HomeMy WebLinkAboutApplication- PermitJab Address
No. 6129
GARI IELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
5329 County Road 100, Carbondale
Nal um: of Work Building Permit
Use of Building. Remodel & Addition
Owner Wil & Geeta Siersma
Contractor
GW Shaver Construction
Amount of Permit S
948.34
Permit: 574.75
Plan : 373.59
Paid $353.59 10-3-96
Date October 29, 1996
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORAIDO
4° / g PARCEL/SCHED NO.
AoAlicant to comrafete numbered spaces only. PERMIT NO.
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SOB ADDRESS I5-3" v <—•
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1
1
LEGAL
DESCR,
LOT NO.
BLOCK
SUBDIVISION
2
OWNER W L C r4 .5td2S114
ADDRESS S3Z'1 p I Do
Ph19k3 ..t.413
WK. PH. `i2* _1
3
CONTRACTOR 60,4 ►, c,01451-
ADDRESS CZ(t V
PH.' �
LICENSE NO. 3 19 _ fry
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ARCHITECT OR DESIGNER .7�
"two QUX i�ton
ADDRESS �7E E, J IIIA
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PH.
`LLIICENSE NO.
5
ENGINEER
ADDRESS
PH.
LICENSE N0.
6
S.F OF BUILDING
S.FOF LOT 53 a,c��J
HEIGHT
NO. OF FLOORS
7
USE OF BUILDING liP,TZ1� CAE
8
CLASS OF WORK ❑ NEW ❑ ADDITIONyALTERATION a REPAIR ❑ MOVE ❑REMOVE
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9
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DESCRIBE WORK: h� 'j, 01)0V.,11 A 1)opQ5 y t 'EUA L' )1�K1 9/ L._ 3J
`. Tuts rer ikwi NulA
EI1/4) -' 7"+-•' bE, -moths
1 11/41 Y-
10
GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VAWATIOR OF WORK: 8 6-01 000 a d ADJUSTED VAL.S
PLAN CHECK FEE 3 73, 6:2?
PERMIT FEE I37� 7
SPECIAL CONDITIONS:
SCHOOL IMPACT FEE y/ d
/y/r
NO. OF BUILDINGS ON
PARCELPARCEL
USE OF BUILDINGS NOW ON
TOTAL FEV?gr s y
OCC. GR. 3
U 1.
�/
CONST. TYPE j/ ,{/A�
SEPARATE PERMITS
VENTILATING OR
THIS PERMIT BECOMES
NOT COMMENCED
OR ABANDONED
COMMENCED.
I HEREBY CERTIFY
THE SAME 70 BE
GOVERNING THIS
HEREIN OR NOT.
AUTHORITY TO
LOCAL
CONSTRU
NOTICE
ARE REQUIRED FOR ELECTRICAL, PLUMBING,
AIR CONDITIONING.
NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
THE GRANTING OF A PERMIT DOES NOT PRESUME
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
NG CONSTRUCTION OR THE PERFORMANCE
y,��
(Date} r :JC
WATER SUPPLY
DATE PERMIT ISSUED 70—.79 -lie
HEATING,
SPECIAL APPROVALS
REQUIRED
RECEIVED
NOT REOUIREO
IS
ZONING
WORK 15
HEALTH DEPT.
KNOW
FIRE DEPT.
TO GIVE
SOIL REPORT
OR
OF
SETBACKS
7�
FLOOD HAZARD
5 nature of Owner, Contractor or authonzed age ng,rea nderstood notice
(1261,-e1/44 / /r,/ l�
hove
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MANUF. HOME
Building Department Approval' to /�/7./ Planning Department Approval/date i/
OTHER
1
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO
CONSTRUCT THE STRUCTURE 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 BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 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 PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT
SHALL BECOME NULL AND VOID,
THE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM
THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING
OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS
JURISDICTION.
THE REVIEW OF THE SUBMITTED PIANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE
RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER.
BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garform.003
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE IINITIAL.�U
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 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 #
Signature Date
GARFIELD COUNTY BUILDING AND PLANNING
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE FAMILY DWELLING CONSTRUCTION
including
NEW CONSTRUCTION
MANUFACTURED HOMES
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 completed check list at time of application for a permit:
For the placement of a manufactured home, questions numbers 1-4 and 19-28 are
the only questions that need to be addressed:
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1 Is a site plan included that indicates the distance of the proposed building or
addition to property lines, other buildings, set back easements and utility
easements?
