HomeMy WebLinkAbout5533 No. 5533
GAR1IELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suitc 303
Glenwood Springs, Colorado 81601
(303) 945-8212
Job Address 1179 County Road 233, Rifle
Nature of Work B_unding Permi t
UseotBuilding Alteration of Building (Convert garage to bedroon and add carport)
Owner David K. Danciger
Contractor ,TB Custom Works
Amount of Permit S 810.15 Date May 24, 1995
Permit: 491.00
Plan : 319.15
Paid $134.55 5 -12 -95
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
BARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. �j PARCEUSCHED NO. _
JOB ADDRESS I I 1Q ( Duv-v 1 -L. 2Coc �+3) 1\S . e. Col VY QUO (} 1Iig") ,
1 LEGAL LOT NO. BLOCK SUBDIVISION
DESCR.
2 OWNER 1 a ADDRESS \ PH. G /WIC - P11.
C ONTRACTOR 1 ADDRESS oX klr C � p
3 1 i � C.;�n". (. �rv1�5 t�c�x 11n1 C�P�N1�1`Kn P� 7F3' 3333 LICENSE NO.
4 ARCHITECT OR DESIGNER lvltit.e ADDRESS PH. LICENSE NO.
5 ENGINEER ADDRESS PH. LICENSE NO.
6 S.F OF BUILDING S.F OF LOT HEIGHT NO. OF FLOORS
7 USE OF BUILDING
8 CLASS OF WORK: °NEW oADDITION ALTERATION °REPAIR oMOVE oREMOVE
� (�� ,1 � ` ;J� ` �j 1t r a
9 DESCR }— X11 ✓ - TIU `T�S�FW - . 1 30 W�TJtiv `. , �L} \- LA-- (2,1/4 A 6,,„, ,-i- Cher.. Co.uorr GIG tale '{o RGDRx' nOD ADC. ( Daly' - (o E XCRIOt-
lip 1 0 GARAGE SNGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN 5/7 -9'5
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11 VALUATION OF woRK: $ ZO K ADJUSTED VAL$ (bt 1/2 o O \ A dNE C4'EE , f I PERMIT FEW /
SPECIAL CONDITIONS: M FP.eof 6 4 AS /84 45 SCHOOL IMPACT FEE - - NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON
p / /IWO 4)106-L-640* — 430Y rot- - L 1 J PARCEL - PARCEL
/ K� ~e7 J �4 V „Sl6' d ' / TOTAL FEE F/ ! • 15 OCC. GR .R _J I`l - t CONST. TYP P
NOTICE /' WATERS�,PPL, ' •S . DATE PERMIT ISSUED LJ ` I ,257- -,9il /
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, SvacwL FPRWAIa A REQUIRED RECEIVED NOT REQUIRED VENTILATING OR AIR CONDITIONING. 1 /
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS zoNING ./ ( [t c drj
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS 69/940/19 M
COMMENCED. HEALTH DEPT.
I 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 FIRE DEPT.
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT
AUTHORITY TO VIOLATE OR CANCEL THE • • • SIONS OF ANY OTHER STATE OR
LOCAL LAW REGU -TING ONST !/' OR THE PERFORMANCE OF SETBACKS
CONST f Date C �r /�
Sign.. er, Contra° •r or authorized age a .. r•. FLOOD HAZARD
toe re • e.
nderstaod notice b
4 1. - - age e s MANUF. HOME
:uild,ng •-partment Approve /date Planning •e•fitment Approval /data
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.
THE9 • - / ?„7r. I .NS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
AC t NNk. .. . S , Z /TIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE
RE � r { � NSIBILITY FOR THESE IY ; • i ND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER,
GaleQ03 I EBJr . J(NOWLE GE THAT I HAVE READ AND AND
UNDERSTAND THE AGREE ENT ABOVE (INITIAL
N TIAL 1
,, .' , V`6 - 61 - .E L.; `7r,jNrie
GARFIELD COUNTY BUILDING AND PLANNING
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE. EAN111.Y DWELLING CONSTRUCTION
including
Nf:W CONSTRUCTION
A1)1)111ONS
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 he 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 he reviewed after R has been provided to
the Ihrilding 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 boolc 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 sulnult completed
ch•ck list at time of application for a permit:
1. Is a site flan included dart indicates the distance of the proposed
building or addition to property lines, other buildings, set back
easements and utility easements?
Yes No n, Not necessary for this project ✓ (2)
2. Does the site plan include the location of the 1.S.D.S. (Individual
Sewage Disposal System) ;tncl the distances to properly lines, wells
(on subject property and adjacent properties) , streams or water
courses
Yes No , Not necessary for this project ✓ (Z)
u
3. Does the site plan indicate the location and direction of Ilse County or
private road accessing the property?
]es _ -- No m Not necessary for this project (2)
4. Do the plans include a foundation plan indicating the size, location
and spacing of all reinforcing steel in accordance with the uniform
Indicting code or per stamped engineered design?
Yes No n, Not necessary for this project V2)
5. Do the plaits indicate the location and size of ventilation openings for
under floor crawl spaces and the clearances required between wood
and earth?
Yes No ,,, Not necessary for this project (2)
6. Do the plans indicate the size an location of ventilation Openings for
the attic, roof joist spaces and soffits?
