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HomeMy WebLinkAboutApplication-PermitProject Address Garfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601 - Phone: (970)945-8212 Fax: (970)384-3470 Parcel No. Subdivision ermrt Type: Residential Building Work Classification Remodel Permit StatusActive Issue Date: 8/25/2010 Section Expires: 02121/2011 Township Range 0574 CRYSTAL RIVER RD CARBONDALE, CO Owner Information 246304109013 Address ROCK GREEK SUB LTS 12-13 Al Phone Cell Randal & Cecilia Harmon po obx 1872 Carbondale CO 81623 970-963-8299 Contractor(s) Phone Primary Contractor Proposed Construction / Details Finishing building Permit 8433 FEES DUE Fee Amount Plan Check Fee $150.00 Residential Building Fee $678.75 Total: $828.75 Valuation: Total Sq Feet: $ 54,036.00 1300 FEES PAID Inv Total Paytype Amt Paid Amt Due Inv # BLRE-B-10-20429 $ 828.75 Credit Card Credit Card $396.66 $432.09 $ 0.00 Required Inspections: For inspections call: 1(888)868-5306 Inspection IVR See Permit Record Building Department Copy Wednesday, August 25, 2010 2 GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8th Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212/ Fax: 970-384-34701 Inspection Line: 888-868-5306 www.garfield-county.com 1 Parcel No: (this information is available at the assessors office 970-945-9134) - 13 fannd 2 Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or legal description s2. CS /Lel L. Pti/e ' glad (at-Lici, cLe Co Ef1,;2J 3 Lot No: Bloc No:Suhd./ Exemption: k 13 }' 0 9-3 '0: 41,s �3 31f t� x.:33 �t . n $ IS _ 4 caner: (grope owner) Pai n dna (4-d c �: &t' ,1 ; t1 rrn rll7 MailingAddress: Cc)t-tx.i I -e P 0 13c y /,,422 eii. i i 3 Ph: 720 -WY -.6'07c 9 Alt Ph; >717 9?,,5 si31. 5 Contactor: )Y7 ii cL-, 1/aL �a ',fry,',fry,O f7 Mailing Address: i + / Ph: f Alt Ph: 6 chit e / Engineer: %:Bil i' 1.4/1-,sin1S4 Mailing Address: L J.rPC+iidd P (? t3o t?3 Ca,s1t 1Ph: -27131 Alt Ph: -- 7 Sq. Ft. se Building: Sq. Ft. or Acres of Lot: ,97e-yz%3 Height: No. of Floors: 8 Use of Building: c ee if ib(Ai CLL,t'1i 9 Describe Work: t F f l 4 it 8 3 e. O C', i tit U �. I(? r6 L C ci- d ('1 t rhry t 10 Class of Work: ///// l/ ,f o New AAlteration o Addition 11 Garage: Attached ❑ Detached Septic: jtt- :2❑ inn) e o ISDS ❑ Community 12 Driveway Permit: Owl! s valuation of Work: $ Authoritt. This application for a Building Permit must be signed by letter of authority, signed by the Owner, must be provided Legal Access. A Building Permit cannot be issued without proof of legal NOTICE the Owner of the property, de cubed above, or an authorized agent. If the signature below is not that of the Owner, a separate with this Application_ and adequate access to the property for purposes of inspections by the Building Department. Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or Discharge Permit. authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 CERTIFICATION contained above is true and correct. 1 understand that the Building Department accepts the Application, along with the plans based upon my certification as to accuracy. a Building Permit will be issued granting permissionto me, as Owner, to construct the structure(s) and facilities detailed on and my agents will comply with provisions of any federal, state or Iocal law regulating the work and the Garfield County Building Regulation(s)), I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, ifthe location, are not in compliance with County Regulation(s) or any other applicable law. described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the if any, discovered after issuance: or (2) stopping construction or use of the structure(s) or facilily(ies) if such is in violation work by the Building Department da not constitute an acceptance of responsibility or liability by the County of errors, omissions compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without THE NOTICE & CERTIFICATION ABOVE: Other Permits. Multiple separate permits may be required: (1) State County Highway/ Road Access or a State Wastewater Void Permit A Building Permit becomes null and void if the work days after commencement. 1 hereby certify that 1 have read this Application and that the information and specifications and other data submitted by me or on my behalf (submittals), Assuming completeness of the submittals and approval of this Application, the submittals reviewed by the Building Department In consideration of the issuance of the Building Permit, I agree that 1 Code, ISDS regulations and applicable land use regulations (County construction or use of the structure(s) and facility(ies), described above, I hereby grant permission to the Building Department to enter the property, Building Official from: (I) requiring the correction of errors in the submittals, of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the or discrepancies, As the Owner, I acknowledge that responsibility for limitation my architect designer, engineer and/ or builder. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND OWNERS SIGNATURE DATE FYI (-Le j.' --- ,, L rs 1.Lr . r L.'i S cc. 1, ✓ tit - ;t ok. ji--it r7 ` �' ` i t'.:4 Ph —V.I.? -044.3' STAFF USE ONLY 61- tl LlJt:04. Sip riV1 Co, 'r te1 Special Conditions: Adjusted Valuation: y /9.54.1'o Plan Check Fee: f SO. °Q ') Permit Fee: 67e.7 Manu home Fee:Misc Fees: ISDS Fee: Total Fees: ez 8 . "5 Fees Paid: ti .0 Balance Due: 96 v 6 (9 73P No & Issue Date: ISDS No & Issued Date: 1 (p63 nil / 6-a6-04). Setbacks: FZs Kzs Se OCC Group: Const Type: 'Zoning: 1,:tylG DEP • p. 0s..>1 8/z3/v PLNG DEPT: , ) 8,%z3fa APPROVAL DATE APPROVAL DATE The following items are required by Garfield County for a final Inspection: 1) A final Electrical Inspection from the Colorado State Electrical Inspector. 2) Permanent address assigned by Garfield County Building Department and posted at the structure and where readily visible from access road. 3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all necessary plumbing. 4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running water, non-absorbent floors, walls finished, and privacy door. 5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks over 30" high must be constructed to all IBC and IRC requirements including guardrails. 6) Outside grading completed so that water slopes away from the building; 7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of extenuating circumstances., i.e. weather. Under such circumstances A Certificate of Occupancy may be issued conditionally. 8) A final inspection sign off by the Garfield County Road & Bridge Department for driveway installation, where applicable; as well as any final sign off by the Fire District, and/or State Agencies where applicable. A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED. OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, use and the issuance of a C.O. for the building identified in the Building Permit. OWNERS SIGNATURE DATE B application december2007 Building Plan Review Description of Work: Finishing building Permit 8433 Bin #: Location Address: 0574 CRYSTAL RIVER RD CARBONDALE, CO r General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -8-10-6542 Parcel: 246304109013 Application Date: 08/06/2010 46, Owner: Randal & Cecilia Harmon Applicant: Randal & Cecilia Harmon Applicant Phone: 970-963-8299 Email: Building PlanninglZog nin Property Line Setbacks 41 I Driveway Permit ,: / 30ft Stream Setbacks Surveyed Site Plan Flood Plain ✓ Septic Permit and Setbacks Building height Grade/Topography 30% Toning Sign -off A'/,-) p Attach Residential Plan Review List Road Impact Fees Minimum Application Questionnare % HOA/DRC Approval AIL ``�' Subdivision Plat Notes GradelTopography 40% /�✓4 Fire Department Review fanning Issues fi Valuation Determination/Fees Subdivision Plat Red Line Plans/Stamps/Sticker/f Geneerral Comments: V%f% f/ Attach Conditions , /4W L.10.e4 • pplication Signed /'�/i?1i�le 7S Plan Reviewer To Sign ApplicationPoe(A)!d (no3k if$,U` 79 Parcel/Schedule No. i7A! go23'. 7,5 IA* Engineered Foundation /V/ 40# Snowload Letter - Manu. Homes Soils Report 'Ad r 4'3 a 9 a 1 3 96.66 Applicant: Job Address: Subd- Lot/block: FEE ESTIMATE FOR S/F STICK B UILT HOMES (ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED) FINISHED LIVING SPACE: UNFINISHED BASEMENT: CRAWL SPACE: GARAGE: 4C-0 0 sf X 74.68= //`2i 0. 0 Pre Vit' tis e d sf X 41.00= sf X 9.00= sf X 18.00= UNCOVERED PATIO/DECK: COVERED PATIO/DECK: IISC: MISC: sf X 12.00= sf X 24.00= TOTAL VALUATION: 11 L t, r taZ THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING PLAN REVIEW FEE: PERMIT FEE: TOTAL: SEPTIC= PERMIT: PERC: /60 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N2 3 7 0 9 Assessor's Parcel No. 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY J >- � Owner's Name iY\ a ti ' 'lt Present Address `� C111 S+R.1 System Location This does not constitute a building or use permit. Phone 63 •'t9) Legal Description of Assessor's Parcel No SYSTEM DESIGN 75c) Septic Tank Capacity (gallon) Other Z Percolation Rate (minutes/inch) Number of Bedrooms (or other) 36 tb /2o c ee GeA d, F/eLo i g"j l2 L.,ea.,-.t t-p+a ,e/t 7~ i/i /0e5` ..D'1" ' �/' C. -ea -e-1, Ci,P�L Ott /2 Special Setback Requirements: a5 L 1 8'00 /c �C'S }, to — 02 /� �x5 y Date ?— 2--E" —6 Z Inspector ^ (� IZl/ FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Cali for Inspection (24 hours notice) Before Covering Installation Required Absorption Area See Attached System Installer Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS. 