HomeMy WebLinkAboutApplication- Permitlob Address
No. 5890
GARPIILD COUNTY
BUILDING, SAN77217%ON and PLANNING DEPARTMENT
109 8th Strcct Suite 303
Olcnw ood Springs, Colorado 81601
(303) 945-8212
4208 County Road 100, Carbondale
Nature of work Building Permit
Use of Building Double Garage
Owner Jerod Samuelson
Contractor Owner
Amount of Permit $ 494.59
Permit: 299.75
Plan : 194.84
Paid $194.84
i)ate May 9, 1996
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
OARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. S0 /D PARCEL/SCHEID NO.
Joe AO Ross '12 6 6
P' , MC) C&\
.004,161_, up C (6 Z'3
1
LEGAL
DESCR.
keT Ih..
HLV.,,(J
S�E.i
2
�...1 C `1
OWNER`r'p cock w�
SCon
pEI(�
ADDRESS '1'10O Rd, /00
F
[�/^? �/J
PH. 4, 071
9 t
WK. PH.W. –2%f li
CONTRACTOR
ADDRESS
PH.
LICENSE NO.
ARCHITECT OR DESIGNER
ADDRESS
PH.
LICENSE NO.
5
ENGINEER Hayed- 4 A
ADDRESS CA<Lcica
PH.
LICENSE NO.
6
S.F OF BUILDING 1,200.00
SF DE LOT
HEIGFIT )2'
NO. OF FLOORS t
7
USE OF BUILDING Ga CCL5P
8
CLASS OF WORK: °AIDDITIO✓N °ALTERATION °REPAIR °MOVE
9
�r)(NEW
DESCRIBEWORR: f" F't/'F ser l/ HO' 0. ...-e
■
I°RE1MOVEl1
1.I..r�
10
SINGLE DOUBLE CARPORT SINGLE""" DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VALUATION OF WORK $ ./ f�L�E1�ADJUSTED VAL.$
`�
PLAN CHECK FEE /9 V g 5'
PERMIT FEEPPP .° 29 7, 7
SPECIAL CONDITIONS: illp-
/aoofl'.Y/6.Gi–A7O, o. .co
SCHOOL IMPACT FE .4
NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
TOTALf1 9y. 6Y
OCC. GR.
CONST. TYPE
SEPARATE PERMITS
VENTILATING OR AIR
THIS PERMIT BECOMES
NOT COMMENCED WITHIN
OR ABANDONED
COMMENCED.
I HEREBY CERTIFY
THE SAME TO BE TRUE
GOVERNING THIS TYPE
HEREIN OR NOT.
AUTHORITY TO VIO\TE
A •CAL LAW R•^N
NSTRUCTION.
CONDITIONING.
FOR
THAT
THE
NOTICE
ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS
180 DAYS, DR IF CONSTRUCTION DR WORK IS SUSPENDED
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK I5
I HAVE READ AND EXAMINED TI -IIS APPLICATION AND KNOW
AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TING /r STRUCTION OR THE PERFORMANCE OF
L D1Li"
WATER SUPPLY
DATE PERMIT ISSUED 6---919}p
SPECIAL APPROVALS
REQUIRED
RecelvEO
NOT REQUIRED
ZONING
1. ------
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
—
SETBACKS
FLOOD HAZARD
1..nature of Owner, Contractor
J�
S 4,-
At
or authorized agent h= gn i'�r/rlderrslond poli" ab.ve
,. ' �iir
MANUF. HOME
zullding Department Approva/date / Y lanning Deperlment AS. d.
9 e
Y
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 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 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 ARC ITECT, 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 in
Pd1l9/r Sy
1
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
inay 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. Is a site plan included that indicates the distance of the proposed
building or addition to property lines, other buildings, set back
easem` cnts and utility easements?
Yes _S=-_ No (1) 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 • 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 'S__ No (u Not necessary for this project (2)
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? t'
Yes __ No cu 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 (I) Not necessary for this project A _(2)
6. Do the plans indicate the size an location of ventilation openings for
the attic, roof joist spaces and soffits?
Yes No (n Not necessary for this project _x _(_)
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 .ieS No (I) Not necessary for this project (2)
8. Does the plan include a building section drawing indicating
foundation, wail, floor and roof construction?
Yes _X_ No (() Not necessary for this project (2)
9. Does the building section drawing include si•4e and spacing of floor
joists, wall studs, ceiling joists, roof rafters or joists or trusses?
Yes, No (i) 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?
X
Yes ( __ No 1) 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 7C No a, 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 11 EPA certification?
Yes No o, 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 (i) Not necessary for this project X (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 X__(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 _X _(_)
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 parcels; 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 _X__(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 (i) Not necessary for this project, __(2)
3
, 19. 1 -lave two (2) complete sets of constructions drawings been submitted
with the application?
Yes _j_._ No u) Not necessary for this project (2)
20. Is this an applicauo 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 No (> Not necessary for this project (2)
21. 1 -lave you designed or had this plan designed while considering
built ipg and other construction code requirements?
Yes �__ No o)
22. Does the plan accurately indicate what you intend to construct and
what will receive a final inspection. by the Garfield Building
Depaypment?
Yes T___ No (3)
23. Do you understand that approval for design and/or construction
chap es are required prior to the application of these changes?
Yes No (3)
24. 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)
-
2S. Are you aware that you are required to call for all inspections required
under the Uniform Building Code including approval on a final
inspection_p for to receiving a Certificate of Occupancy and
occupancy of the building?
Yes _ No (3)
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
prof c complying with the Uniform Codes".
Yes __ No (3)
(CONTINUED ON NEXT PAGE)
4
I hereby acknowledge that I have read, understand and answered these
questions accurately to the best of my ability.
sigtiture date
Phone: Qj4`21-1l (days); Q63--67$1 (evenings)
Project Name: .,eS�n GL.�c��
Project Address: QQ2—O8 , I ebCT CCL r(0 'I 23
Notes:
(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 "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
mirtinwm compliance with the adopted codes, please expect the following:
A.
It
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_
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.
PerApp02.95 Effective August 15, 1995
5
1
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued /9my.Zoned Area Permit No
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 further 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
Inspec r and IM i EDIATELY BECOME NULL AND VOID.
0 t: &fes
1
Use
Address egallDescrip
Owner I e
Setbacks
Ai Contractor OcO &A y
Front Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 109 8th Street
APP- O ED
Date✓`qII By / •
County Courthouse Glenwood Springs, Colorado.
INSPECTION RECORD
Footing
Foundation
Underground Plumbing
Insulation
Rough Plumbing
Drywall
Chimney & Vent
Gas Piping
;
.
Septic Final
Framing
(To include Roof in place and Windows
and Doors installed).
Notes:
ALL LISTED ITEMS MUST BE INSPECTED
WHETHER INTERIOR OR EXTERIOR,
AND APPROVED BEFORE COVERING -
UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 109 8th Street
APP- O ED
Date✓`qII By / •
County Courthouse Glenwood Springs, Colorado.