HomeMy WebLinkAboutApplication- PermitJob Address
fNo. 7596
GARFIELD COUNTY
BUILDING, SANITATION,
and PLANNING DEPARTMENT
109 8th, Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
l9 n ae_w deo 04-64
Nature of Work Building Permit
Use of Building }
Owner
Contractor
' l l
Amount of PernnitS . 34 .j 9 Date
h -Q -R_ s
3 di. 57
.2611.10
C,
Clerk
•
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO .3$ q"5O43
INSPECTION LINE: (970)11.1.11110.
PARCEL/SCHEDULE NO.
TELEPHONE: (970) 945-8212
PERMIT NO.
TOB ADDRESS: Q/ ya hi) f. D 4410 611,-/ Co
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LOT NO. Q BLOCK NO. SUBAIVISIONIF?.MP'ITON
OWNER2
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AaCTurECUExGINEER
ADDRESS
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CUSS OF wOAtt. ONt W DADDMON DALTERATION SMOVE oRELtOVE
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DAMAGE oUNGIF. aDePartal CARPORT. 'Jim r; ODOLJELE
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3 DPJVE'aAY PERMIT DON SITE SEWAGE DISPOSAL (SEPTIC. DSITE PUN
VALVATtOON Of W011x sPIs/S ADJUSTED VALuAttoN:I /( O
7f %G d •cSr�
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SPECLU. CONDm7N1
NOTICE
A SEPARATF. LLECIRlCAL FUND' tS R,E.QUIRED AND MUST 1E :SSIAD EY TrIE SrArE OF
COLORADC
THIS PERMIT BECOMES NUI. AND VOID IF WORK OR CONSTRUCTION
AL1'HORt'r;TD IS `.OT COMl. LACED wrIHTN ISO DAYS. OP. IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF IRO DAYS AT .\N`i TIME
AFTER WOR$: i5 COMMENCED.
1 HEAP -BY CERT EFS. I1IAT I HAVE REAL) AND E-XAMINED THIS APPLICATION AND
KNOW THE SAME. TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
GOVERNINGF
THIS TYPE OF WORK WILL BE COMPLIED WITH WFIETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOL\TE. OR CANCEL THE PROVISIONS OF ANY OTFHLR S'L'ATE OR
LOCAL LAW REGI."LATING CONSTRUCTION OR THE PERFORMANCE OF
CON'S '.TION.
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PI -3.-N MEM TEE: Z/ /I9
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PERMIT FEE:
99.7
TOTAL FEF:n `� DAT! YFIL�IIC ISSUED:
'1 .f]
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OCC: GROUP' CONST: TYPE: V 14
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..0 L G.
SETBACKS:
_Pat<
Sign ut'Owner. Caotractor or sltt6O cd gent lar. '� 'Rid aa• � � tt a•
S((7106' �,��:7 ,! Jig 6 Ole
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ISDS NO. dc FEE:
Building Dcpt. Appru aiDate ' P1 , . :t t. Ap. ate
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS O\VNER CONTRACTOR AND. OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE A
DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDNG DEPARTMENT.
EN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALI, BU[ DNG CODES AND LAND USE REGULATIONS ADOPTF7) B'
GARFIELD COUNTY PURSUANT TO ALT] JORITY GIVEN IN 30.28.201 CRS AS AMENDED, THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULL_'
COMPLEED WITH N THE LOCATION. ERECTION. CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FRO'
THE COUNTY AND TILT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECEFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUt DNG OFFICIAL FROM THEREAFTER REQUIRING T1!
CORRECTION OF ERRORS N SAID PLANS, SPECIFTCATIONS AND OTHER DATA OR FRO PR—EVEN—UNG BUILDNC, OPERATION BEING CARRIED 014 mERECNDER WHEN 1
VIOLATION OF T1 IS CODE OR ANY OTHER ORDINANCE OR REGULATION OF 11IIS JURISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATTONS AND ENSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTTIUTE AN ACCEPTANCE OF AN
RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCRERA.NICIES. THE RESPONSIBILITY FOR THESE ITEMS AND LNfPLFMENTATIC
DURING CONSTRUCTION RESTS SPECW1CAL.LY WTIHi THE ARCHITECT, DESIGNER. BUILDER AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND N SLTPPOP
OF THE OWNERS INTEREST.
