HomeMy WebLinkAbout5720 No. 5720
GA RI-IELD WUNLY
BUILDING, SA NIL4lION and PLANNING IMPARTMENT
109 8l1i Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945 -8212
33496 Ce —- River � Ro d, S
Job Addrese ' i >
Nature of Work Building Permit
U.seolnnildifl Single Family Dwelling Unit _
Owner Jackie Villa Knisely
Contractor Own
Amount of Permit 1060.95 p November 5, 1995
Permit: 643.00
Plan : 417.95
Paid $415.68 10/26/95
S. Archuleta
Cler
BUILDING PERMIT APPLICATION
. GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. 3-7 PARCEUSCHED NO.
JO8 ADDRESS . - 1UP tS •. TILlt -t ::: � I • ..41 - DW l_ cc) L , �J�
1 LEGAL LOT NO4\ \0 l BLOCK SUBDIVISION 1 y,� / `
DESCR. '1 r`i111 V.l \t-� -� 1 l� { l L . ._�
2 OWNER c_.J rc94te, 1�1ut_i\ „.,\i ADDRESS 3.54:01 to ! ' pi„,.. " ' !1_! E 1 pH a_” e. WK. PH. b (;:. J = _
3 CONTRACTOR L,{l Sl1 {�' , ADDRESS PH. LICENSE NO.
4 ARCHITECT OR DESIGNER (,, \ t:' ! lk ADDRESS PH. LICENSE NO.
5 ENGINEER ?vi:\Y'Ct.I.11\ j ADDRESS PH. LICENSE NO.
6 SF OF BUILDING ';Y\- \N &\f -1 J ) 4 p 0 C r S.F OF LOT HEIGHT NO. OF FLOORS
7 USE OF BUILDING L{L_i - N. \6 \KI.6..
8 CLASS OF WORK: A NEW rr ADDITION oALTERATION oREPAIR oMOVE °REMOVE
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9 DESCRIBE WORK: )\11Re ( .V , .._ ;
10 GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN /1//71 /T 75
11 VALUATION or woe / rc'. $ l' C�_ �' -
o - .' ADJUSTED VAL.$ PLAN CHECK FEE PERMIT FE
SPECIAL CONDITIONS/boo 'r y 6 3,/ - /QQ 969,00 SCHOOL IM CT FEE 6 E NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON
I / 'D�/ ,2 ,/7 w PARCEL 3 PARCEL �
TOTAL FEE /e. d .9.S OCC. GR..B J CONST. TYPE I t
2 0 0, co G5
NOTICE WATER Sr DATE PERMIT ISSUED //'
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING
SPECIAL vFL5 LAVpR 6 ` 0' , q eouiRen RECEIVED NOT REQUIRED
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS ZONING i� V
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
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 OROINANCES FIRE DEPT.
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. • TFIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERF RMANGE OF SETBACKS
t'"�NSTRUCTIDN.� ;r AI ' > / r : _ ( �/ _
— �,T(4P,..) t I r ' EX= /J 'C cY�r e) ) ) 1 Lt.of - 3
I FLOOD HAZARD
Sig nature or Owner, Contractor or ✓' 9r authorized a ent ,/g/,;6/��/ 2 erstood n above. —
eACQ. /J a -, / /�, < - _s (� MANUF. HOME
Building Department Approvatdate J Planning Department A r oral /date ,S• I / /+6
C OTHER -��" 9
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.
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 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE INITIAL cT0- ✓" ∎ I
` r Wd � /0 , 7 7- )
poi
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19. Have two (2) complete sets of constructions drawings been submitted
with the application?
Yes _, _ No (I) Not necessary for this project (2)
20. Is this an applicati n for the placement of a manufactured home?
Yes No _
If yes, have you specified the size of the unit (min. 20ft x 20ft); live
roof load (min.40 #); wind design (min. wind speed of 80 mph & 15 lb.
wind load); foundation design; method of anchoring?
Yes No 3_(1) Not necessary for this project a)
21. Have you designed or had this plan designed while considering
building and other construction code requirements?
Yes �? . No c „
22. Does the plan accurately indicate what you intend to construct and
what will receive a final inspection by the Garfield Building
Department?
Yes __X, No (3)
23. Do you understand that approval for design and /or construction
changes are required prior to the application of these changes?
Yes )L No (3)
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 __X No (3)
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 _pc._ No (3)
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)
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I hereby acknowledge that I have read, understand and answered these
questions accurately to the best of my ability.
qcc-,
siy ature date
Phone: 3 C : (days); -�� lT (evenings)
Project Name: a-�l 6C- 1 \ 1 e r r L: ._- c�. ��i Li_r
• Project Address: 39_ 1(n +ll), (L E±.4io57
Notes:
(1) If you have answered "No on any of these questions you may be 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 he 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 applications for building permits in the review
pro( css 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.
PerApp02,95 Effective August 15, 1995
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