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984, 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or 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 1, Petty Offense ($500.00 fine — 6 months in jail or both). While - APPLICANT Yellow - DEPARTMENT it c . 5; ' z. s; 3,' GARFIELD COUN TY BUILDING AND PLANNE 970-945-8212 MINIMUM APPLICATION REQUIREMENTS For SINGLE FAMILY DWELLING CONSTRUCTION Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS G 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. When reviewing a plan and it's discovered that required information has not been provided by the applicant, this will result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor shall be required to provide this information before the plan review can proceed. 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. TWO (2) SETS OF CONSTRUCTION DRAWINGS & TWO (2) SITE PLANS MUST BE SUBMITTEDFOR ALL APPLICATIONS. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. Any project with more than ten (10) occupants requires the plans to be sealed by a Colorado Registered Design Professional. 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 checklist prior to and during design. Applicants are required to indicate appropriately and to submit the completed checklist at time of application for a permit. Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to scale. Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line and 1 original grade. A section showing in detail, from the bottom of the footing to the top of the roof, including re -bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house -rap, (which is required), siding or any approved building material. Engineered foundations may be required. A window schedule. A door schedule. A floor framing plan, a roof framing plan, roof must be designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. wind speed, wind exposure B or C, and a 36 inch frost depth. All sheets to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. All plans submitted must be in compliance with the 2009 IRC, and 2009 IECC. 1. Is a site plan included that identifies the location of the proposed structure or addition and distances to the property lines from each corner of the proposed structure(s) prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or greater must be shown on the site plan. (NOTE Section: 106.2) Any site plan for the placement of any portion of a structure within 50 ft. of a property line and not within a previously surveyed building envelope on a subdivision final plat shall be prepared by a licensed surveyor and have the surveyor's signature and professional stamp on the drawing. Any structure to be built within a building envelope of a lot shown on a recorded subdivision plat shall include a copy of the building envelope as it is shown on the final plat with the proposed structure located within the envelope. Yes 2. Does the site plan also include any other buildings on the property, setback easements and utility easements? Please refer to Section 3-301 in the Garfield County Zoning Resolution if the property you are applying for a building permit on is located on a corner lot. Special setbacks do apply. \I Yes 3. Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? Yes/, 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes 5. Have you provided any RESOLUTIONS and/ or LAND USE PERMIT(S) associated with this property? Yes /4/ 1� if Yes please provide a COPY. No f' 2 6. Are you aware that prior to submittal of a building permit application you are required to show proof of a legal and adequate access to the site? This may include (but is not limited to) proof of your right to use a private easement/right of way; A County Road and Bridge permit; a Colorado Dept. of Highway Permit, including a Notice to Proceed; a permit from the federal government or any combination. You can contact the Road & Bridge Depaitnient at 625-8601. See phone book for other agencies Yes11( 7. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the IRC or per stamped engineered design? ti Yes �P r 8. 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 ff i` ' No 9. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and soffits? Yes f f ' No 10. Do the plans include design loads as required by Garfield County for roof snow loads, (a minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor loads and wind loads? 'r r,. Yes 11. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes V 12. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes lam' 13. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes 14. Does the elevation plan indicate the height of the building or proposed addition from the undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the top of a flat roop (Building height measurement usually not to exceed 25 feet) Yes 15. 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 41 No 3 16. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? Yes A,VA- No 17. 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 IRC? Yes v 18. Does the plan include a window schedule or other verification that windows provide natural light and ventilationJor all habitable rooms? Yes V 19. 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 t se areas? Yes No 20. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes V 21. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, are building plans in compliance with all plat notes and/or covenants? Yes 22. Do you understand that if you belong to a Homeowners Association (HOA), it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? The building permit application will be accepted without it, but you run the risk of the HOA bringing action to enforce the covenants, which can result in revocation of permit issued. Additionally, your Plan Review fee is not refundable if the plans have been reviewed by the Building Department prior to any action by the HOA that requires either revocationorzbstantial modification of the plans. Yes ' 23. Will this be the only residential strut ure on the parcel? Yes No If no -Explain: 24. Have two (2J,9rnplete sets of construction drawings been submitted with the application? Yes 25. Do you understand that the minimum dimension a home can be on a lot is 20ft.wide and 20ft. long? Yes 4 26. Have you designed or had this plan designed while considering building and other construction code requirements Yes L' 27. Do your plans comply with all zoning rules and regulations in the County related to your properties zone district?' Yes tJ 28. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfi d County Building Department? Yes E 29. Do you understand that approval for design and/or construction changes are required prior to the application/9f these changes? Yes lr' 30. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application submittal and that you will be required to pay the "Permit Fee" as well as any "Road Impt" or "Septic System" fees required, at the time you pick up your building periuit? Yes V 31. Are you aware that you must call in for an inspection by 3:30 the business day before the requested inspection in order to receive it the following business day? Inspections will be made from 7:30 a.m. to 3:30 p.m. Monday through Friday. Inspections are to be called in to 888-868-5306. Yes No 32. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re -inspection fee? Yes V 33. Are you aware that you are required to call for all inspections required under the IRC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes 34. Are you aware that the Permit Application must be signed by the Owner or a written authority being given for an Agent and that the party responsible for the project must comply with the IRC? Yes V 5 35. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups, unless you as the homeowner are performing the work? The license number of the person performing the work will be required at time of applicable inspection./ Yes 36. Are you aware, that on the front of the Building Permit Application you will need to fill in the Parcel/Schedule Number for the lot you are applying for this permit on prior to submittal of a building permit application? Your attention in this is appreciated. Yes 37. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes / (please check with the building department about this requirement) 38. Do you understand that if you are planning on doing any excavating or grading to the property prior to issuance of building permit that you will be required to obtain a grading permit? Yes 39. Are you aware that if you will be connecting to a public water and/or sewer system, that the tap fees have to be paid and the connections inspected by the service provider prior to the issuance of a Certificate of Occupancy? Yes 40. If you anticipate obtaining a water tap from the City of Rifle, please provide a letter indicating that the City will provide water service. No building permit application will be accepted without such a letter. r Yes I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. Signature of Owner g.