HomeMy WebLinkAboutApplication- PermitJob Address
Nature of Work
Use of Building
Owner
GARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 8th. Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
No. 6853
0/ds Ala so/ Cao 8 /35
Building Permit
Ceut
1
Contractor
Amount of Permit$
/ it. °2 Py
Y ) : 50. &v
,414i4c4,61. coly *De_ 6-0
Date
Clerk
., GARFIELD COUNTY BUILDING PERMIT APPLICATION
i GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO
TELEPIiONE; (970) 945-8212 INSPECTION LINE: (970) 945-9159
Applicant to complete numbered spaces only. PERMIT NO. 5_3 PARCEL/SCHEDULE NO.
1a�
TCid ADDRESS:
JOT NO.
C 3
3 BLOCK NO.
SUBDIVISION/EXEMPTION
3
OWNER
Rao
ADDRESS
(17pnc4c4 IE
co" b wt. e \r-
4 ARCHLTECDLN�Iq+R Lc.ndt -�
ra['vi1\-e.5
SQ. FT. OF BDEDIIaO
ICD OO
'CTl650
ADDRESS
ADDRESS
OF LOT
PH:
7zt5-o7-
WE PH:
P$
15'1Z
HiEIOHr
LTO. NO:
LSC NO:
NO. GEED:WAS
USE OF BUIIDIND
7
DESCRIBE WORK
S
�.A89 OF WORK
oADDRUOl7 GALTERK11014 oldOVE oRESIOVE
GARAGE: MINGLE
b50
CARPORT:
osDITRE opOI7BSE
10
o DRIVEWAYPFRAOT
VALUATION OF WORK S
oON SITE SEWAGEDIspOSAL{SID q
ADRISTED VALUATION:I
osrIR PLAN
SPECIAL CONDITIONS,'
NOTICE
:1 SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST" BE ISSUED BY THE STATE CF'
COLORADO.
THIS FFRMITBECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITI1J N 180 DAYS, OR IF CONSTRUCTION OR WORK 15
SUSPENDED ORABANDONED E ORAPERIOD OF 180 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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
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.
Signature ot'Wa&, Cautractor or
2onz.,7
Building Dept, AppeavaL /
Date
��
iced rad uuderatuod c e abov
adie
PLAN CHECK FEE:
PERMIT FEE:
.37
TOTAL FEE: DATE PERMIT ISSUED:
s7/.41-/
OCC: GROUP:
CONST: TYPE:
-ri
ZONING:
SETBACKS:
MANU. HOME:
AGREEMENT
C
1SD5 NO. & FEE:"17-gfal--‘—'
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF TI1F. CONTRACTOR OR OWNER TO CONSTRUCT THE STRU FURE AS
DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED 13Y
GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY
COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERN.GT MAY THEN BE REVOKED BY NOTICE FROM THE
COUNTY AND THAT THEN AND THERE rr SHALL BECOME NULL AND VOID.
TI1E ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND O'ITIER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE
CORRECTION OFE.1FROILS IN SAID PIANS, SPECIFICATIONS AND OTTER DATA OR FRO PREVENTINGBUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION
OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OFTTlE SUBMITTED FLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES
OR LIAIIJLII1ES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES, THE RESPONSIBILITY FUR THESE ITEMS AND IMPLENIENTATTON DLTUNG CONSTRUCTION
RISTS SPECIFICALLY WHIITHE ARCHITECT, DESIGNED BUILDER AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTER.E.ST
Garlormoo 3 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ ANSI UNDERSTAND THE AGREEMENT ABOVE. UNIT/ALL
J '� 7/h/ ;t o
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 the 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, kitchen
floor coverings, counter tops and finished walls, ready for stove and refrigerator, all necessary
plumbing.
A complete bathroom, with wash bowl, tub or shower, toilet stool, hot & cold running, water,
floors and walls finished an a privacy door,
5. All steps outside or inside over three (3) steps must have handrails, guardrails 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 VACATING
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 # Z, 3
Signature
prmtcond.lst
57yz
Date
P/re.
P-5
-
1, Is asite plan included that indicates the distances of the proposed building or addition to property lines,
other buildings, setback easements and utility easements?
.Yes 5
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), streams or water
courses?
Yes j
3. Does the site plan indicate the location and direction of the County or private road accessing the
property?
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 :e575
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 your building plans?
Yes No
6. Will this be the only residential structure on the parcel?
Yes No If no -Explain:
Have two (2) complete sets of construction drawings been submitted with the application?
Yes
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#); wind design (min. wind speed of 80
mph & 15 lb. wind load); foundation design; method of anchoring?
Yes 5 r
9. Have you designed or had this plan designed while considering building and other construction code
requirements?
Yes 3 No
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 System" fees required, at the time you pick up your building permit?
Yes 5, < 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 5:00 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 945-9159.