GartomLo03 I HEREBY ACJ.'NiOWLEDC'E THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (NIDAL)
W51111616 ci)).vvi3
4
411104.04.11
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;
omplete bathroom, with wash bowl, tub or shower, toilet stool, hot and cold running
r, non-absorbent floors and walls finished and a privacy door;
5. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or
decks over 30" high constructed to all 1994 UBC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of
extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until all
the required items are completed and a final inspection made.
A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE
ITEMS HAVE BEEN COMPLETED.
****CANNOT OCCUPY OR USE DWELLING UNTIL A 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 and the issuance of a
Certificate of Occupancy for the dwelling under building permit # ' 6 .
Signature
bpcont
Date
0190. e..4:0 )e_d
rA-01)2--
'701.0 xii (3).;- /4940 . 15t.
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GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE FAMILY DWELLING CONSTRUCTION
including
NEW CONSTRUCTION
ADDITIONS
ALTERATIONS
and
MOVED BUILDINGS
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 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 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 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
v
January 1, 1999
Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to
scale.
Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with
decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line.
A section showing in detail, from the bottom of the footing to the top of the roof, including re -bar,
anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheating, 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# per ft. up to
7,000 F.O.S. and an 80 M.P.H. wind.
All sheets to be identified by number and indexed. All of the above requirements must be met or your
plans will be returned.
1. Is a site plan included that indicates the distances of the proposed building or addition to
p_rgerty lines, other buildings, 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 property lines, wells (on subject property and adjacent properties),
s or water courses?
3. Does the site plan indicate the location and direction of the County or private road accessing
th roperty7
es
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
d- •i_, ?
0
5. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces
and the c1e nc s required between wood and earth?
Yes
2
6. Do the plans indicate the size and location of ventilation openings for the attic, roofjoist
spaces' s an ffits?
Yes
7. Do the plans include design loads as required by Garfield County for roof snow loads, (a
minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor
loads and wind loads?
Yes 406
8. Does the plan include a building section drawing indicating foundation, wall, floor and roof
construction?
Yes'1
9. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roof rafters or joists or trusses?
10. Does the building section drawing or other detail include the method of positive connection
of all column and beams?
Yes 41/11
11. Does the plan indicate the height of the building or proposed addition from the highest point
of the building or addition measured at mid span between the ridge and the eave down to
e ' .;ng grade contours?
12. Does the plan include any stove or zero clearance fireplace planned for installation including
make and model and Colorado Phase II certifications or phase II EPA certification?
Yes Ja 14- No
13. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with he Uniform Building Code Chapter 37?
Yes No
14. Does the plan include a window schedule or other verification that egress/rescue windows
from sleeping rooms and/or basements comply with the requirements of the Uniform Building
No
15. Does the plan include a window schedule or other verification that windows provide natural
light and ve i : tion for all habitable rooms?
Yes . / No
3
16. Do the plans indicate the location of glazing subject to human impact such as glass doors,
glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as
a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and
specify safty glazing for these areas?
Yes %i i No
17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated orkthe plan?
Yes , No
18. Do you understand that if you are building on a parcel of land created by the exemption
process or the subdivision process, are building plans in compliance with all plat notes and/or
co ants?
No
19. 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
tectural committee deny or reject your building plans?
No
20. Will this be they residential structure on the par l?
Yes No If no -Explain:
21. Have two (2) complete sets of construction drawings been submitted with the application?
Yes Ci
22. Do ou understand that the minimum size a home can be on a lot is a 20ft. x 20ft.?
No
23. Have you designed or had this plan designed while considering building and other
truction code requirements?
No
24. Does the plan accurately indicate what you intend to construct and what will receive a final
ection by the Garfield County Building Department?
No
Yes
25. Do you understand that approval for design and/or construction changes are required prior
e application of these changes?
No
4
26. Do you understand that the Building Department will collect a "Plan Review" fee from you
at the time of application and _ will be required to pay the "Permit Fee" as well as any
fees required, at the time you pick up your building
Goth
27. 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 5:00
p.m. the day before. Failure to give twenty-four (24) hour notice for inspections will
y your inspection one (1) day. Inspections are to be called in to 384-5003.
No
Yes ]' No
28. 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
opancy and occupancy of the building?
No
29. Are you aware that the person signing the Permit Application, whether the "Owner", "Agent
of the Owner", "General Contractor", "Contractor" or otherwise, is the party responsible for
t� project complying with the Uniform Building Code?