-6 /6) Date Phone: 7/7- 5:16 (days); '7d % -41/93---(),5-73 > (evenings) Project Name: Project Address: OS -2 ) eLL.tyv ft Oil S -f L R; R . Ca o , JJLe, CO? /h 3 6 Notes: If any required information is missing delays in issuing the permit are to be expected. Work may not proceed without the issuance of a permit. If it is determined by the Building Official that additional information is necessary to review the application and plans to determine minimum compliance with the adopted codes, the application may be placed behind more recent applications 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, delay in issuance of the penult or delay in proceeding with construction. bpminregsf.Iun2010 7 GARFIELD COUNTY BUILDING REQUIREMENTS Codes: 2009 IRC, IBC, IFGC, IMC, IPC, 2009 IECC. Setbacks: Check subdivisions and zone district for setback requirements. Snowload (measured at the roof! Not ground): 40PSF up to 7000ft. elevation. 50PSF 7001ft to 8000ft. 75PSF 8001ft to 9000ft. 100PSF 9001 to 10000ft. Seismic design category: B Weathering probability for concrete: Severe. Termite infestation probability: None to slight. Wind speed: 90mph. Decay probability: None Wind Exposure: B or C (see section R301.2.1.4) Frost Depth: 36in. to 8000ft. elevation. 42in. 8001 and above. Winter Design Temperature: Minus 2 to 7000ft.; minus 16over 7000ft. elevation. Air Freezing Index: 2500deg F -days to 7000ft.; over 7000ft. to be determined by Building official Ice shield under-layment required. Mean Annual temp: Variable Insulation: Windows/doors—U=35, Skylights U—.6, TBL 402.1.1, 2009 IECC. Minimum R -Values: • Ceilings/roofs R values are R-38 stick built structures. R38 log construction and steel rafter construction. • Walls R values are R-20 wood frame. See Table 402.2.5 2009 IECC for steel framing • Floors R -values are R-30 or enough to fill cavity. • Basement wall R -values are R-10 /13. • Slab perimeter R -values and depth is R-10/24in. • Crawl space wall R -value are R10/13. If floors over crawl space are not insulated, the crawl space walls must be insulated. Basement wall must be insulated to frost depth. Common walls garage to house must have R-20 insulation. Common ceiling/floor garage to house must have R-20. Take precautions to protect plumbing in these areas. 8 GARFIELD COUNTY DRIVEWAY PERMIT REQUIREMENTS Information required by Garfield County Road & Bridge for driveway permits or exemption letters: Y State your request (driveway permits vs. exemption), Y Legal description; lot & block#-: preferred, meets & bounds if necessary Y Plat or sketch, showing driveway location and.any easements (must show nearest County Road and be easily readable). ➢ Owner of record (as appears on the tax roll). Y Owner's mailing address, phone, fax (& cell if applicable). )' Subcontractor (if applicable) with contact person, address, phone, fax & cell. Y 13e prepared to show your property pinslcomers. Quick reference guideline for new or change of use.. driveways: Y Only one access per parcel (unless demonstrated need) ➢ 90 degree intersection with County road for first 30 feet Y 3 % maximum grade for first 30 feet Y 4" thick hot asphalt/concrete apron if County toad is paved. Y 300 feet visibility in both directions Y Corrugated steel culvert ifa road ditch is crossed (15" min, no plastic or aluminum) Y Driveway runoff must not reach County road! Y Obtain permit before commencing work, pay fee & sign, keep on site Y Complete the driveway within 30 days of pulling permit. DO NOT DELAY! Contact: Road & Bridge Main Office; 0298 CR 333A, (Hunter Mesa Rd), Rifle, Co 81650 — Ph 625-8601. Office hours are 7:00am to 4;OOpm Monday through Friday. The Road & Bridge office will issue the permit. It can be picked up at the above address, or faxed upon receipt of payment. Payment can be made with a check or credit card. 1. Permit Owner : Garfield County Road & Bridge 0298 CR 333A//P0 Box 426 Rifle, CO 81650 PH: 970-625-8601 FAX: 970-625-8627 roadandb`rid e rAgarfield-couuty.com Driveway Permit Check Off Form 2. Mailing Address: 3. City: Carbondale 81623 New Castle 81647 Parachute 81635 Glenwood Springs 81601 Silt 81652 Other Fax No: 4. Phone No: 5. County Rd. No: 6. Nearest Intersection or address: 7. Distance from Int. or address: 8, Direction from Int. or address. 9. Side of road: 10. Width of driveway: Rifle 81650 N N 30 -foot Other: E E 40 -foot S w w 100 -foot 11, Culvert required: Yes 12. Size of culvert required: 12 -inch Other: 13. Length of culvert required: 30 -foot 14. Asphalt or concrete pad required: No 15 -inch 18 -inch 40 -foot Yes other No 15: Size of pad: 30 -foot wide X l0 -foot long X 4 inches thick: Yes 40 -foot wide X 10 -foot long X 4 -inches thick: Yes 100 -foot wide X 20 -foot long X 4 -inches thick: Yes Other: 16. Gravel portion required: 17. Length of gravel portion: 40 -foot 18, Trees or brush removed for visibility: Yes 50 -foot Yes 19. Distance and direction from driveway to be removed: No 100 -foot No 20: Driveway must be no more than 3 % slope away from County road. 21. Drive must lie co;nstrimcted so n� drainage accesses County road froni driveway. 