDICTION.
ties REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTT[UTE AN ACCEPTANCE OF A.
.SPONSTBLLTTIES OR LIABILITIES BY GARFIE D COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATIC
�1i1i1XG CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER BLILDFR AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPOR
' THI:OWNT RS INTEREST.
emlb mao3 1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INITIAL)
•W?{15D 44Juol.LIc
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 wash bowl, 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 ail 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 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 VACATION
PREMISES UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use d the issuance of a
Certificate of Occupancy for the dwelling under building permit # %d-
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AFFIDAVIT
STATE OF COLORADO )
) ss.
COUNTY OF aftri Lb )
1, Ja<: . Bailey, being first duly sworn, depose and state as follows:
On August 8, 1988, I purchased property in Garfeld County located at Lot 7, Section 4,
Township 65, Range 91W, 611' Principal Meridian j(R5`1Rippy Lane. On that property on the
date of purchase was one mobile home. To my knowledge, there had been at least one mobile
home and at times two on that property dating back to 1972 based on what the Seller of the
property told me and a map the Seller gave me of the same. I kept a mobile home on the ,
property on and off until on or around February 15, 1999.
Dated this
STATE OF
COUNTY OF
day of August, 1999
) ss.
'1 he above and foregoing instrument was acknowledged before me by R.E. Bailey
thisilay of August, 1999.
Witness my hand and seal.
Address: fti9Li 1.
My coi�iinission expires: a /01b103
Affidavit
R.G. Balky
-1-
otary Public
•
T 6 S,' R. 9/ /i( OE THE 6TH PN
fR omyA6.-
, ro"d
;NT."
405".
This is to certify that on the ?IFi day of Jul;, 171.:
A there was a Survuy made under my supervision of the in,
provomcnts on a parcel of land siluatod in lot 7 of Lection
aP• 4, Township 6 South, Range 91 West Of the Siatn Pri.n.ipai
ov Meridian, as Shown on the attached map. I found a one Story
ole heuSe of frame construction with stucco siring, tar shirgio
roof to be located within the boundary lines of the parcel as
Shown on this plat. 11ie location and dimensions of all buildings,
improvements, easements and rights -of -ways in evidence or known
to me and encroachments by or on the premises are accurately shown.
SCARROW AND WALKER, INC._
Robert D. Scarrow
Reglsfored Land Surveyor
/ "• lab
.??Eirisr.o a/esv9' 5'I3/!/6 caner w Gs�iP
SCARROW & WALKER
INC ORP ORA TED
ENGINEERS & L4ND SURVEYORS
811 Colorado Avenue
Glenwood Springs, Colorado 81601
(303) 945-8664
riivj Picky. RVSntie
Wo;iNn,tor,, MN 50187
Phone: (507) 376.9460
+j�' Number
7 Goo
anufacturer's Selial Number and Model UUr t+Designation
• G i1 i
'Deign Arprove! by (D.A.P.I.A.
This manufactured home is designed to comply with the federal manufactured home
construction and safety standards In force at lime of manufacture.
(For additional Information, consult owner's manual.)
The factory installed equipment Includes:
Equipment Manufacturer Model Designation
For heating `_
ar &6_Z6A_T_Q_2LaDz
For air cooling
For cooking
Refrigerator WW
WI
Water Heater
Washer
Clothes Dryer
Dishwasher G WW
Garbage Disposal
FireplaceDe.},
Ql 1r
Ott
'Zs=
c'
the home
epeclaadI
NSTRUCTED FOR
El Zone 1 0 Zone Ii 0 Zone III
has not beanded a{pnsd higher
lar mess and shculnot t wind premsaure and snctgring provisions required for
nd re and moo' the Coastline In Wind Zones II and IIr, unless
system have been designed for the increased naquiremants
Exposure D In SVASC.
