HomeMy WebLinkAboutApplication- PermitJob Address
No. 6009
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 Sth Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
3704 214 Road, Silt
Nature of Work
Building Permit
Use of Building Garage
Ower Bennett Menu
Contractor Owner
AmouutofPermitS 226.46 Date August 2, 1996
Permit: 137.25
Plan : 89.21
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT O. 603 PARCEUSCHED NO.
JOB ADDRESS --- 3 70 y ,f 7 -- -
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L E AL
LOT No.
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SUBDIVISION /13 /I ` 14 %1Y ,t.} Jr'
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OWNER f44#94.,771— ..-,*----1:-", c'
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CONTRACTOR
ADDRESS —C!// C -n- ¢ < 2
PH.
LICENSE NO.
4
ARCHITECT OR DESIGNER r
ADDRESS r
PH. c
LICENSE NO,
5
ENGINEER
ADDRESS
PI -1,
LICENSE NO.
6
S. F OF BUILDING l go
5.1= OF LOT .,„..0, -;*--HEIGHT
No. or FLOORS
7
USE OF BUILDING C+'r
CLASS' OF WORK: trKEW o ADDITION ❑ ALTERATION ❑ REPAIR o MOVE 0 REMOVE
9
DESCRIBE WORK: �o-If-+f[•'//ft^� -z7 rje , 1-',X(S e./ CSL"G:'c?". 1—,¢4
✓ �
1 0AR�AG
4,C'Cr
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SINGLE acedikirbE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VALUATION OF WORK: $ ADJUSTED VAL. 3�j �� q g.PLAN
ll
CHECK FEE Si
�, I
PERMIT FEE // 3 ! r o`_
S'
SPECIAL CONDITIONS:
SCHOOL IMPACT FEE FY VA
NO, OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW DN
PARCEL
�y�,1 y�
TOTAL FEE 01,14 4
OCC. GR.
CONST. TYPE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMBING,
VENTILATING OR AR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
NOT COMMENCED VATHIN 1B0 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER
COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
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 CR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME_
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
LOCAL LAW REGULATING CONSTRUCTION DR THE PERFORMANCE
CONSTRUCT
C'--- tD.„L- = —96
WATER SUPPLY
DATE PERMI r IssUED p ` ? n%
HEATING.
SPECIAL APPROVALS
REQUIRED
RECEIVED
Nor REQUIRED
IS
TONING
..._---•
WORK IS
HEALTH DEPT.
KNOW
FIRE DEPT.
TO GIVE
OR
OF
8011. REPORT
SETBACKS
FLOOD HAZARD
Signatures of Owner, Contractor or authorized agent h. ; r ..-
l S2w'.'W. Ji�j 4 ' '� q
MANUF. NOME
--
- - - -
-
Buiiding Department Appr aid Planning DepartmentApprc
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 TQ 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 1N 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 ,(INITIAL _J
e2f2-,1
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14.4. 9 7 2 43-,jv
3 .6-1; 1_2_,e61 4r,e r
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 he 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. Is a site plan included that indicates the distance of the proposed
building or addition to property lines, other buildings, set back
easement and utility easements?
Yes ✓ No t�, Not necessary for this project ______c2,
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 co ryes?
Yes No (i) Not necessary for this project ✓ (2)
3. Does the site plan indicate the location and direction of the County or
private r ad accessing the property?
Yes No (i) 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
buildin 7 ode or per stamped engineered design?
Yes No _cis Not necessary for this project (2)
5. Do the plans indicate the location and size of ventilation openings for
under floor crawl spaces and rhe clearances required between wood
and earth?
Yes ✓ No n, Not necessary for this project _____(2)
6. Do the plans indicate the size an location of ventilation openings for
the attic, roof joist spaces and soffits?
Yes _____ No __ 0, Not necessary for this project c2,
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 ounty) 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 __✓__ No (i) Not necessary for this project (2)
9. Does the building section drawing include size and spacing of floor
joists, w 1 studs, ceiling joists, roof rafters or joists or trusses?
Yes No (1) 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 No (i) 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
span between the ridge„and the eave down to existing grade contours?
Yes No Iii, 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 I1
certifications or phase H EPA certification?
Yes No 0) 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 0) Not necessary for this project (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 ci, Not necessary for this project ✓�a
15. Does the plan include a window schedule or other verification that
windows provide natural light and ventilation for all habitable .rooms?
Yes No 0) Not necessary for this project 27
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 walling surface;
sliding glass doors; fixed glass panels; shower doors and tub
enclosures and specify safety glazing for these areas?
Yes No () Not necessary for this project v12
17. Is the location of all natural and liquid petroleum gas furnaces, boilers
and water heaters indicated on the plan?
Yes No _0) Not necessary for this project )17 (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
applicaiton for a building permit?
Yes +/ No t„ Not necessary for this project (2)
3
19, Have two.(2) complete sets of constructions drawings been submitted
with th application?
Yes No (), Not necessary for this project (z)
20. 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 load (min.40#); wind design (min. wind speed of 80 mph & 15 lb,
wind load); foundation design; method of anchoring?
Yes __r No (0 Not necessary for this project '-1
21. Have you designed or had this plan designed while considering
building and other construction code requirements?
Yes ✓ No __ �3,
22. Does the plan accurately indicate what you intend to construct and
what will receive a final inspection by the Garfield Building
Department?
Yes ✓ No (3)
23. [)o you understand that approval for design and/or construction
changes a required prior to the application of these changes?
Yes ,/ NCS ;J)
24. 1)o 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 0)
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
occupancy of the building?
Yes No
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
project complying with the Uniform Codes".
Yes
(CONTINUED ON NEXT PAGE)
4
I hereby acknowledge that: I have read, understand and answered these
questions accurately to the best of my ability.
signature
date
Phone:2.21353(days); 276 ' .5`6'671 (evenings)
Project Narne: C,? et. ilr,JA 4etc e 647` e_
Project Address:Q // ( Z/�.�"
Notes.
(1) if you have answered "No" on any of [Hese questions you may be required to provide this information at
the request of Ile Building Official prior to beginning the plan review process. Delays in issuing the
permit are 13 be expected. Work may not proceed without rhe issuance of the permit.
(2) If you have answered Not necessary for this prnlect" on any of the questions and it is cleterininecl 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:
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 tine question could result in a "Slop
Work Order" being issued or a "Certificate of Occupancy" not being Issued.
PerApp02.95 Effective August 15, 1995
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Job Address 3 7� `/' 'I
Owner2“1 &...•r-'
Contractor
B ILDING RMIT CARD
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Address 2 1 Phone # g % - 9/
Set acks: Fron Rear
Soils Test
Footing
Foundation
Grout
Underground Plumbin
Rough Plumbing
Framing 1/-4 7--*‘,.. f‘,..
Insulation 1 f ►l ? '� ��
Roofing
Drywall
Address
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Gas Piping
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SR (447' II 7V-4,
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INSPECTIONS
Zoning
Weatherproofing
Mechanical
Electrical Rough (State)
Electri al Firiai (State) -% ek
Final747-0Z-hecklist Completed9
Certificate Occupancy #
Date
Septic System #
Date
Final
Other
NOTES
7~ -77
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