HomeMy WebLinkAboutApplication- PermitNo. 6633
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 lith Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
Job Address
Nature of Work
Use of Buildi
Owner
Contractor
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Amount of Permit S3 / • 0 7 Date
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GARFIELD COUNTY
r :l) 1 �, , -��LICATION FOR BUILDING PERMIT
please print or type
TO BE FILLED OUT BY APPLICANT
ADDRESS pan q .
SUBDIVISION L € 1-+$. et -E. `e L
FILING 4 LOT ?' t0 BLOCK
TAX SCHEDULE 0 J,, Q () 3 3 1. C3 C7
1LEGAL (SEC/TWN/RNG)
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NAME ,Q
MAILING ADDRES
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NAME
YIDDRESS
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PHONE gl(� L!;,3-44.22-
CITY
CONTRACTOR
NAME Q' (I.) RV—
ADDRESS .54Vne GCS Ct c\/-Q�
CITY
PHONE LICENSE
CLASS OF WORK
NEW V ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HONE (make/model)
S.F . OF BUILDINC,cO (/ S.F. OF LOT
OF FLOORS / , — 44 HEIGHT
OF FAMILY UNITS OF BEDROOMS
INTENDED USE OF BUILDING KeSr lerth r`c.I
7yd
PERMIT NUMBER 4. 3 3
DATE 3/6Iq d
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or if space is
too small, provide separate plot plan.
OF BUILDINGS NOW ON PARCEL
USE OF BUILDINGS NOW ON PARCEL
GARAGE: SINGLE DBL CARPORT: SINGLE DBL
FIREPLACE'
DOCUMENTS ATTACKED
WATER SUPPLY
DRIVEWAY PERMIT
SITE PLAN
BUILDING PLANS
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT
OTHER DOCUMENTS (specify)
/BVX a a- = 3/'94o
VALUATION
PERMIT FEE $4'Q.'75 PLAN CHECK FEE $
TOTAL FEE $8,3, ) i( SCBOOL IMPACT FEE $
DATE PERMIT ISSUED
ZONING DISTRICT
TYPE OF OCCUPANCY g 3
TYPE OE CONSTRUCTION 'p' A/
S.F. OF BUILDING .("(1 S . F. OF LOT
MAX. HEIGHT ///;.' ROAD CLASS.
SETBACKS PROM PROPERTY LINE: FRONT
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
4-14--d<:: )44,
/
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FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED
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I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state laws regulating building construction
SIGNAT E
FOR OFFICE USE ONLY
APPROVED
BUILD N DEPARTMENT
DATE
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
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PLANNI 9EPARTMENT
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GARFIELD COUNTY
.BUILDING AND SANITATION DEPARTMENT
PROCEDURE REQUIRED FOR COMPLIANCE WITH THE GARFIELD COUNTY SEWAGE DISPOSAL REGULATIONS:
Step I: Application
A. Obtain a standard "Individual Sewage Disposal System application"
from the Building and Sanitation Department, 109 8th Street, Suite 303
Glenwood Springs, Colorado 81601, 303-945-8212 or 625-5571.
B. Return completed application, map to property, and diagram of site to the
Building and Sanitation Department (Pages 2, 3, &4).
- C. Obtain a receipt for the applicable fee. Make check or Money Order payable
to ''Garfield County Treasurer ". FEES ARE NOT REFUNDABLE.
Step II:, Percolation Tests SEE DETAILED INSTRUCTIONS ON PAGE 6
*A. Prepare three percolation holes 4 feet deep, 8 to 12 inches in diameter,
and 20 feet apart in the area of the proposed leach field.
B. Fill percolation holes with water once for the required 8 hour soaking period.
C. Request percolation test by Sanitarian. (To avoid construction delay, we
suggest arrangements for percolation test be made at least 24 hours prior
to the end of the soaking period.) Please have at least 10 gallons of water
available at the site for the percolation test.
D. Upon completion, you Individual Sewage Disposal Permit will be issued provided
no prohibitive problems are encountered.
*If a drywell.(seepage pit) is proposed, consult with the Environmental health
Department for percolation test procedures.
IMPORTANT!! Please be advised that if the Sanitar.ian's initial field visit to your
property reveals any unusual difficulties such as high water table,
excessive percolation rates, bedrock, etc., the services of a
Colorado Registered Professional Engineer and/or Board of Health
• approval will be required prior to the issuance of your Individual
Sewage Disposal System permit.
Step III: Final Inspection
A. When all components are in place, connected and ready to cover, request final
inspection by the Sanitarian.
B. DO NOT backfill any part of the system prior to inspection.
C.. Upon final approval, carefully cover entire system.
Please feel free to contact the Building and Sanitation Department if questions
regarding your scrwage.treatrnent system arise.
(FOR APPLICANTS INFORMATION)