HomeMy WebLinkAbout5111INo. 5111
GARFZEZD WUJVIY
BUILDING, SAHITATIONandPLA1VNDVGDEPARTMIINT
109 816 Stmt Suite 303
Glenwood Springs, Colorado 81601
So ex / S 303) 945 -8212
Job Address 7W Ranch, Sweetwater
Nature of Work Building Permit
Use of Building Single Family Dwelling Unit
Owner John Mills
Contractor Frontier Log Homes
Amountofpermit5 1
Date May 3, 1994
Permit: 822.79
Plan 534.81
Plan Check Fee $495.30 paid 4 -13 -94
S. Archuleta
Clerk
1 3 9 `f f;4sj I e47 6 ,.a- ,.,tt: • U 'Dt$
1 APR 11 '94 08 :38 GARFIELD COUNT}c4=P. 1/11
I 1
GARFIE1.1) COUNTYP.1!0 `1'APPLICATION fOR BUILDING .I'L'1t111'i'
1'! RNIT NUMBER c //
please printr „ „' Ass aeon' rarcl 1 t tnt r type DATE 5
TO DE nLid iu dirt f3Y tl7-'1'„1GANT ("votelichi [
3RN
0 -- I DDRESS _ ^7W Ft , nc h 025 CR /S a I' PLAN
I UDDIVISION Ng1'E show easements, property lure dimension022otherrtIILINGNLOT !f ALOL'1[ /1 Strac CUR'n•„ specify north, and Stree
N Halite. eva: odd shaped lots,- oc if space isFAXSCNGt
LEGAL (SEC s'1JN //G) SH of Sec LL 'TWN too small, tGs ide separate plot plan,t 1 8 11 OF UUILDINGS NOW ON PARCEL
iI' 1, MM .USE OF W I LDI NG'S now ON PARCEL
ADDRESS1= JAILING P, O. Box 228115FITYMd7anriTc1 ' , 10NL915 '682 -6371
p01aMANEMesaRnaineerinq /Mr. Te- H nserma
6 ADDRESS RR() S. 5th CITY Montrose
II JAME Frontier Log HomesUlIDDRt$s ti0A13. W. Maple Grove Rd.
tl. FITY Mnnrrnse- Co 81401
u j 749- 71,30i . JC1avrl; 1.r 04 -40382
CLASS OF (1511h
1 ^:IJ S ALTERATION ALLI'1'
noun RCPA NOVEIDILE1NOME (l rakehnodel )
1-, DUI'LDiNG 31 68 s.1' rOicn
or Ffoons 2 11EIG111'
Or riftLY UNITS 1 a Or 'DEvflooNS
I'ENUlD U5G or DUILUI'NGPrivate Residence1RIICEtSINGLEDELCARPORT; SINGLE MIL9'attr ct 1ILOh!'1: I ?RUl'LR'PX LINL
I UUCUNI;NrS ATTACHED
ITER .UPPLY private we 11 STREET ir
ROMPER
tiVEWAY PERMIT X CHECK If' CORNER 102
7'E rpm/ _x DESCRIPTION OF WORK PLANNED
i LIMING PLANS x
T N11' Y SEWER CLEARANCE _X 1 hereby acknowledge that I have read this11SzreS5WJlcGDISPOSALPERMIT
application and the above is correct and ,Ij1T1GRtioCUMENTS (specify)
agree to complg. all county ordinances
S. t J `in 9t
and tale law Jrg1,building constrveticr
SFS
SIG ATUR1:di
7LUA1t{oN eon OFFICE USE 0 '
Man' FEE $FLOOD HAZARD222, 27 PLAN CIIEC:: t'EE S ' y s /CERTIFIED BLDG ELEVATIONJTALFEELOscno04. IMPACT FEE $tt; LEV
2Oo 0o SPECIAL CONDITIONS_ /24 95 Tie (114T't; PERMIT I SUED
c' 2/N4 ON 1f fepp J1onac'iDISTRICT i'ROULENS 191211 1'gRNITinoirOCCUPANCYre - ?
q YI'E or ,CONSTRUCTION Pr /w1I'., oG. nUILDING p'AllU #T'I'UNAL INFORM/IT/ON NEEDED
S.F. OF LOT
AX.• nerc,r ROAD CLASS,.i ET'UACSS PROM PROPERTY LJN13 pimp 0!? ENGINEER
llY C'OLUI7AUU REGISTERED LAND 5URVSyUf8I ;AR RIGHT OR ENGINEER
PF STREET PARKING SPACES R E Q U I R E , . F
LE!'1'
i
PtROVD:
lUIll,Dl'NG U1I'A7Y NT baTE i' t.ANNt Nr: hr_rmwrIte..rry n„,..-
e
GARFIELD COUNTY BUILDING AND SANII DEPARTMENT Permit I is 2 2 4 8i
109 8th Street Suite 30ad Assessor's Parcel No.
Glenwood Springs, Colorado 61601
Phone (303) 945 -8212
This does not constitute a
INDIVIDUAL SEWAGE, DISPOSAL PERMIT a building or use permit.
