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HomeMy WebLinkAbout4485 1 ' , . 0 4 4 5 • GARFIELD COUNTY BUILDING, SANITATION and PLANNING DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 (303) 945-8212 . COuth, rifle Job Address T' Nature of Work cicis Ca fr. c_."-ripaa±tt Use of Building y 1.E[z ee.l. er Owner Contractor (.1w3aer Amount of Permit: $ '',1!4r-er Date: Permit: Inlan --4 -9Htrtkt 3 10 t t Clerk White - Treas. Canary - Office Pink - Applicant Gold - Duplicate GARFIELD COUNTY APPLICATION FOR BUILDING PERMIT L 9 t PERMIT NUMBER / P please print or type DATE Le - a E FILLED OUT BY APPLICANT PLOT PLAN !703 7 1 ♦ IN �;04 I NOTE: Show easements, property line dimensions, '4 SUBDIVISIONRiOr �j 14CP ,�d Nth all other structures, specify north, and street 6 FILING # LOT # <s BLOCK # c3 name. For odd shaped lots, or if space is a TAX SCHEDULE # „�Ir - too small, provide separate plot plan. LEGAL (SEC /TWN 'NG) # OF BUILDINGS NOW ON PARCEL O P USE OF BUILD NGS NOW ON PARCEL NAME :.,c. •, ( r If. C . r - MAILING ADDRESS � eP,pni ]` �� -C L r r ��lil C.Q c' CITY K) FfP _ PHCJWE toa5----B797 Pat AFWOlem - NAME c , V) ADDRESS CITY 6.0„P. _ Zo— s NAME ©`A-P.V '` 0 c ADDRESS CITY c / 8 ( PHONE LICENSE :! 4 /so 56 L_ /)) / C7, CLASS OF WORK /J 4 NEW ALTERATION ADDITION P - ° DEMOLISH REPAIR MOVE MOBILE HOME (make /model) NA _ S.F. OF BUILDING S.F. OF LOT OF FLOORS HEIGHT # OF FAMILY UNITS #10F BEDROOMS INTENDED USE OF BUILDING J L y� 7 'o 0 I fS ' [ 0, " GARAGE: SINGLE DBL CARPORT: SINGLE DBL FRONT PROPERTY LINE FIREPLACE DOCUMENTS ATTACIIED _ STREET NAME /ROAD NUMBER WATER SUPPLY " ° h ilemmemper, - t r CHECK IF CORNER LOT _ DRIVEWAY PERMIT CK LS ''2 SS - DESCRIP ION OF WORK PLANNED 4 1 SITE PLAN t / J L d - D o r _ _ ��� BUILDING PLANS 1_ ���_ ._ _ _ - -. ° SANITARY SEWER CLEARANCE C Xrc. L v (-c- 13 ) I hereby acknowl-doe t at I have read this ON SITE SEWAGE DISPOSAL PERMIT NIA application and the above is correct and I OTHER DOCUMENTS (specify) agree to comply with all county ordinances an. Late laws regul -tin- building construction .. / / 3 s e-ah- re P z= ZS'no. �� GNATU ////ti f .' 1 -� • 2 P it[ sv � � '°' SIGNATUR / _ o _ T FOR OFFICE USE ONLY VALUATION ._ _,pp -,i ce:-_— _ z _ o aN FLOOD HAZARD PERMIT FEE' PLAN CHECK FEE $ 3 /(7 CERTIFIED BLDG ELEVATION TOTAL FEE .$, _ IMPACT FEE $ N/4- SPECIAL CONDITIONS DATE PERMIT ISSUED e 4•at ZONING DISTRICT � PROBLEMS WITH PERMIT TYPE OF OCCUPANCY ,- 3 �'-� ' TYPE OF CONSTRUC n/ ADDITIONAL INFORMATION NEEDED S.F. OF BUILDING S.F. OF LOT /l,pOO --�-- MAX. HEIGHT —t /2 ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR SETBACKS FROM PROPERTY LINE: FRONT 4. s: Jiff OR ENGINEER REAR RIGHT LEFT OFF STREET PARKING SPACES REQUIRED / 1 �Jq APPROVED: -___ _ ° � / l ee • ,- l7 S 72 -- APPROVED: a9 'V -� 72 / sUILDI! 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'. i ( 1 I . ---- - • -- I . .1. (-) • ,, 1 . ' \ • ; ! I 1 ! ` 1 c•-\‘: 6 I ‘ CI- '. ti\ • I I N ! , _ t 1 f- 1 .&% x A \., k x 1 --- -- -i L L. _J t ' t. .--,- , !) -r, ( A) Ni C ) • 11 ;• NI N •••■ ;I • "‘ ). 1:•• ( 1,1 r) 1 Il .- - ! , 1 • iii ) 0 I 1 1 p 1 0 :, \ ) I.) (.1 1 IS r • r 1 - il •• , . \ I ,i, c-\ • 1--- r---, (,) i . - - I --I I--- I ..• I II‘ %•- rt1 I 1 • ij• It., 4 .... • i'l . '1 • . . • IN 1 . „ . • ir) ) .! it, . • / • • t:r ,•••, tt, I ... . // ‘`. 5 N • - .. ._....--• . . i (N ' PC i I 1.) -, • 13 S 1..-;1•1 , 1 1 ... • 1 . r \ s. \ -.-. ....- \ ---- . . - • . . . . . ! . . • - _ . . . ty„. r c:••• 10 . R N . I■, N -) ).1 1 '• CI\ , . . '' ''.• . . . ,4•: rh . : 1 N .. 1 I I '. r • . • ■ • i 1 • .. 1 • —— • , -7• . v i . . " • . . ' . . . ,1-rid. 3/8 ttebar lbenl l _ 1er `I 10 Alley N . N.89 °31'19" W. 110.00 Wire Fence '55.00 /5.00 ICx10 s. Storage IL Shed ) Of 9 Lal3 0 u o .3 . BLOCK 3 °"�` • O 0 14-14 _--s 3 ° o 24.9 0 14.2 ..