No
30. 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
cat...425-8601,
Yes No
I hereby acknowledge that I have read, understand and answered these questions to the best
of my ability.
signature
�7%% 0
date
Phone: /d ((— 0205" (days); 9V. —977Z (evenings)
Project Name: /1f LI NC; - )1k4Cr
Project Address: c 90 j /o 5,C4 4tLr
5
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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.
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County Road (Note the Road Number and Name)
1994 Building- Cede
Setbacks: 25 feet front and rear and 10 feet on the sides
Snowload: 401bs. /sq. ft. up to 7000 feet
Seismic: Zone 1
Windshear: 80 mph
Wind exposure: B
Windload: 151b s. /sq. ft.
Frost Depth: 36 inches -30 inches from finished Bade to top of footing
(Liveload is snowload-imposed by snow)
GARFIELD COUNTY
Building and Planning
Notice of Clarification
It is the interpretation of this department that the provisions of UBC Section 302.4,
Exception Number 3, also applies to openings for access to attic space above a U
occupancy. The access door in the ceiling of a garage must be self closing, tight
fitting, solid wood door, 1-318ths inches thick, or have a 20 minute fire protection
rating or the one hour fire separation wall between the garage and the dwelling must
extend above the ceiling, all the way to the roof.
0„./6„.
Arno Ehlers
Chief Building Official
109 8th Street, Suite 303
945-8212/285-7972 Glenwood Springs, Colorado 81601
11
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co 11001,-
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., /
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'L. LOT 9
TB" CMP
LOT 7
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SCALE: 1" = 300'
Lal 11
LOT 13
Q19Q RIO SECO ROAD
NOTE: THIS PROPERTY IS SUBJECT 10 RESERVATIONS, RESTRICTIONS, COVENANTS AND EASEMENTS OF
RECORD OR IN PLACE.
PROPERTY DESCRIPTION
LOT 8, SIERRA PINYON SUBDIVISION
A RESUBDIVISION OF LOTS 17, 18 AND 19 SIERRA VISTA RANCH
COUNTY OF GARFIEL,D, STATE OF COLORADO
IMPROVEMENT LOCATION CERTIFICATE
I HEREBY STATE THAT THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED
BY HIGH COUNTRY ENGINEERING, INC. FOR KATHY ENGLISH THAT IE IS
NOT A LAND SURVEY PLAT OR AN IMPROVEMENT SURVEY PLAT, AND THAT
IT IS NOT TO BE RELIED UPON FOR 1HE ESTABLISHMENT OF FENCE, BUILDING,
OR OTHER FUTURE IMPROVEMENT LINES.
1 FURTHER STATE THAT 1EIE IMPROVEMENTS ON THE ABOVE DESCRIBED PARCEL ON
THIS DATE. MARCH 9, 1999, EXCEPT UTILITY CONNECTIONS, ARE ENYIRELY
WITHIN THE BOUNDARIES OF THE PARCEL, EXCEPT AS SHOWN, THAT THERE ARE NO
ENCROACHMENTS UPON THE DESCRIBED PREMISES OY IMPROVEMENTS ON ANY
ADJOINING PREMISES, EXCEPT AS INDICATED, AND THAT THERE IS NO APPARENT
EVIDENCE OR SIGN OF ANY EASEMENT CROSSING OR BURDENING ANY PART OF SAID
PARCEL, EXCEPT AS NOTED.��touniulu ,i�
` . Dao •FA�v,)"
BY: �+►•s
'►
FRANK W. HARK'=� "�� { S.045
2,10. 98 9a
S
ito
DATE. 9 MARCH 1999
IT 15 HEREBY STATED THAT THE STRUCTURES
LOCAT(O ON THE ADO I€ DESCRIBED PROPER EY
ARC NOT WITHIN THE 100 YEAR FLOOD BOUNDARY
• JOB NO - 99634.01
HG11 OOIPITETY ENIMOFMNG, I+IG
023 COOPER MIME
CTLENWO0D BPRIt40 .00111601
(970) 045-0671
M44-
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name
System Location
Permit
2852
Assessor's Parcel No.
This does not constitute
a building or use permit.
