HomeMy WebLinkAboutOriginal Permit InformationGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 61601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT :"4'
1933
Owner. ^ Thome Hinetree Bethesda Regional Cancer Center
System Location c.r. 103 Carbondale
{This does not constitute
a building or use permit. !!
Licensed Installer .__. Andrew /linetree (jo e , Ci)ior.c. J
Conditional Construction approval is hereby granted fora 2. C.0 U gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
/�) minutes requires a minimum of 27 sq ft of absorption area per bedroom.
Parc rate of one inch in
Therefore the no. of bedrooms
, '
May we suggest: 4 .:; l' , , _I `r .,• j' i_, !' ? L.. 4 • /
.)< .1
Date �. Yr r Inspector —
. 1
x sq ft minimum requirement = a total of
7.4L; - sq ft of absorption area.
r.
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in" compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover•
ing any part.
41"'O 0
Ir d >¢ o rt Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit.
1- I -I3 s"1�t
77te•- Adequate absorption for dispel sail area.
Adequate compliance with permit requirements.
_.. Adequate compliance with County and State regulations/requirements.
-- . Other
Date /4— 1/ — 91 Inspecto2,41-04
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
`CONDITIONS:
1. Allinstallation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems
Chapter 26, Article 10 C.R.S. 1973, Revised 1984.
2. Thfs permit Is valid only for connection to structures which have fully complied with County zoning and building
requirementa. Connection 10 or use with any dwelling or structures not approved by the Building and Zoning office shall
automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit.
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 fall or both.).
Applicant: Green Copy Department: Pink Copy
INDIVIDUAL S MAGE DI 'ISAL SYSTEMttAPPLICATION
OWNER ilii A N-ahNi�►�. I'i W (Ino Cls iyhee)
ADORES s_4,01 I,a4S , tOrt d7 �294 3847-115.°
CONTRACTOR Not • tc. 't4
ADDRESS PHONE
Application
Approval by
County Official:
PERMIT REQUEST FOR: ( &. iNew 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_ �AU
Near what City of Town (Tajolk Lot Size .275- ACrei
Legal Description Lasliv t� T7.siZ S t"1
WASTES TYPE: ( 'welling
( ) Commercial or Institutional
( ) Other - escribe
BUILDING OR SERVICE TYPE: eta t
q od � � e 1 ko.t. s
f
Number of bedrooms
(4,Garbage grinder (,,),Automatic washer ( •.ishwasher
SOURCE AND TYPE OF WATER SUPPLY: (v) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system:A
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: U
Depth to first Ground Water Table: 4r0
(
) Transient Use
) Non-domestic Wastes
Number of persons /1/7,4
Percent ground slope: Arpv<<u.Fs+l P&P
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 06rh1.14.1e
Was an effort made to connect to community system? AjD
TYPE OF INDIVIDUAL SEWAGE DISPOSAL
( ✓'Septic Tank
( ) Vault Privy
( ) Pit Privy
( ) Chemical Toilet
FINAL DISPOSAL_BY:
(absorption Trench, Bed
( ) Underground Dispersal
( ) Above Ground Dispersal
( ) Other - Describe:
SYSTEM PROPOSED:
(
(
(
) Aeration Plant
) Composting Toilet
) Incineration Toilet
) Other - Describe:
or Pit
( ) Vault
( ) Recycling, potable use
( ) Recycling, other use
( ) Evapotranspiration
( ) Sand Filter
( ) Wastewater Pond
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
•SOIL. PERCOLATION TEST RESULTS: (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 permi't,i•s 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. 1 further under-
stand 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 per-
jury as provided by law.
Date
, Signed
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
PLOT PLAN AND DESIGN FEATURES:
Include by measured distance location of wells, springs, potable water supply
lines, cisterns, buildings, property lines, subsoil drains, lake, water course,
stream, dry gulch and show location of proposed system by direction and distance
from dwelling or other fixed reference object, and additional submissions in
support of this application such as data, plans, specifications, statements and
commitments.
Page 4
�r�1r v�_• �?
.f .