PROPER
P.O. Box 2281
Owner's Name John M111a Present Address Midland, Texas Phone 915- 682 -6371
System Location
7W Ranch,' Sweetwater " ; SID r
Legal Description of Assessor's ParceTNo.
SYSTEM DESIGN
6 .' 0 Septic Tank Capacity (gallon)Other' . ,
rn<<'x rifzN C1'3
i
f''- f Percolation Rate r (in i n u t e s'Ii n c h ) Number of Bedrooms (or other)
Required Absorption Area - See Attached 4-7.., 7 7 K'' '1
Special Setback Requirements:f 'i Y
3
Date Inspector R+ni A f
i
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)l'
Call for Inspection (24 11urs notice) Before Covering Installation P
System Installer 3 3 ti . ; Q-1.
fSepticTankCapacity5
Septic Tank Manufacturer or Trade Name nf 7
Septic Tank Access within 8" of surface fP
Absorption Area 4 /P 0 H A /Y!4,1,.
Absorption Area Type and/or Manufacturer or Trade Name C;te,
Adequate compliance with County and State regulations /requirements i
Other
u
Q C---47-7-2,11 CDate1 -Inspector 4 -
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE aq
CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter A
25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a
irequirementofthepermitandcauseforbothlegalactionandrevocationofthepermit.
3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6
months in jail or both).r
Applicant: Green Copy Department: Pink Copy
Application
JNDIVIDI TAT , SEWAGE DISPOSAL SYSTEM APPLICATION Approval By
County Official
OWNER T h N v1, C.s
ADDRESS 7W Guteri R.4Nc1.PHONE
CONTRACTOR ftfraq /"true.- he G # 0,4 5
ADDRESS !o0V3 W, M4 H=2 670 -eaz mow Mass PHONFM' - 7/30
PERMIT REQUEST FOR: (X) New Installation Alteration Repair
Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area,
habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes
See page 4).
LOCATION OF PROPOSED FACILITY County 6/9R6/it c A
Near what City or Town G y P S v M Lot Size Sr c fi oiv
Legal Description Sift f} rr14cNal)
WASTES TYPE :pX) Dwelling Transient Use
Commercial or Institutional Non - domestic Wastes
Other - Describe
BUILDING OR SERVICE TYPE:40 G V o? c of tier' f 0"•'/ir
Number of bedrooms 3 Number of persons 2-
pc) Garbage grinder x) Automatic Washer Qx) Dishwasher
SOTJRCF AND TYPE OF WATER SIMPLY-X) well spring stream or creek
Give depth of all wells within 1.80 feet of system:No t De% tLcab yir
If supplied by community water, give name of supplier:
GROUND CONDITIONS:
Depth to bedrock:
Depth to first Ground Water Table:
Percent ground slope:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to community system?
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
x) Septic Tank Aeration Plant Vault
Vault Privy Composting Toilet Recycling, potable use
Pit Privy Incineration Toilet Recycling, other use
Chemical Toilet Other - Describe:
FINAL DISPOSAL BY:
x) Absorption Trench, Bed or Pit Evapotranspiration
Underground Dispersal Sand Filter
Above Ground Dispersal Wastewater Pond
Other - Describe:
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?No
2
Is E T tE S: To be completed by Registered Professional Engineer)
Minutes per inch in hole No. 1 Minutes per inch in Hole No. 3
Minutes per inch in hole No. 2 Minutes per inch in Hole No.
Name, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE responsible for design of the system:
Applicant acknowledges that the completeness of the application is conditional upon such further mandatory
and additional tests and reports as may be required by the local health department to be made and furnished
by the applicant or by the local health department for purposes of the evaluation of the application; and the
issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with
rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby
certifies that all statements made, information and reports submitted herewith and required to be submitted
by the applicant are or will be represented to be true and correct to the best of my knowledge' and belief and
are designed to be relied on by the local department of health in evaluating the same for purposes of issuing
the permit applied for herein. I further understand that any falsification or misrepresentation may result in
the denial of the application or revocation of any permit granted based upon said application and in legal
action for perjuy , as provided by law.
Date 73/T y Signed Aa
PLEASE DRAW AN ACCURATE MAP TO YO R PROPERTY /
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued. ..1 toned Area Permit No Sr
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 t/yuilldin E BECOME NULL AND VOID,
g
Use i LJW i i spector
and I ` DIATELY
I4 T
Address or Le Description UYQ4nn0 •t C z 4
Owne r Al 0 m L S Contracto 0 ter- Iii FIon1eS`
Setbacks Front Side Side Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning Roof Covering
Electric -Final (by STATE inspector)
Footing r• r 94 4„7 (7 7 e- _ } "- 9 Y 14
Foundation 4 TP, fo77). 4 = 2- WI
Plumbing-Underground
Gas Piping Heating Ventilation
Frame 3 6 9'f , . C- 7.3 -0. L_Insulation
Plumbing -Rough 8 -yo -y,-4t 4,a, Drywall ;7I--e--(1,2,
Electric -Rough
by STATE inspector) , :Final /0 r _. E( 92/ca,
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945 -8212 10 9 8th Street,County Courthouse,Glenwood Springs, Colo.
APP V E D DO NAT DESTROY THIS CARD
Date c )5 ti Byi rtistiS
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