22: Certified traffic control required: Yea 23, Work zone signage only required: Yes 24. Stop sign required at entrance to County Rd, Yes No No No 25, Inspection of driveway will required upon completion and must be approved by person issuing permit or representative of person issuing permit, 26. Person Requesting Permit: 27. Person. issuing permit: 28, District permit issued in: 29. Date checklist completed: 2 BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIENS The Contractor, whose name and signature appears below, certifies and agrees as follows: 1. The Contractor shall comply with the provisions of C.R.S. 8-17,5-101 et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work for the Board of County Commissioners of Garfield County, Colorado ("BOCC") or enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien. 2. The Contractor represents, warrants, and agrees that it has verified that it does not employ any illegal aliens; that it has participated or attempted to participate in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security; and otherwise shall comply with the requirements of C.R.S. 8.-17.5-102{2)(b). 3. The Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If the Contractor fails to comply with any requirement of this, provision or C.R.S. 8-17.5-101 et seri., the BOCC may terminate work for breach and the Contractor shall be liable for actual and consequential damages to the State. 4, If the Contractor is a sole proprietor, the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (check one): I am a United States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United States pursuant to Federal law, I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for. the BOCC. 1 understand that state law requires me to provide proof that T am lawfully present in the United States prior to starting work for the BOCC. I further acknowledge that I will comply with the requirements of C.R.S. 24-76.5-101 et seq. and will produce the. required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under C.R.S. 18-8-503. CERTIFIED and AGREED to this C2 day of CONTRACTOR: 1?aY}dd LT Le/110/-1 (Contractor Ful gal Name) By: 200X2. /7F--: -76,3 FEIN or Social Security thimber Signature of Authorized Rep Title Iim Ligration Affidavit (08/05) Final EXHIBIT IN 24 HOURS NOTWE REQUIRED FOR iNSPECI1ONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issue Was Zoned Area Permit NoSt4:42;i AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with laws and regulations related to the zoning, location; construction and erection of the propos4 structure for which this permit is granted, and further agrees that if the above said regulatiol are not fully complied with in the zoning, location, erection and construction of the a bol described structure, the permit may then be revoked by notice from the County Buildii inspector and IMMEDIATELY BECOME NULL AND VOID. Use Addressr Legal Description ner 4r 0 tr 0\0 PI Contract° Setbacks Front SidSid Rear This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. Permit Card Garfield County Building and Planning Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: (970)945-8212 Fax: (970)384-3470 POST ON SITE Permit NO. BLRE-8- 1 0-1683 issue Date: 812512010 esus nt11�i1 ! € to 14 SA�'3 :n rtru etreSIe Expires: 02/21 ! /201 i AGREEMENT In consideration of the issuance of the permit, the applicant hereby agrees to comply with ail laws and regulations related to the zoning, location; construction and erection of the proposed structured 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 department and IMMEDIATELY BECOME NULL AND VOID. Residential Building Parcel #:246304109013 Owner's Name: Randal & Cecilia Harmon Owner's Phone: 970-g63-8299 Job Address: 0574 CRYSTAL RIVER RD CARBONDALE, CO Tota! Square Feet: 1300 Contractor(s) Phone Primary Contractor Work Description: Finishing building Permit 8433 Inspection Scheduling Code f`nsp , .�ectton:;; ��x �.�� �. � � 3�:-� IIfR ` Comments , k�� ��,.:.w � . _ �ro.. ._. P . '.: � � , ass �: ~�{t:Dat ., Footers 0y Foundation Walls r Framing #1 a6i te.,- �-. f'g 7�3 Drywaf &Ai J3AC P...: ,rte /"`/ ppie '�f'.'t g r 04/4)/7- Adel ' ". / %A Fina!it-F Mise 53 insulationsl60 et4",77-A/ 4.69i.i 0-7 `Grout‹.., t 5'V T Mechanical 08< lxx�t.i i� ��+i /1`--Z7''7'i� UG Plumbing F'50 -,60k Rough Plumbing :. a Gas 0 r nlAL dK- )* c G C /e_s- %/15- c iQ ADDITIONAL INSPECTIONS MAY BE REQUIRED POST THIS IN CONSPICUOUS PLACE WHEN CONSTRUCTION IS STARTED For Inspections Calf: 1-888-868-5306 � ! S'AfaC G i '/ L/r✓ 1 s�v ,e Ji r 1- ///y7