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING. DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81801
(303) 945-8212
Job Address 6- 7 C.R. 103, Carbondale
N° 0441-0:
Nature of Work
Building Permit
Use of -Building Garage and Caretaker Unit
Owner XI B R58 Cancer Center/T13otnas Minetree
Contractor
Undecided
Amount of Permit: $ 08 85
Permit $369.00
Plan $239.85
White - Treas.
ft Canary -Office
Pink - Applicant
Gold - Duplicate
Date: 1''ebruary 25. 1992
R. Bennett
Clerk
✓49417 C.7&`"
cil
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1989
Permission is hereby granted to
CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
GARFIELD COUNTY, COLORADO
Issued Without Fee
January y 13
.hoii_ab :;l netree
1913
Building Permit No
situated at 2.-57 Count N; i,craii t'
•`CirLioni!a .e
Zone District A/R/stn
for the following purpose
Lot BIk. Addition
`•-a7"4-ir-e Z: ;ar j t Nature opus ] & .Si Tlp1F rami j �izaE �i�1� Ziai : t
Contractor A_nclrev: A;i;,+-tree
TAKE NOTICE
No change shall be mode In
the use of this building without
prior notice and certificate
Iran the Building OlflclaL
White: Owner
Green: Lending Agency
Gold: Contractor
Yellow: Building Department
Pink: Assessor
GARFIELD COUNTY. 41.91.DING DEPARTMENT
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GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
2 ac -Pf./ _ pay X5"7
please print
or type
PERMIT NUMBER 11(
DATE
Ia
.9 -as-
TO BE FILLED OUT B'Y APPLICANT
ADDRESS cry`/lJ ,3
SUBDIVISION
FILING r
TAX SCHEDULE
LOT # BLOCK ;
LEGAL (SEC/ThW/RNG) A_ 13 T7142
p4 NAME a eVL . ter CCN. - C'.r v0*.e4 !)f►'
MAILING ADDRESS'-, 3 4 Lk', Q-iC .
G CITY Sef ` Ef f_ PHONE 7..e.57-3 -ll,5'4
M
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d w
0
0
U
NAME
ADDRESS
NAME
ADDRESS
CITY
CITY
PHONE
LICENSE ;f
CLASS OF WORK
NEW ALTERATION ADDITION
DEMOLISH REPAIR _ _ MOVE
MOBILE HOME (make/model)
S.F. OF BUILDING
S.F. OF LOT
# OF FLOORS ' HEIGHT
OF FAMILY UNITS / # OF BEDROOMS
INTENDED USE OF BUILDING e4 1.rci-14- e i
GARAGE: SINGLEtie CARPORT: SINGLE DBL _
FIREPLACE
DOCUMENTS ATTACHED -
WATER SUPPLY
DRIVEWAY PERMIT
SITE PLAN
BUILDING PLANS
Il
tr
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT
OTHER DOCUMENTS (specify)
g3
gees 1Ctitte 0e-4 ve 1-) W 3 0442, 0 D
'n r �jr C7
;
VALUATIONIt_le 5-.6-0,
PERMIT PEE $ 9: p a PF AN CHECK FEE $.2 3 Ard,
TOTAL FEE $609,9 SCHOOL IMPACT FEE $ meq.
DATE PERMIT ISSUED
ZONING DISTRICT , M foth
TYPE OF OCCUPANCY _ AP- 3. c.. p/f)
TYPE OF CONSTRUCTION 11
S.F. OF BUILDING Jt# � ,' S.F. OF LOT z n -wee T
MAX . HEIGHT Z,LIX24 ' ROAD CLASS. �T
SETBACKS FROM PROPERTY .UNE: FRONT
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
o
R OFFICE
NOTE:
PLOT PLAN
Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or if space is
too small, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL •
OF OF BUILDINGS NOW ON PARCEL v.r,.,l ek.,6 • 1
S1* ISL pe+'►ti,'f y!3
i 4(a3 27-
See. ..Es b S f tRM.[T lata•
/?33 -- ,ale sys-iesviin �.1/mac/
undek -f41`s pe.►- f- wet
$1:e.ed 4-0 include ant
C'f.L%'e ./{2i -s VN IT
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER /
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED
a 1 675-u e $7 d A) 0,HP
I hereby acknowledge that I have read this
application_ and the above is correct and I
agree to comply with all county ordinances
and laws regulating building co.•truction.
SI• GNATURE
USE ONLY
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDIT1ONS10f6 1x (k glue in4geo
..r ►R I 'T' e
PROBLEMS ITH P RMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGTNEER
APPROVED:
LDING DEPA • TMEN
7.5
DAM
APPROVED
PLANNINGDE'J.T -N
7?t' V
DATE
V 7 ' 1 '1
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RECEFT1 DX X11, 2776'24
275-1I5 Ac. I (DEO)
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beery . 'For '•t•hr '• above It ems only •antJ.• for: no: 'other ;icirt. i•vn ,af :. the
• f;1:11- i.l:dierg•. •This.•ci• eporti•- rh
vncli.ades :OLrr= .'' 1e'. c.ari be o4'•;f •LYr th`sr �,.•�,
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INSPECTION WILL 1I0T BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE JU QUIRED FOR INSPECTIONS
GARFIELD COUNTY, COLORADO
Date Issued - q Zoned Area..1 141 Permit No q LI d `
....-..- ..