This home hates _has not, sen
and ' *iPor openings. For sgclplgn with scorer shutters l other protective coverings for
Prnvkled wNi. , designed to be located In Wind Zones 11 and 111, which have
Ireedy to be 6.+ t°re e nt wing devkxs, it is strongly recommended that the horn
printed imbue . vices in accordance wthe method recommended N ma
BASIC WIND ZONE MAP
OLO,..NE 11 ZONE III
ZO
1
DESIGNROOF LOAD TONE MAP North 40 PSF
Middle 90
?ONE II
of the fedoral meriufact r d home thernuitly Insulated to conform with the MOST
and safety standards for all kw
within U/O value zone`
Heating equipment manufacturer and l (Ser map et bottom)
The above heating equipment has the ( list at taR).
capacity to maintNn en averagehks=_tsrriperr
this home at outdoor temperatures of.'
To maximize furnace where the �economy,and design
conserve energy, It Is recommended tl
home be installed
�: t g temperature (97 f/296) h not high,
The above nformation has been calculated assuming a maximum wind velocity of f 5 n
standard atmospheric pressure.
COMFORT COOLING
❑ Air conditioner provided at factory (Alternate I)
Air conditioner manufacturer end model (see fist at left).
Certified capacity . B.T.UJhour in a
air conditioning and reiteration institute standards, accordance with the °pWM
The central air conditioning system provided in this home has been sized assuIt
orientation of the front (hitch end} of the home facing
system Is designed to maintain an indoor temperature of 16• F non biou
out
temperatures are °F dry bulb and F
wet bulb.
The tem et p
The terature to which this home cen�cooled w!!! change depending u r
xpoeure of the windows of this the sun's redf t s�poe
home's heat gains will vary dependent upon Its ode! tion to the sun amid any " Nona
shading provided. information concert the
rotations. Ha exposures and shadin - , ion of ore) a
t var
of the AS ndbook of Fundamereolo. CYiaptn 22 of the 1989 or/,
information mete ;eery to cafcuhte ming loads et various locations end orientation
provided In the *peeler comfo/ cooling information provided with this home.
1f Air conditioner not pravidlt al factory( Alternate II) •
The ale distribution system of this home Is suitable for the Installation of central
conditioning.
The suppy air distribttion system installer/ In this
home is sizer/ for a rrrarxrfaclurad ho
central air
_up to
column a
standards rsted
cenified in ccvethey e°rt' the
of such oPrl tirated at 0.9 Inch wa
r conditioning and refrigeration tnatIt
aupply a " or greater for the cooling airr delivered
areths manufactured ha
Info. calculate coon
WcNcal
• � n9 loads at various
0 Alr ort cooling information providedwith Tthis aations m tactured ions
I mended (Alternate III)
this home has not been designed in entigpe ton of its tr
system.
equipment to cool a home efficiently and
required, The cooling toad is dependent on
home. Central air conditioners operate most efficl-.:
ort when their capacity elotwq.veoroximatee the ealcui Y
conditioner should be sized in accord -',,.d with Chapter
acing, Refrigerating and Air Conditioning Engineers (ASHF
999 ediaon, „xee the location and orientation are known.
MATION PROVIDIji pplEgitANUFACTURER
SSARY TO CALCULATE LE NEAT GAIN
E II
t, ZONE 111
1
:r
end doors) ...............
light color ........... :.......
Al dark color •.....
.....................
outside the home ..........................
•ll"�{i
he duct areas in this home:
ceiling__ ........ ....... ......
outside the home ............
U/O VALUE ZONE MAP
_,...aq. A.
-�r�--r—sq. n,
--sq.
tit*
alla131111Apeti,r:
imr
MD
AK
t cels U-VA.UE£
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0.1141
0.070
ED -69 ODec-O-Art. j+c_ REV,7 jyq
ENGINEERING SERVICES AGREEMENT
This agreement Is entered to as of the 13th day of April, 2000 between Roy Rakich (hereafter referred to
as the Owner) and Glenwood Structural and Civil, Inc. (hereafter referred to as the Engineer).
Project
38400 River Frontage Road, New Castle, Colorado
Foundation System and Clear Span Support for a Double Wide Modular Home over a 'walk -out"
basement configuration.
Scope of Services
The Engineer shall provide the following Structural Engineering services:
1. Complete set of structural plans for permit purposes to be approved by Garfield County.
2. The above shall be submitted to the Owner as 2 sets of stamped drawings for Building
Department approval use and 2 sets for construction.