Yes _C_S No
14. 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 f < No
15. Attached is information for placement of a manufactured home, Please review. If you have
questions, please call this office.
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
signature
Phone: 0731 (days);
Project Name: -54--App
Project Address:
Notes:
rr
date
r �
1 f 6 7!) el (evenings)
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.
PerApp02.95 Effective August 15, 1995
3
07/29/1998 09:47 970-874-0342
CARVILLE'S LAND&HOME PAGE 01
2195 SOUTH MAIN DELTA, CO 81416
DATE:
# OF PAGES INCLUDING THIS SHEET:.
C
970-874-7577
LOCATION/DEPT
FAX#_
FROM: NAM
COMPANY, C p:qJ j giA$O 1 NON ,
LOCATION/DEPT Q
FAX # •+ 970$74-0342
COMMENTS:
FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAX FAFAX
y 07/.29/1998 09:47 970-874-0342
CARVILLE'S LAND&HOME
:1032.-:141b99 SH+=cPCASE Hi MMES
J
JUL-29-95 tJED 07:27 AM CHAMPION HOMES FAX NO. 1 402 362 7724
cnamPLOn
HOME BUILDERS CO.
"Leading The Way Home"
July 29, 1998
Carvlllc's land JL Horne
2195 South
Delta. CO 81416
RC: Owner; Steve Sapp
Address: 1375
County. RD 113
Lot 3, Block 1
Green Subdivision 300 Road
Parachute, CO 81635
Model; 05-464
Serial No- 05.99.464-3531
DQsig' Cri,cria. 40 ?SF ROOF Live Load
home.
PAGE 02
PAGE 91
P. 01
P.O. Box 585
3200 Enterprise Ave.
York, Nvrbfsska 69487
(402)1i02-4463
Fax (402) 362-7724
1'his letter is to certify that the above referenced home will be built as a ',IUD
Ccrtificatiosi of compliance is ;t label issued by HUD. This label will be found on
•
the a-cr,r of t1;e home as required by HUD.
In addition a compliance data sltein showing design criteria and other information
will Sc lac:ited in the hern°, normslly this is placed in the master bedroom closet or in the
washer/dryer area. IC you need any additional information please feel free to call.
Sincorely,
Michael . acobe
Engineering Manager
ARFIELD,COUNTY BUILDING'.AND SANITATIoN•
DEPARTMENT'.
4„2014 Blake-Ayenua
leriryood, 5,plings Colorado 81601
•°� 'Pfi ne (3l)3) 945.8241
•
INDIVI'DUALSEWAGE'DISPOSAL PERM -IT
Owner
'1269.
$.1E:... •
This does not constitute
a building or use permit.
System Location
Licensed Installer...
Q z .1 /`.+E1� .Q G zH tum J e,�
:7:3e9e3 ,moi may .
* Conditional Construction approval is hereby granted for a 7.L5 gallon -
Septic Tank or Aerated treatment unit.
Absorption area (or:dispersal area) computed as follows:
Perc rate of one inch in --5 minutes •requires a minimum of /6 I sq ft of absorption area per bedroom,
Therefore the no: of -bedrooms �' k �/v sq ft minimum requirement = a total of ft of absorption area.
• May we'suggest %2 s 7 3 .5E��.�tm ,�j 7 O' — ' ' hr/ X 3
Date
• Inspector
FINAL APPROVAL OF SYSTEM,
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior -to cover-
ing any part.
Septic Tank access for inspection and cleaning within 1.?". of ground surface or aerated access ports aboveground
#surface.
Proper materials and assembly
-0°Pname of septic'tank or aerated treatment uni /Qp
dmf Adequate _absorption (or dispersal) area: s:52, 3
PJ
• Adequate compliance with permit requirements.
Adequate compliance with County and State regulatiohs/requirements."•
Otherr.p.. '.i.
Date' Inspector
ETAIN 1N,ITH RECEIPT RECORDS AT CO;NSTRUCTION'SITE.
*CONDITION0.i; ;%'' ,k
1. Ail tnstaIIattta st,cOtn ly with all. requirements of the -County' Individual Sewage D isposal Regulations, adopted pursuant'to aur 'r
thority granted) 0-66: 4A CRS 1963; amended 66.3-14 CRS1963:. l' '
2. Thisvpernmit"1 lid�-..., fo , onpectionPto structures which have' -fully complied with County. zonirtg and building requir• ements 1 -
Co sectio ���'sSi d yrlwelltn gar structures nota.,
gapproved by the Building and Zoning office shall automatically be a viola
ton,o ' axR ,P erm, ' and'cause for,both.le g al action and revocation of the permit..'''.,? -:i...;').,-,_..,-.. ;, �1 .,
5ectt� 1I e+ t - .person who toristructs a'tens or installs an individual ew a dis osal s stem in a manner which ink�•
tf • .,s •' It - al' atiOrl �m,th term$ or pedificatlons,contalned in'the application of permit -Commits aClass l;
...t.-,N...734!.k'IF Pr +r �t �`„ -a11 �• �']Ao- ..y ¢,�•ry w''"+,s,. +,i� `'° ,�!S!Gl •i •4''` r�?� a; -,s .,ext `',,,�+:�g,xc ..�.,,,�` p" h�Y; #til.