AG1EEMENT
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 e County Building spector and IMMEDIATELY BECOME NULL AND VOID,
Use ArC.1e7C•r€-Ater cz., U t+ i
CA Address or Legal Description C -•C-•1 3 1 L%i f� b t, SCA i
OwnerTkt S 11 Itetf �.'� Contractor U% 1eCIC Ed
Setbacks Front • SideSide Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning
Roof Covering
Footing
Electric -Final (by STATE inspector)
-_5'f, - l/ _ /r - 9,2-
.2Foundation
Foundation
Plumbing -Underground
Gas Piping
Heating Ventilation
Frame /tat -Z d -F;),, UMcs
Plumbing -R ough 1,a/7`% .:
Insulation /0 , .Q • 9.2 ,_
Drywall/23 f F2 ,, !4 -.21
Electric -Rough /0 -16'`i - `qtr
(by STATE inspector) v4/L,..c... ,clew
�—•,
Final / — 1 -- ?_3 C 5
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
J
THIS PERMIT LS NOT TRANSFERABLE
Phone 945-8212 109 8th Street, County Courthouse, Glenwood Springs, Colo.
APP ROVED DO NOT DESTROY THIS CARD
Date LI - 4.0- By f 1 t
1,- rli , . 'T- r\1'Trti !TI1 T'^*,r •17, k TIT
FEB 162011
Garfield County I
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945.8212
www.garfield-cou nty.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome)
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
BUILDING PERMIT
APPLICATION
0 Demolition
❑ Reroof
/;--C• G ' AO/. .
1...5-e 762 -- 772S
Phone: (q 70 ) (-3 ( ? f of e.
fc CO _Pick 3
Contractor: Phone: (
Mailing Address:
Email Address:
Architect: Phone: (,
Mailing Address:.
Email Address:
Engineer: Phone: (
Mailing Address:
Email Address:
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT NAME AND LOCATION
Describe Work: -4z)412-1717 do
Job Address: 21 S '+ C /L)
Assessor's Parcel Number: Sub.
Owner's Valuation of Work: $ 0 6 0 _
Sq. Ft. of Building: Height:
Class of Work:
0 Alteration
Lot Block
Property Size (Sq. Ft. or Acres):
# of Floors:
Addition 0 Repair 0 Move/Relocation
Garage: O S ❑ Attached 0 Detached
Septic: 0\� 0 OWTS 0 Community
Type of Heati\\pc 0 Natural Gas 0 Propane 0 Electric 0 Other
Driveway Pe I 0 Exempt 0 Permit #:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalt (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
Building Division. In consideration of the issuance of the Building Permit, I agree that 1 and my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s)
and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or facility(les) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations
rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as,
have provided the required information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
/!-
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
6ct -0
Plan Check Fee:
ry
Permit Fee:
Manu home Fee:
MI Fees:
Mu
OWTS No:
Total Fees: �1+
r 53, `./
Fees Paid:1ai2I
a • ✓ 1
Balance Due:J
///� LC
�jB/P�jNo: /�/ (��{[ /
IJ V r st 6,
Setbacks:
OCC Greupr---^ A
onst Type-gc,
Zoning: k
BUILDING / PLANNING
DIVISION : 1 J 37- ' ' 7
5i:ned .royal Date
C.
Graf/kind County i
Building/ Zoning Plan Review Checklist
Permit Number:
(7-4sx,
Building
Engineered Foundation
Driveway Permit
`' Surveyed Site Plan
At4
Septic Permit and Setbacks
ft -
Gra e/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
X/r 71 Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Pin Reviewer to Sign Application
✓/Parcel/ Schedule No.
_414 40# Snowload Letter— Manu. Homes
i1? Soils Report
Planning/ Zoning
Property Line Setbacks
/V4 30 ft. Stream Setbacks
*It Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
Reaction
LL =960 lbs
DL =240 lbs
TL =1200 lbs
160pIf LL
40pIf DL
2-2x12 HEM-FIR#2
12'-00"
J
Min bearing =1.5 in
Based on the 2015 IBC/IRC and NDS -12
Based on top edge having continuous lateral support.