Yes No cn Not necessary for this project 4/
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 n, Not necessary for this project r/ (2)
8. Does the plan include a building section drawing indicating
foundation, wall, floor and roof construction?
Yes No n) Not necessary for ibis project `. (2)
9. Does the building section drawing include size and spacing of floor
joists, wall studs, ceiling joists, roof rafters or joists or trusses?
Yes No (a Not necessary for this project (2)
10. Does the building section d or other detail Include the method
of positive connection of all columns and beams?
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2
Yes No ( Not necessary for this project J (1)
11. goes the plan indicate the height of tiro building or proposed addition
from the highest point of the building or addition measured at mid
span between the ridge and the cave down to existing grade contours?
Yes No (1 Not necessary for this project ✓ (2)
12. Does the plan include any stove or zero clearance fireplace planned
for installation including hake and model and Colorado Phase 11
certifications or phase 11 EPA certification?
Yes No a) 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 _„) Not necessary for this project ✓(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 —10 Not necessary for This project (2)
15. Does Ilse 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 (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 ;djacent to any surface normally used as a walking surface;
sliding glass doors; fixed glass panels; shower doors and tub
enclosures and specify safely glazing for these areas?
Yes No No (n Not necessary for Ibis project (2)
17. Is the location of all natural and liquid petroleum gas furnaces,
boilers and water heaters indicated on the plan?
Yes N✓ No w Not necessary for this project ,Z)
18. Have two (2) complete sets of constructions drawings been submitted
with the application?
Yes 1L No ,u Not necessary for this project (2)
19. Have you designed or had this plan designed while considering
building and other construction code requirements?
Yes 1/ No „)
3
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20. Does Ilse plan accurately indicate what you intend to construct and
what will receive a final inspection by the Garfield Building
Department?
Yes ■ No --
21. Do you understand that approval for design and /or construction
changes are required prlol_to the application of these changes?
Yes ✓ No
w
22. Do yott 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 Ilse "Permit Pet" as well as any "School Impact" or
"Septic system " fees required, at the time you plck up your building
permit?,
_/ Nn
24. Are you aware that you are required to call for all inspections
required under the Uniform Building Code including approval on a
final inspection_pt'ior to receiving a Certificate of Occupancy and
occupancy of Ilre building?
Yes _,_ No
24. 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 lJniform Codes ".
Yes ✓ No
I hereby acknowledge that I have react, understand and answered these
questions accurately to the best of my ability.
si , t e — — S� / a �9S
date
Phone: 9G3 -.(days); Saem"--
----- _ - (evenings)
Project Nance: Ty - g4 _ CZ-AAA!. ce_oaag
Project Address:
4
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Notes:
( If you have answered - Nn' on any of these questions you may be required to provide This Information at
the request of the Building OftIclnl prior to beginning the plan review process. Delays In Issuing the
penult are to be expected. Work may not pinceed without the Issuouce of the penult.
(2) If you have answered "1101 necessary for This protect on any of the questions and It Is determined by
the Iltlldlnl; ()Inc lul that Ilse 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 applications for building permits In the
review process and not revIewed 111111 required Inlonuallou has been provided and the
application rotates again to first pnslllom for review.
II, Relay In Issuance of the permit.
C. Delay In proceeding wllh couslnlcllon.
( If you answered "Ito" to tips question the circumstances described hl Ilse question could result In a "Slop
Work ()pier" being Issued or a "Certificate of Occupancy' not being Issued.
PerAi)t)()1.9
liffeclive May 1, 1994
I, 7» -tvi o T7gn/ C'r 4ElQ, , state that the residential structure built
under building permit # S S 3: i is an employee dwelling unit provided to an
individual(s) and /or his/her family, who derives the majority of their income from work on the
property and pays no rent. It is agreed that this unit will not be used for residential occupancy
for any person and/or family that is not employed on the property and is accessory to the
previously constructed primary single family dwelling on the property.
Proof of employment of individuals residing in said additional dwelling unit(s), which is the
appropriate signed IRS Form 1099 and copies of workman's compensation insurance for each
person employed shall be provided upon request by the Garfield County Building and Planning
Department.
It is further agreed that this property will not be sold to another party without representing that
the additional dwelling unit is for employees only and cant be used�� a st house or rental
unit. / /j/
DAVID K. DMICKiER
u 06
Date
Witness
i / _ �� - 4 t . J_ _
dt11J�'tU 4tH HILL MU tit
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
A IELD COUNTY, COLORADO -
Date Issued 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 I ermit may then be revoked by notice
from i • y • , ldin _ Ins ect r a I NIE !�, ' ELY B NULL AND VOID,
Use ,( r_ / � AP, A Al
e
Address or Legal Descrip ' i / L /17
g t
Owner _ J _ (J of ` atf' ` . Contractor NI .• /
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
Foundation
Plumbing- Underground ec.
Gas Piping 7 l /-, 95 - Heating Ventilation
Frame 7 -2 /— 7S e y Insulation 7-.„2 4'— j C Q)-
Plumbing -Rough 7 - 2 / P - � Drywall
Electric -Rough (- FNS J. C
(by STATE inspector) Final / -. 5
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.
A P PP V D DO NOT DESTROY THIS CARD
_ kit /9? r �-,