HomeMy WebLinkAboutApplication- Permit(:42,a
Job Address
9415 Highway 325,Ri le
UNTY
PLANNING DEPARTMENT
Suitc 303
Glen + prings, Colorado 81601
03) 945-8212
No. 6026
Nature of Work Building Permit
Use of Building Manu. Home
Owner Bob & Marilyn Hirst
Contractor
l'(L m iJl i _ciaL..
Amount of Permit S 05.84 i Dale Mist ---3-, 1996
Pe • it' 24.75
Plate' 81.09
Set Up ee 200.00
Paid $281.09-8-1-96
Tyra,f) G'`1'
sz.bk,,Lp .UCS
`_1, Jt 2 G
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. 6o �PARCELISCHED NO.
JOB ADDRESS
1
2
3
4
5
6
7
8
LEGAL
DESCR.
LOT NO.
BLOCK
OWNER 1 (� '± t <)13
CONTRACTOR HY- Ft dez.4
ARCHITECT OR DESIGNER
ENGINEER
5.F OF BUILDING
USE OF BUILDING
s CZ
SUBDIVISION
ADDRESSGt L� tU-�-�PH.
DDRESS (-2– �.
ADDRESS
ADDRESS
S.FOFLOT 4 `f
o
PH. 5. -56'"? -7
PH.
PH
HEIGHT
WK PH.
5:11SENSE NO.
LICENSE NO.
LICENSE NO.
NO. OF FLOORS
9
10
CLASS OE WORK:
DESCRIBE WORK:
(SEW ❑ ADDITION ❑ ALTERATION a R EPAIR c MOVE ❑RREEMOVE
GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT
ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VALUATION Or WORK: $ ADJUSTED VAL.$
PLAN CHECK FEE
PERMIT FEE
SPECIAL CONDITIONS:
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS
NOT COMMENCED WITHIN 160 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED
OR ABANDONED FOR A PERIOD 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 AND ORDINANCES
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
COSySjRUCTI (❑ahe) c rZ ! -
1111LL�R (, - o
Signature of Owner, Contractor or a nzed agert having read and understood notice above.
Building DepartmentApprovaldate Planning DepartmentApprovaldate
SCHOOL IMPACT FEE
NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
TOTAL FEE
WATER SUPPLY
OCC. GR.
CONST. TYPE
DATE PERMIT ISSUED 9 – 2 -fes,
SPECIAL APPROVALS
REQUIRED
RECEIVED
Nor REQUIRED
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
SETBACKS
FLOOD HAZARD
MANUF. HOME
OTHER
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 1N 3028.201 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 PLANS 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 1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE IINIT1AL ��
May -20-96 09:07A
Stella Archuleta
970-945-1555
BUILDING PERMIT APPLICATION
Applicant to complete numbered spaces only.
JDe A00RESs 9L/— 700y 3 -S
OAANI1.D COUNTY, COLONADO
PERMIT NO. 4 oat( PARCEVSCHED NO.
P.01
1
LEGAL
DESCR
LOT MD.
BLOC(
SUBDIVISON
Al
OWNER /-4,-51/ /30. /%4)
CONTRACT
ADDRESS ,c, -).4/7/5---/24.,...,y
ARCHITECT OR OES:GNER
a
PH.
WK. PH
E,12:)6, L3', - Pz LcENSENO
ADDRESS
L (CENSE NO
5
6
7
ENGINEER
AOOREss
LICENSE NO.
3.F OF BUILDING
USE CF BUILDING
/24/
`tom.
3FOFLOT
CUos or WORK' ' NEW o ADDITION ❑ALTERATION REPAIR O MOVE Li REMOVE
4—Pe S
HEIGHT
No. or FLOORS
DEacnitEwoaR.. 1'
10
GARAGE SINGLE DOUBLE
CARPORT SINGLE
DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT
11
VA W rrOI or WORK. 1 /9'
SPECIAL CONDITIONS
2,E Si D IJL-
30
ADI ISTEO VAL.S
c� t�I vz_c_ _
NOTICE
SITE PLAN
PLAN CHECK FEE
SC ACT r v I NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
TOTAL FEE' il T O.0 GR
CCNST TYPE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
VEI$T,LATING OR AIR :.ONDITIONLNO.
THIS PERMIT BECOMES NULL AI) VOID IF WORK OR CONSTRUCTION AUTHORIZED IS
NOT COMMENCED WITHIN 180 DAYS, DDR IF CONSTRUCTION OR WORK IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
I :.HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLcATICN AND KNCW
THE SANE TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK W;LL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT THE GRANTING OF A PERMIT • NOT PRESUME TO ONE
AUTHORITY 70 •,I TE OR EL THE PROV3IO
LOCAL ,�'. LAT'�,. IRUCTK)N O R STATE OR
CO .Rlrq�r DRMIWCE OF
• ' Convector . authorized ap
e:[e/ 7 Y Planning Dep.