Increase in allowable for duration of load =0%
BENDING
ALLOWED = 53789.1 inch/lbs
ACTUAL = 43200 inch/lbs
Bending ratio = 80.3% of the allowable
Bending OK
SHEAR: - No increase used
ALLOWED = 3375 pounds
ACTUAL = 1012.5 pounds
Shear ratio = 30% of the allowable
Shear OK
Reaction
LL =960 lbs
DL =240 lbs
TL =1200 lbs
Min Bearing =1.5 in
DEFLECTION:
L/180 = .8
L1240 = .6
L/360 = .4
L/480 = .3
Total Load Deflection = .2016" - L/714
Live Load Deflection = .1613" - L/893
Deflection OK for floors and roofs
Created using
Plan Analyst software
by Ben Weese and Associates
www.PlanAnalyst.com
Garfield County
Building Dept
108 8th Street Suite 401
970-945-8212
Beam ID:
Minitree Decks
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfielti-countv.com
TYPE OF CONSTRUCTION
BUILDING PERMIT
APPLICATION
❑ Commercial/Multi-Famlly IE. Demolition
❑ Manufactured Home(Single or Multi -Level)
JKI Residential (SF, Duplex or Townhome) ❑ Reroof
INVOLVED PARTIES
Property Owner: ThUMt fV\ 1 Phone: ( ){ r,,
Mailing Address: r7) V6 W.1tSCk s P6 , ) r� 743pio2
Email Address:
Contractor: 1CU i CQ Al) i Q 5+04' Z' Phone: (c% 7 0 ) 9V5 9 2-1 %,
Mailing Address: ?VJ� a X 4/' ez, sr (, 3j
jrn Cie 4 +n C - -a f cl 1.^'4 d16 .
Email Address:
Architect: Phone: ( )
Mailing Address:
Email Address:
Engineer: Phone: (
Mailing Address:
Email Address:
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT NAME AND LOCATION C
Describe Work: �l+� D Y'Ll w(.� , -1 b a 2- s , —E 0,
Job Address: Q— I 7 CQ uLA, +.) KA 0 3
Assessor's Parcel Number: Sub. Lot Block
Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: St' Height: be, r # of Floors: Z
Class of Work: 0 New 0 Alteration 0 Addition 0 Repair 0 Move/Relocation
Garage: 0 Attached
Septic: ❑ OWTS
Type of Heat: pnNatural Gas
IV Detached
0 Community
0 Propane
0 Electric 0 Other
Driveway Permit: 0 Exempt 0 Permit #:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
Building Division. In consideration of the issuance of the Building Permit, I agree that 1 and my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s)
j and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work.
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations
rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as,
have provided the required information which is correct and accurate to the best of my knowledge.
JG,1\ts
4
11+
Property Owner Print and Sign
1/;(
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
Total Fees:
Plan Check Fee:
Permit Fee:
/7S ..
Manu home Fee:
Misc Fees:
Fees Pal_‘•
Balance D e:
Setbacks:
OCC Group:
BP Ng: OWTS No:
MTN Lel
Const Type: Zoning:
BUILDING / PLANNING DIVISION :
Lk -1
Signed Approval
fa'5V'Pr /4 1" 7—e iI3i d�
A30 ir
Date
Garfield County 1
RECEIVED Community Development Department
'Air
GARFIELD COUNTY
COMMUNITY DEVELOPMENT
TYPE OF CONSTRUCTION
0 Commercial/Multi-Family
❑ Manufactured Home (Single or Multi -Level)
❑� Residential (SF, Duplex orTownhome)
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970)945-8212
www.ea rf i eid- co untv.com
BUILDING PER:
IAPPLICATION
Ji
INVOLVED PARTIES
Property Owner: polio. A I flit° /Y?e---
Mailing Addreh :? Jf '- a11 / "A41 pe..