Yes No (1) Not necessary for this project b$ (2)
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 No (1) Not necessary for this project X (2)
3. Does the site plan indicate the location and direction of the County or private road
accessing the property?
Yes No (1) Not necessary for this project )1, (2)
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 No (1) Not necessary for this project (2)
5. Do the plans indicate the location and size of ventilation openings for under floor
crawl spaces and the clearances required between wood and earth?
Yes No (1) Not necessary for this project (Z)
6. Do the plans indicate the size an location of ventilation openings for the attic, roof
joist spaces and soffits?
Yes No (1) Not necessary for this project ) (2)
7 Do the plans include design loads as required under the Uniform Building code for
roof snow loads, (a minimum of 40 pounds per square foot in Garfield County) floor
loads and wind loads?
Yes No („ Not necessary for this project L (2)
8. Does the plan include a building section drawing indicating foundation, wall, floor
and roof construction?
Yes No (1) Not necessary for this project ) (2)
9. Does the building section drawing include size and spacing of floor joists, wall
studs, ceiling joists, roof rafters or joists or trusses?
Yes No (1) Not necessary for this project A (2)
10. Does the building section drawing or other detail include the method of positive
connection of all columns and beams?
Yes No (1) Not necessary for this project > (2)
2
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 existing grade contours?
Yes No (1) Not necessary for this project 9. (2)
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 11 EPA
certification?
Yes No („ Not necessary for this project (2)
13. Does the plan include a masonry fireplace including a fireplace section indicating
design to comply with the Uniform Building Code Chapter 37?
Yes No (1) Not necessary for this project jC. (2)
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 Code?
Yes )( No {1 Not necessary for this project (2)
15. Does the plan include a window schedule or other verification that windows provide
natural light and ventilation for all habitable rooms?
Yes No (1) Not necessary for this project (2)
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 safety glazing for these areas?
Yes )& No (1) Not necessary for this project (2)
17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water
heaters indicated on the plan?
Yes No (1) Not necessary for this project S4 (2)
18 Do you understand that if you belong to a homeowners association, it is your
responsibility to obtain written permission from that association, if required by that
association, prior to submitting an application for a building per it?
Yes No (1> Not necessary for this project % (2)
19. Will this be the only residential structure on the parcel?
Yes y No If No -Explain
3
20. Have two (2) complete sets of constructions drawings been submitted with the
applica ion?
Yes No (1) Not necessary for this project
21. Is this an application for the placement of a manufactured home?
Yes No
If yes, have you specified the size of the unit (min. 20ft x 20ft); live roof Toad
(min.40#); wind design (min. wind speed of 80 mph & 15 Ib. wind load); foundation
design; method of anchoring?
Yes No (1) Not necessary for this project Di._ (2)
22. Have you designed or had this plan designed while considering building and other
construction code requirements?
Yes ) No (3)
23. Does the plan accurately indicate what you intend to construct and what will receive
a final inspection by the Garfield Building Department?
Yes ' L No (3)
(2)
24. Do you understand that approval for design and/or construction changes are
required riot to the application of these changes?
Yes No (3)
25. 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 No (3)
26. 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 24
hour notice for inspections will delay your inspection one (1) day.
Yes X No
27. 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 j No (3)
4
28. Are you aware that the person signing the Permit Application whether the "Owner",
"Agent of the Owner", "General Contractor", "Contractor" or otherwise, signing the
application is the party responsible for the project complying with the Uniform
Codes".
Yes ', No (3)
I hereby acknowledge that I have read, understand and answered these questions
accurately to the best of my ability.
OAP
. 41111`�
signa ure date
Phone: 11-°1-�g33 (days); (A(evenings)
Project Name: 5'St►kik PCZTOOLC
Project Address:
Notes:
S3Z� 'out( \ 00
(1) If you have answered "No" on any of these 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 the permit.
(2) If you have answered "Nat necessary for this project" on any of the questions and it is determined by the Building Official that the
information is necessary to review the application and plans to determine minimum compliance with the adopted codes, please
expect the following:
(3)
A. 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.
B. Delay in issuance of the permit.
C. Delay in proceeding with construction.
If you answered "No" to this question the circumstances described in the question could result in a "Stop Work Order" being issued
or a "Certificate of Occupancy" not being issued.
PerApp02.95 Effective August 15, 1995
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