.ter-
� mood .- �..
i
%ommu1AaiT/A'f:=
Builder Dap rtrner,R Appn.el
UPPLY DATE PERMIT ISSUED g-13-7, _
RECEIVED NOT RFCRn+lto
PERMISSION IS HEREBY GRANTED TO TH iMANT AS OWNAGRMENT
ER, 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 fSSUANCE 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, $PECIFFCATIQNS AND OTHER DATA OR FROM PREVENTING BUILDING
OPERATION BEING CARRIED OW THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS
JURISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSICNS OR DISCREPANCIES. THE
RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER,
BUILDER'AND OWNER. C0MMENTs ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
GurfOfm•c I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE i1NITIAAL
SO. d
54 ad
x_06
GARFIELD COUNTY BUILDING AND PLANNING
MINIMUM APPLICATION REQUIREMENTS
fo r
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:
1
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 („ Not necessary for this project (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 X__ No {„ Not necessary for this project (2)
3. Does the site plan indicate the location and direction of the County or
private road accessing the property?
Yes _ _ No 0) Not necessary for this project (2)
4. Do the plans include a foundation plan indicating the size, location
and spacing of all reinforcing steel in accordance with the uniform
build pg code or per stamped engineered design?
Yes No n, 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 e rth?
Yes No („ Not necessary for this project (2)
6. Do the plans indicate the size an location of ventilation openings for
the at c, roof joist spaces and soffits?
Yes _ No n, 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 (0) Not necessary for this project (2)
8. Does the plan include a building section drawing indicating
foundation, wall, floor and roof construction?
Yes 4. No c„ 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 r„ Not: necessary for this project (2)
2
10. Does the building section drawing or other detail include the method
of positive connection of all columns and beams?
Yes _?1__ No (L) Not necessary for this project (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
span3etween the ridge and the eave down to existing grade contours?
Yes No (L) Not necessary for this project (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 II EPA certification?
Yes No n7 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? \J
Yes No (i) Not necessary for this project A {21
14. Does the plan include a window schedule or other verification that
egress/rescue windows from sleeping rooms and/or basements
comp with the requirements of the 'Uniform Building Code?
Yes No n, 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 .k__ 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 (o Not necessary for this project (2)
17. Is the location of all natural and liquid petroleum gas furnaces, boilers
and w- ter heaters indicated on the plan?
Yes No 0, Not necessary for this project (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 permit?
Yes No 0, Not: necessary for this project (2)
3
19. Have two (2) complete sets of constructions drawings been submitted
with the application?
Yes - No os Not necessary for this project (2)
20. Is thi 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 load (min.40#); wind design (min. wind speed of 80 mph & 15 lb.
wind load); foundation design; method of anchoring?
Yes X___ No n, Not necessary for this project (2)
21. Have you designed or had this plan designed while considering
building and other construction code requirements?
Yes No c:s,
22. Does the plan accurately indicate what you intend to construct and
what will receive a final inspection by the Garfield Building
Deparment?
Yes - - No cis
23. Do you understand that approval for design and/or construction
chanes are required prior to the application of these changes?
Yes ,_- No c,s
24. Ido 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
perm t7?
Yes
25. 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
occu ncy of the building?
Yes _. No tis
26. 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
proj ct complying with the Uniform Codes".
Yes 1-- No cis
(CONTINUED ON NEXT PAGE)
4
1 hereby acknowledge that 1 have read, understand and answered these
questions accurately to the best of my ability.
Phone:
Project Name:
date
.- (days);r_3c "(evenings)
Project Address: // 9(
7g/Z
Notes:
(I) ]f 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 [n issuing the
permit are to he expected, Work may not proceed without rhe issuance of the permit.
(2) If you have answered "Not 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 adapted codes, please expect the following:
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,
(3) 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 ,9 5
5
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P O'OSWn HOME5ITh
- o
COLORADO STATE ELECTRICAL BOARD (641h
INSPECTION REPORT AND CORRECTION NOTICE
Permit #
Contracto 1k(Jc
ly
Address 99 15- Il` LVt�( S;:
tv L j
Date received
Phone #
Date Inspected 6.- 9.
Travel Time Inspection Time Time Lapse -"
Arrival Time 00
TYPE INSPECTION. Power Connected Yes ❑ No
Res. ❑ Comm ❑ Rough -in ❑ FinaL.i Partial ❑ Reins ❑
Temp Meter ❑ Temp Heat ❑ Mobile Home,J ' Service ❑
.,,, Other (please specify) Qin /3 045 Q s.r."1-k iI
Service:
Type 1 0
Size �,f
/0
Overhead
Underground
Type Grnd
Size Grnd Conductor
Date Meter Released
Action: Accepted Rejected
Wiring Method AP
Classified area Yes No
GFCI Yes ' --No
Finished basm't Yes No
Sub panels YeciiS44
Elec Range Yes No
Elec Dryer Yes No
Elec Wtr Heater Yes No
Remarks
REINSPECTION FEE REQUIRED. A reinspection will not be
performed until the reinspection fee is received.
COMMENTS•
Inspector
L
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