Aar ton Porter Present Address 2571 314 Road, N.C. Phone 984--2790
0/ 90 /?, c sec o Ro Act Si?'t'Lot
-Qi-89- 4-Bca�co-koad-T-S erxa-It tong -Lot.-21
Legal Description of Assessor's Parcel No
11 f'I` b C I( -- 4 C Ac Ft- fi" I L O -2.O ' f(
SYSTEM DESIGN IJL EAC /4 -CH AAA +3 C.4- � a e 0 = '-j 0 c./ IQ I t S
3) `' — ' 7- ftE�I014id's r_7 ^S It
LI U t3 b Septic Tank Capacity (gallon) Other
1i3
/ Percolation Rate (minuieslinch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Date
inspector A (1-- hI o
r•11NAL SYSTEM INSPECTION AND APPROVAL (as Installed)
Call..for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity
/oo°
Septic Tank Manulacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manulacturer or Trade Name
Adequate compliance with County and State regulations/requirements
-,. �d7 b7
ti73bk
aril a,
Other
Date
" T inspecto
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
ifs A./1141
•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 a violation or a
requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or installs an individual seWage disposal system in a manner which involves a knowing and material
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense (6500.00 fine 6
months In call or both).
1'41 it 01'14 to +111 n r ..,
• INDIVIDUAL SEWAGE DISPOSAL SYSTEM API LICATION
OWNER .Y 1:5. fl r • (,e
ADDRESS E '7 ( Coot.t 15 U 31 t{ PHONE t — ,& 9` 0
CONTRACTOR
ADDRESS
PHONE
PERMIT REQUEST FOR NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area,
habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4).
LOCATION OF PROPOSED FACILITY:
-t-
Near what City of Town ', LT Size of Lot -u- "
r C�
�.nT i 1c.Y�►'-� —P.SS O/tC
Legal Description or Address t 1,1 t OI� 1 _
WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: r_G-► vLc' _ I 4 . c.
Number of Bedrooms
(A, Garbage Grinder
Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: (>4 WELL
If supplied by Commimity Water, give name of supplier:
Number of Persons
M Dishwasher
( ) SPRING
( ) STREAM OR CREEK
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System? 1\1 0
lel �t
A_sttc plan is req
Leach Field to Well: 100 feet
Septic Tank to Well: 50 feet
Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet
Septic System to Property Lines: 10 feet
YOUR INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSIJED
WITHOUT A SITE PLAN,
11
II
Depth to first Ground Water Table L (1 L h CD U.7
Percent Ground Slope 3
2
TYPE OF INIDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
SEPTIC TANK ( ) AERATION PLANT ( ) VAULT
( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE
FINAL DISPOSAL BY:
ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION
( ) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER - DESCRIBE
WILL EFFLUENT DE DISCHARGED DIRECTLY INTO WATERS OF TIIE STATE?
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does
the Percolation Test)
Minutes per inch in hole No. 1 Minutes per inch in hole NO. 3
Minutes per inch in hole No. 2 Minutes per inch in hole NO..
Name, address and telephone of RPE'who made soil absorption tests:
Name, address and telephone of RPE responsible for design of the system:
Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and
additional tests and reports as may be required by the local health department to be made and furnished by the
applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the
permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations
made, information and reports submitted herewith and required to be submitted by the applicant are or will be
represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the
local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further
understand that any falsification or misrepresentation may result in the denial of the application or revocation of any
permit granted based upon said application and in legal action for perjury as provided by law.
Signed /3,9), Date (/Z- /9 S
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
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INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued5... 6° Zoned Area Permit No V't
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
Inspec or an IMMEDIATELY BECOME NULL AND VOID.
Use
AddLegal Description
Own�li �". •b�*
Setbacks Front Side
Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing ‘-- Zb A•\
Foundation 'co j ,
Underground Plumbing u,,t
Insulation keit
Rough Plumbing AA.
Drywall AAA
Chimney & Vent iv. A
1
Electric Final (by State Inspector) MIe A'L
Gas Piping u.01._.
Final g.30.a0 4,3.
M
Electric Rough (By State Inspector)
Septic Final )..J
Frami�—
ng �- �vC'
(To includ Roo in place and Windows
and Doors installed).
Notes:
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
VI •5401 THIS PERMIT IS NOT TRANSFERABLE
Phone 04391 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVED DO NOT DESTROY THIS CARD
CE
Date5fittet‘ By IF PLACED OUTSIDE -COVER WITH CLEAR PLASTIC