HomeMy WebLinkAboutApplication- PermitJob Address
No. 5656
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT'
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303)945-8212
0092 Peach Court, Mountain Shadows, New Castle
NalureofWork Building Permit
Use of Building Garage & Bedroom Additions
Owner Mike & Ann Stensland
Contractor Owner
Amount of Nsuit S 78Q. 45
Permit: 473.00
Plan : 307.45
Dilc September 6, 1995
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
DARFIELD COUNTY, COLORADO
As'licantto complete numbered s/•aces on l PERMIT NO,. 56. Z) PARCEUSCHED NO.
J08 ADDRESS ZLEGAL 'CC C.el/L.e7//
/ f[ //.A✓%2./6 C ex -4; / 4 .�/ !
LOT NO. BLOCK
, SUBDIVISION
y.lI�reDESCR
-�
OWNER IU
CONTRACTOR igl! 1NEZ
ADDRESS 1 Vtly J Cr
PH. 332
ADDRESS
WK. PH. 545_2.5-75
PH.
LICENSE NO,
ARCHITECT OR DESIGNER rot Y'
ENGINEER
ADDRESS
PH.
LICENSE NO.
ADDRESS
6 S.FOFBUILDING 57-_i4 /32.,:fmil...^ S.FOFLOT
% USE OF BUILDING t , I 1 ,A14),, L (' byl j Ll f.r
PH.
LICENSE NO,
Sb
i
HEIGHT
NO. OF FLOORS
7 +
8 Cuss Of WORK: u NEW XADDITION o ALTERATION n REPAIR n MOVE n REMOVE
DESCRIBE WORKNTION
-
Ebs
10 I GARAGE-60
SINGLE
5rl�.T.
CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT
SITE PLAN
VALUATION OF woRK: S ,; ✓ 7 ADJUSTED VACS J PLAN CHECK 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 15
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
1 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
LOC•. LA
CON • OG TIN C NSTRUCTION DR THE PERFORMANCE OF
', ' U.JN J�
Dale
ontractor or authorized ag
eliding De7rtment Appr▪ ov▪ aldate
understood notice above.
Planning Department Approval/date
^f l P T E
3a7.1./
NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON
PARCEL PARCEL
TOTAt-
WATER SUPPLY
CCC. GR
CONST. TYPE
SPECIAL APPROVALS
DATE PERMIT ISSUED g_ / Vr
REQUIRED
RECEIVED
ZONING
NOT REQUIRED
HEALTH DEPT,
FIRE DEPT.
SOIL REPORT
SETBACKS
FLOOD HAZARD
MANUF. HOME
OTHER
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNAGREEMENT
ER, CONT ACTOR 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 ARCHITECT, DESIGNER,
BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garform•003 I IjEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE tINITIALrl
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:
1(AC)Aza/J -462(Z37,
F — 473
3075
760
'D. ly19 1
A vouN i b)E
1
VEN6N5
73o 6
W .3 7eaer
720 1(0=6;c1--- 13J9
7307.c63, 4^
- ] . Is a site plan included that indicates the distance of the proposed
building or addition to property lines, other buildings, set back
easernen and utility easements?
Yes No (i) Not necessary for this project tz,
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 to Not necessary for this project Vf21
3. Does the site plan indicate the location and direction of the County or
private road accessing the property?
Yes ✓ No m Not necessary for this project c2�
4 Do the plans include a foundation plan indicating the size, location
and spacing of all reinforcing steel in accordance with the uniform
- 1. Is a site plan included that indicates the distance of the proposed
building or addition to property lines, other buildings, set back
easemen and, utility easements?
Yes No co 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 '(21
3. Does the site plan indicate the location and direction of the County or
private road accessing the property?
Yes __✓ No (i) Not necessary for this project (z)
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)
S. 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 m Not necessary for this project (21
6. Do the plans indicate the size an location of ventilation openings for
the attic, roof joist spaces and soffits?
Yes ✓ No _,,, 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 (I, Not: necessary for this project (z)
S. Does the plan include a building section drawing indicating
foundation, wall, floor and roof construction?
Yes ✓ No (i, Not necessary for this project (4
9. Does the building section drawing include size and spacing of floor
joists, wall studs, ceiling joists, roof rafters or joists or trusses?
Yes r/ No m Not necessary for this project (2)
2
10. Does the building section drawing or other detail include the method
of positiv connection of all columns and beams?
Yes c/ No („ 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 _w No 111 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 Non, Not necessary for this project V12)
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 ci, Not necessary for this project ✓121
14. Does the plan include a window schedule or other verification that
egress/rescue windows from sleeping rooms and/or basements
compiy)vith the requirements of the Uniform Building Code?
Yes ►/ No („ Not necessary for this project 12)
15. Does the plan include a window schedule or other verification that
window provide natural light and ventilation for all habitable rooms?
Yes __ No {„ 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 (i) 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 („ 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 _____m Not necessary for this project 2)
3
19. Have two (2) complete sets of constructions drawings been submitted
with the application?
Yes ✓ No („ Not necessary for this project (2)
20. Is this an application for the placement of a manufactured home?
Yes No ✓
If yes, have you specified the size of the unit; live roof load;
foundation design; method of anchoring?
Yes No („ 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 (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. Do you understand that approval for design and/or construction
changes are required prior to the application of these changes?
Yes ✓ No ts,
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 tf,
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 ✓ No (3)
(CONTINUED ON NEXT PAGE)
4
I hereby acknowledge that T have read, understand and answered these
questions accurately to the best of my ability,
f-2&5
date
Phone: 345-275 (days); A�32I
Project Name:
Project Address:
Notes:
(evenings)
AbOMoN ST -146L4-0 iEW--
C / HEW KL`� � c -o VC7
(1) if you have answered "No" on any of these questions you may he 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
minimum compliance with the adopted codes, please expect the following:
A. The application may be placed behind more recent apptications 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.
PerApp01.9 5 Effective June 1, 1995
5
c c.0 c o 0
�► Ai ai 53.c,'
� f
C c O
9 rl a
.. _-o
c
to
cn
fz
0
m
0,
D
a a
0 CDCII ti)
0 07 co
in
D OJ
BEST COpy