Clarifications
1. The Engineer will be consulted for any pertinent changes in the work made during construction.
2. The work shall be available to the Engineer for access at all times during business hours until
construction is complete.
3. The Engineer shall be notified upon completion of the structural work and prior to application of
structural finishes for the purpose of verification that the work in place complies with the
documents.
4. Coordination with the Building Department for permit purposes shall be the responsibility of the
Owner.
5. Civil and site related design, Mechanical and Electrical are not included.
6. Construction observation and/or administration, other than any services specifically included
herein, shall be considered outside the scope of this project. Any such services required will be
provided at the rate established below.
7. The Engineer will not be responsible for construction costs.
8. The Engineer's liability to the Owner, its agents, consultants, vendors, and Contractor shall be
limited to the amount of the Engineer's fee for these services.
Page 1 of 2 Initials 14_
1
9. The Engineer's liability to the Owner, its agents, consultants, vendors, and Contractor shall be
limited to six years from substantial completion of the work.
10. All documents developed by the Engineer under this Contract are intended for the sole use of the
Owner only and for the above-described project only. Any unauthorized use is prohibited.
11. Any modification to this agreement shall be made in writing and acknowledged by both parties.
12. In the event that the work is discontinued or changed so that the agreement is terminated prior
to completion of the work, the Owner shall reimburse the Engineer for progress in the work as may
be demonstrated.
Time of Performance
The Engineer shall complete the services in two weeks or less from the time of execution of the Contract
provided that any Owner fumished information is received in a timely fashion and there are no substantial
changes in scope/configuration.
Contract Sum
The fee for the above services shall be $1,750 (One Thousand Seven Hundred and Fifty Dollars). A
retainer of $500 is due at the start of work. The balance will be payable upon delivery of the plans to the
Owner.
Any additional services will be billed at the rate of $80/hr.
Respectfully Submitted by:
Glenwood Str ctural and Civil, Inc.
A. Jo O. orra, P.E.
Pre ident
Acknowledgements
Accepted by:
Roy Rakich
Date Roy Rakich Date
Owner
Page 2 of 2
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GARFIELD COUNTY DING AND PLANNING
970;i9,0405-82/4
MINIMUM APPLICATION REQUIREME TS
for
MANUFACT ' D HOMES
-xisllrv_
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 complet: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 permit issuance and in proceeding with
building construction. The owner or contractor may be required to provide this information 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 ad 0tate a plan review. If ou do not, it may be helpful to obtain a
book tit! . "Dwelling Construction under the Uniform Building o his book is available to you
through this l e i a F` 1 r s . so, p ease 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 check list prior to and during design.
Applicants are required to indicate appropriately and to submit the completed check list at time of application
for a permit.
1
' 1: Is a site plan 'ncluded that indicates the distances of the proposed buildingor addition to property lines,
other build' s, setback easements and utility easements?
Yes
2. Does the site plan include the location of the I. S.D. S. (Individual Sewage Disposal System) and the
distances to pr perry lines, wells (on subject property and adjacent properties), streams or water
courses?
Yes
3. Does the site plan indicate the location and direction of the County or private road accessing the
property? I
Yes +�
4. 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
5. 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 yoq yudiing plans?
Yes 7V /Fl No
6. Will this be t. honly residential structure on the parcel?
Yes V No If no -Explain:
7. Have two (2) complete sets of construction drawings bee submitted with the applicatiofi?
Yes
8. For the placeme of a manufactured home, have the following been specified?
The size of th 't (min. 20ft. x 20ft.); live roof load (min. 40#); wind design (min. wind speed of 80
mph & 151 wind load); foundation design; method of anchoring?
Yes
9. Have you designed or had this plan designed while considering building and other construction code
requirements?
Yes No lMr4 IS D o a a'
10. Does the plan accurately indicate what you intend to construct and what will receive a final inspection
by the Garfield County Building Department?
Yes No
11. Do you understand that approval for design and/or construction changes are required prior to the
application of these changes?