`• :; _ ti.l 31.7 ,._. .. O l W N Wood rr N Wood Frome m De N ° N House N upstairs �M o O u 0 111 ( 111 I �� : 249 45.8 II A :Concrete ,,Walk_ t v x L N N P 8 N o ' Fnd. 1 8 Cap l v Wire Fence / N.89 °31' 19'W. 110.00 Edge of Pavement Remington Drive 'ESCRIPTION 564 Block 3, Rifle Village South Subdivision, Filing 1, Garfield County, and also addressed as: 0037 Remington Drive, Rifle, CO 81650. N STATEMENT ELEVATION CERTIFICATE • O.M.e. M 3067-0077 31, 19 Expires May 31, 0993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the Flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER HESSELBERG, Randolph and Pamela STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 0037 Remington Drive OTHER DESCRIPTION (Lot and Block Numbers, etc.) Lots 3 & 4, Block 3, Rifle Village South Subdivision, Garfield County, Colorado CITY STATE ZIP CODE Rifle Colorado 81650 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION - - - Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 080205 1353 B Jan. 3, 1986 AO 1 foot 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): © NGVD '29 ❑ Other (describe on back) B. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I 1 I I I . Li feet NGVD (or other FIRM datum -see Section B, Item 7) SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level - 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of I I I 1 1.1LJ feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of 1 I 1 1 1.1_I feet NGVD (or other FIRM datum -see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is 1 1 1. ❑ feet above ❑ or below F1 (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I 1 .P feet above S or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference - level) elevated in accordance with the community's floodplain management ordinance? E Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: I1 NGVD 29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: ® actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate .- will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I 1 51316101.a feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: 1 1 1 1 1 1.❑ feet NGVD (or other FIRM datum -see Section B, Item 7). 2. 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BUILOING DEPARTMENT GARFIELD COUNTY, COLORADO Issued Without Fee Vehrnary e _ 19 !�1 Permission is hereby granted to__ +r +mA? llPyrrl7,nr(i Building Permit No. TAlt1 aid 1. Li' __ — Zone District d li situated at nnd7 frml n n r nn, P1 firs Iii 11 nlle i . _I L _Lot BIk.Addition for the following purpose T: m loredl real "1 'pj3le y 1 P bed ftn T n Contractor Owner re ewra � u „` TAKE NOTICE White: Owner y LLE��� No change shall be made In Green: Lending Agency a 1 the use allele budding without Gold. Conlraeier prior notice and certificate Yellow: Bil g din De GARFIELD COUNTY BUILDING DEPARTMENT � from e Building Official. Pork Assessor Parlmenl the _ BYE • • • • • • • • • • • • • • INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued&l -e4 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 nspector anti IMMF»IATELY pE MILL A D OID, Use Cr%Chl 1'1 ?"( rpo c I ; I eto en i LiatogQ Address or Legal Description O € irf'"1 i fl Y\ li t P 1e Owner 111 1 in tl Y 14 esis Contractor k ..) is 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 Foundation ^ „ °� _ , ■ Plumbing-Underground Gas Piping Heating Ventilation Frames,, : f, .., " Insulation Plumbing -Rough Drywall Electric- Rough ��' (by STATE inspector) Final 2 -2 - gp ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING — WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS- -IS NOT TRANSFERABLE Phone 945 -8212 10 9 8th Street, County Courthouse, Glenwood Springs; Gala =- = - -- APP R OV D DO NOT DESTROY THIS CARD Date lat BY [ IF PLACED OUTSIDE - C VER WITH CLEAR PLASTIC