Emall Address: 1l$ & /'1Cfree
Contractor:
Te- )? /d€rs-
0 Demolition
Reroof
Phone: (R7 .) ° - /�..L_
iJcine lAtio
-�df]Yr
Mailing Address:
Email Address:
Phone: 0371 606
i,vef /chit/re•&
Architect: Angela Loughry, Confluence Architecture _ Phone: (970 ) 963-9720
Mailing Address: 515 Crystal Circle, Carbondale, CO 81623
Email Address: angela@confluencearchitecture.com
Engineer: Ernest Kollar, Ernest Kollar Engineers, Inc.phone: ( 970) 963-3223
Mailing Address: 320 Main Street, Suite 203, Carbondale, CO 81623
Small Address: erniekollar@gmail.com
Manufactured Home Installer:
Mailing Address:
Email Address:
PROJECT DETAILS
Phone: (,_
Describe Work: Remodel of home with small addition of square footage. All in-auk:Atm-
windows, and doors will be replaced. Mechanical to remain. Total number of bedrooms reduced,
Job Address: 2957 County Road 103, Carbondale, CO 81623
Assessor's Parcel Number: 2393-141-00-380
Sub. _ Lot Block
Owner's Valuation of Work: $ ( •� Property_.v Size 5 Ft. or Acres): 241 1
Sq. Ft. of Buliding: 4279.9 Height: exisitng # of Floors: 2
Class of Work: El New l 0 Alteration 1 [3 Addition 0 Repair 0 Move/Relocation
0 Detached
Garage: Attached
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway Permit:
' NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If the signature below Is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be Issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized Is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
*OWTS
❑Natural Gas
L! Exempt
lj Propane
11:1 Community
[N[ Electric DOther
®Permit H:
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along wills the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. In consideration of the issuance of the Building Permit, I agree that I and my agents will
comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the
Building Permit may be suspended or revoked, upon notice From the County, if the location, construction or use
of the structure(s) and facility(les), described above, are not in compliance with County Regulation(s) or any
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
applicable law. Review of this Application, including submittals, and Inspections of the work by the Building
Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
designer, engineer and/ or builder.
hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign
Date
OFFICIAL USE ONLY
Special Conditions:
ltd valuation:
Tptal Fels:
Se
2b55+1
backs:
R. 2a 9'Ib
Pan Check Fee:
Fees Paid• 4
OCC G
d* I) 21 75
B lance Due:
� 1y227. �a
Const
Manu home Fee:
BP
NIA
Misc Fees: mA
OWTS No:
5121-0
T pe:
Zoning:
BUILDING / PLANNING DIVISION
Signed Approval
Date
e. Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.p•.u.lield-countv.com
-1111* NNW
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: -i % r ,, iz - LT+E ►LAat.a•0
Project Address: 2..95'4 I07)
Subdivsion:
Phone: filo 1506
��nul
z.1, -Al —144 -ac) 3t:30
Lot: Block:
IFinished Living Space (N/A for Manufactured Homes)
L/ 0 _
$74.68
(Unfinished Basement
,4J1p,
$41.00
Crawl Space
A
$18.00
Garage (Conditioned) (i.e. insulation, sheetrock)
44
$32.00
Garage (Unconditioned)
AA
$24.00
Covered Patio/Deck
3c,c,
$18.00
Uncovered Patio/Deck
t3�
$12.00
Misc:
50.00
Misc:
$0.00
MlMnuhctured Ha hie Skt-Up
a-. — AIMINIMINI
by Garfield County
bee •
Single Level ($400)
-
k
$0.00
Multi -Level ($600)
$0.00
r
$0.00
Perculation ($150)
Other (Ex: Road Impact Fee)
Total Fees Due - — ..�
i
$0.00
ee
G:J.� ilt ✓LLCM:
a-. — AIMINIMINI
by Garfield County
$0.00
New Installation ($123)
IMMI11.11
$0.00
Alteration and/or Repair ($75)
$0.00
Septic Fee (OWTS)
$0.00
Perculation ($150)
Other (Ex: Road Impact Fee)
Total Fees Due - — ..�
.. AL a
$0.00
Mt lopOtlifika
APIA .1_, El_ RV
1111111.115W
MIMI
Plan Review Fee
This Section Determined
by Garfield County
$0.00
Building Permit Fee
50.00
Manufactured Home Set -Up Fee
$0.00
Septic Fee (OWTS)
$0.00
Other (Ex: Road Impact Fee)
Total Fees Due - — ..�
.. AL a
$0.00
$0.00
***All fees are estimates until final plan review is completed***
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-co „ity.con,
INGLE FAMILY OR D
BUILDING PERMIT.
PPLUCATION CHECKLI
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
In order to understand the scope of work intended and to expedite the issuance of a permit, it is
important that complete information be provided. Please review this document to determine if you have
adequate information to design your project and to facilitate a plan review.
APPLICATION FORM: Please make sure the following information is provided on the application.
• Parcel number obtained from the County Assessor's Office.