` ,, '{+� ''- k A n pr op �`P, �, .a+•; e.� t 1 4 _ ■ , rE ♦.,-A ^i
s3 5 f t4 +' w sy
as 4.. i r
•••,.,0,1-:..:,0a°., * .�rS :S�''d.P'
`rein Copy •Depa arna '• Plnk C p i::
� e 'I` t
DDRESS
J0NTRACT0R '
T,DDRES5
PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration (L. -?n -
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
•H iLa ion
Approval by
County Official:
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.)
'_OCATION OF PROPOSED FACILITY: County- 6;.ire.,
Near what City of Town Lot Size //2_...
Legal Description
,TASTES TYPE: ( X) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non-domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE:
'Dumber of bedrooms J <���.��sz:� r _ Number of persons
) Garbage grinder ( ) Automatic washer ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( 1:-.1 well ( ) spring (
stream or creek
Give depth of all wells within 180 feet of system:
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock:
D-oth to first .Ground Water Table:
Percent ground slope: _J."—
DISTANCE
—
2 s-7--=
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
''1as an effort made to connect to community system? "/C)
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(.) Septic Tank
( ) Vault Privy
( ) Pit Privy
( ) Chemical Toilet
FINAL DISPOSAL BY:
() Absorption Trench, Bed
( ) Underground Dispersal
( ) Above Ground Dispersal
( ) Other -- Describe:
(
) Aeration Plant
) Composting Toilet
) Incineration Toilet
) Other - Describe:
or Pit
( ) Vault
( ) Recycling, potable use
( ) Recycling, other use
( ) Evapotranspiration
( ) Sand Filter
( ) Wastewater Pond
'WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
Page 2
iVD
REKCO
LAT0N TEST RESULTS: (To be completed by Registered Professional Engineer.)
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.
':ane, address and telephone of RPE who made soil absorption tests:
'game, address and telephone of RPE responsible for design of the system:
Applicant acknowledges that the completeness of the application is conditional upon such
T'urther 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
purposes 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
adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies
that all statements 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 under-
stand that any falsification or misrepresentation may result in the denial of the application
or revocation of any permit granted based upon said applicationr and in legal action for per-
jury as provided by law. _
Date
/- r 7 3
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
Page 3
Signed
PLOT PLAN AND DESIGN FEATURES:
Include by measured distance location of wells, springs,. potable water supply
lins, cisterns, buildings, property lines, subsoil drains, lake, water course,
stream, dry gulch and show location of proposed system by direction and distance
from dwelling or other fixed reference object, and additional submissions in
support of this application such as data, plans, specifications, statements and
commitments.
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Nam
System Location
2988
Assessor's Parcel No.
IThis does not constitute
a building or use permit.
Present Address 13b 5 a CR l i 3 C gale phone q--073 /
0la? CR 301 PAikr \ ( .
t
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
Septic Tank Capacity (gallon) Other
fPercolation Rate (minutes/inch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Date
Inspector
J
C) /o P1ecn /&-40).4'11:47 f14,477:40/; s;_srT ),9
MP e
-Q 00
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 6" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date inspector
RETAIN WITH RECEIPT RECORDS AT 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 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 ($500.00 fine — 6
months in jail or both).
White - APPLICANT Yellow - DEPARTMENT
i
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date lssned ! Lira Zoned Area Permit Noa$
3
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 fuirther 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 ULL AND VOID
U„ !' 4 (N, e CI h r
Address r Legal Descri ion 0� t O JO 1 e i C 1 CO a
#eV Contractor 0 w t'
Setbacks Front Side Side Rear
This Card Must Be Posted So Itis Plainly Visible From The Street Until Final inspection.
INSPECTION RECORD
Footing -!j--4-11
Foundation
Underground Plumbing
Rough Plumbing
Chimney & Vent
Gas Piping I J.__ gr_[- ik_a_ Aar_
Electric Rough (By State Inspector)
if; )' l ; / "4'
Insulation fj _ _? Jr -
Drywall j _
Electric Final (by Slate Inspector) Ili— —7 Sec,
Final /,2f
Septic Final Od _2 7- 7k
Fratning id _�2ly
(To include -Roof hi place and Windows
and Doors installed).
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WIIETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
Notes:
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-9159 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVED DO NOT DESTROY TEJIS CARD
Date Cgy
IF PLAC
ll OUTSIDE - COR
WITH CLEAR .PLASTIC
71r