Yes No
2
12. 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 "School Impact"
or "Septic Sf stem" fees required, at the time you pick up your building permit?
Yes 1/ No
13. 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-four ( ) hour notice for inspections will delay your inspection one (1) day. Inspections
are to be c I in to 384-5003.
Yes No
14. Are you aware that you are required to call for all inspections required under the Uniform Building
Code including pproval on a final inspection prior to receiving a Certificate of Occupancy and
occupancy oft e building?
Yes No
15. 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. _
16. Attached is information for placement of a manufactured home. Please review. If you have any
questions, please call this office.
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
si e
Phone: ?09 v 777 -
(days);
ice'
Project Name: p)
date
fly - d ?-,8"--(evenings)
Project Address:
3
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County Road (Note the Roa
•
HIGHLAND MANUFACTURING, INC.
P.O. Box 427 1660 Rowe Avenue
Worthington, MN. 56187 (507)376--9460
45 PSF ROOF LOAD ADDENDUM
NOTE: Do not install your home in a zone that requires greater loads or climatic requirements
than those on the compliance certificate. You may, however, install a home in a zone requiring
lesser loads or climatic requirements.
PIER AND FOOTING SELECTION
This home has been designed for 45 psf roof live loads. The piers used must have enough
capacity to transmit the vertical load which includes the weight of the home, its furnishings,
and temporary roof loading to the foundation surface below it. If the load imposed is greater
than the capacity of the pier, then two or more piers must be equal to or greater than the
load to be fransmitted.
FLOOR LIVE LOADS: Excessively heavy furniture or appliances, such as pianos, organs, deep
freezers, heavy chests, large china cabinets, water beds, etc. require the installation of additional
support footings and piers directly beneath them. If such loads are over, or between, main beams
install additional piers with headers to distribute the weight over several floor joists.
Complete the following steps to determine the pier and footing requirements for the home.
1. Determine pier height to be used based on site conditions.
2. Determine main beam pier spacing (10'-0" max.). Determine the additional piers and
headers at rim joist area.
3. Using the preceding information, determine the required main bean pier capacity from
the following table.
MAIN BEAM PIER CAPACITY TABL
Pier Spacing
Pier Capicty (lbs)
8 —0"
5900
9,-0"
6600
10'-0"
7300
Refer to HIGHLAND MANUFACTURING, INC. SETUP MANUAL for soil bearing capacity and
concrete footing tables.
in addition to main beam blocking, all homes designed for 45 psf
be perimeter blocked.
—28 & 14 wide units must be perimeter blocked every 5'-6" o.c.
—16 wide units must be perimeter blocked every 6'-8" o.c. below
(based on calculation K-713)
roof live loads must
below edge joist
edge joist
This sheet is an addendum for 45 psf roof live load only. Please refer to HIGHLAND
MANUFACTURING, INC. SETUP & INSTALLATION INSTRUCTION MANUAL for complete
instructions.
o tratels.,9
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o APR 181997 E.
J-17
317.00
,f
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
90c0/
Date Issued.. , . .... ....Zoned Area Permit No
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 the County Building
Inspector and IMMED ATELY BECOME NULL A D VOID.
Use hArt on UV*C.etElevrinss
Address 1 Descriptio , /„); h s
•
Setbacks Fent Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing c- 4 00 Q _ _
Foundation f; ,
Underground Plumbing ; ;,,, , :
Insulation
Rough Plumbing i ). G _p t
Drywall
Chimney & Vent
Electric Final (by State Inspector)/0 /- D
Final 1]- )�& W its,
Gas Piping ( L. 1-, ' M1
II
Electric Rough (By State inspector)
Septic Final a . -; _. ,'
Framing
(To include Roof in place and Windows
and Doors installed).
Notes:
5 A AinVikt
ja, 0J
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
I1• `7' 57 c 3 THIS PERMIT IS NOT TRANSFERABLE •
oneallINI11 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVED DO NOT DESTROY THIS CARD
Dat i #?. (% B;A__t,__144l4
IF PLACED OUTS' - COVER WITH CLEAR PLAST