• Job address (assigned physical address)
• Legal Description: block, lot, tract, subdivision, filing, or section, township and range.
• Owner's name, mailing address, phone, fax or cell.
• Contactors name, mailing address, phone, fax, or cell.
• Architect and/or Engineer's name, mailing address, phone, fax or cell.
• Building size, height, number of stories and lot size.
• Use of building (Residential),
• Class of Work (New, Addition, Alteration, Repair, Demo; Move/ Relocation).
• Detailed description of work.
• Type of heating (natural gas, propane, electric, other).
• Sewer system (Community or OWTS), also see other items below.
• Garage (Attached or Detached).
• Driveway permit (please see other items below).
• Valuation (labor and materials), see attached worksheet.
OTHER ITEMS:
▪ If you anticipate obtaining a water -tap from the City of Rifle, please provide a letter indicating that
the City will provide water service. Required to submit building permit application.
• OWTS requires a septic permit application to be submitted will the building permit application.
• A separate electrical permit must be obtained from the State of Colorado Electrical Board.
• At the time of building permit submittal, you are required to show proof of legal and adequate
access to the site. This may include proof of right to use a private easement, County Road &
Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The
County Road & Bridge Department can be reached at 970-625-8601.
• If you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit.
• If you belong to a Homeowners Association (HOA) it is your responsibility to obtain written
approval, if required.
• Provide copies of any Resolutions and/or Land Use Permits associated with this property.
• Additional Dwelling Units may require Administrative Review.
• A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
BUILDING PLANS: 2 sets of plans must be submitted:' Plans must be 18"x24" minimum size, complete,
identical, legible ani to scale. All plans will be checked at the counter for completeness. If any of the
required information is missing..thebuilding- permit application cannot be accepted.
SITE PLAN: Please make sure the following information is provided on the site plan.
• Property address/legal description.
• North Arrow and Scale on each page.
• Show all property lines, building envelopes, flood plain and easements.
• Provide setback distances from boundaries, buildings, septic, well and waterways.
• Location and direction of the county or private road and driveway accessing the property.
• Proposed and existing structures. Include sheds, barns, decks, patios, and any other buildings.
• Existing and proposed grade, positive drainage around structure (to be contained on site).
• Streams, rivers, creeks, springs, ponds and ditches.
• Existing and proposed wells, septic tanks, leach fields and other systems (if applicable).
• Retaining walls (engineer stamped detail required for walls over 4 ft., measured from bottom of
footing to top of wall).
NOTE: Any site plan depicting the placement of any portion of the structure within 50 feet of a property
line or not within an established building envelope shall be prepared, stamped and signed by a licensed
surveyor. For structures to be built within a building envelope, provide a copy of the recorded subdivision
final plat with the proposed structure located in the building envelope.
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.
• Minimum of four (4) elevations (N,S,E,W). Indicate height of building measured from existing
grade to the midpoint between the ridge and eave of a gable or shed roof or to the top of a flat
roof.
• Floor plans for each level, including dimensions and scale noted.
• Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
• Show the location of the mechanical equipment.
• Building cross sections with construction details.
• Window sizes, types and operation noted on the floor plans or elevations.
• Specify roof slope/pitch, roof covering and siding materials.
• Stair and guard details specifying rise, run, height and spacing.
• Attic, roof and crawlspace ventilation details. Indicate size and location of ventilation openings.
• Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.
• Provide stove and fireplace make, model, EPA or Colorado Phase II Certification. Masonry
fireplaces shall be designed to the International Residential Code (IRC) requirements.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
• Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.
• Foundation plan showing complete footing and foundation dimensions.
• Footing and foundation details specifying reinforcement and referenced on plans.
• Framing plans for each floor level and roof, All beams, columns, joists, rafters and trusses
specified. Pre -manufactured structures require the engineers stamp, signature and date.
• Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: If any required information Is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: 13( -RE- 03' 11- 5(,7b
Building Issues
r
Planning/Zoning Issues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
/ Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
N/A
N/A
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
�/ Parcel/ Schedule No.
' A 40# Snowload Letter — Manu. Homes
X _ Soils Report
7. Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
Description & Summary:
P1441400 Nov Av(,pt 41) I4b
Nap &wee- RMi09 2-C1
Vic4uaiiah
4)140 x do �- $141,' ao.
/2r-9 x 016.00 z • gC90.
�b1? .P 4 foo. 00
Peel `t fa Nl4
(14 IitoloifoIte aNfet. Atm)
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist,
,t
Property Owner Print and Sign Date