HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Sanitation Department
• 108 8th Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address
lel f dig 390
NO. Ct._la
Nature of Work Building Permit / 7 5-1;-3.3(4 no— 166
Use of Building 1\1\ ( nn c. p, Lk. / u_nc , thins
Owner (.t�l IJ 1irllel l -1; 1 0 hn Si k Ni" /A 661
Contractor ()L33 f 1 tar -
Amount
r
Amount of Permit $
Ita 9 <5 --
Date (Q -/y'05
Clerk
Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8'h Street, Suite 2U1, Glenwood Springs, CO 81601
Phone: 970-9454212/ Fax: 970-384-34701 Inspection Line: 970-384-5003
cc
;inn
ParceUSchedule No:o& I7`7 c 3-/ Lc-‘,1�G�;
AGREEMENT
PERNIISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUC1 URE AS DETAILED ON PIANS AND SPECIFICATIONS SUBMITTED TO A.ND REVIEWED BY THE BUILDING DEPART HENT.
IN CONSIDERATION OF THE ISSSUANCE 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 COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT NIAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT 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 THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBIIJTY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER BUILDER. ANDER. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Carfom.003
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIA
Job Address -4 /„ Ii
Ad 1. CaLt iirl ,�i.. l �FMe pita On Comerrroperl. g 6q 55
1 Lot No: Block No: Subd. / Exemption:
2
Owner:
''3r iC./704 4-S1& bi,C,(knn
Address .119
103 M95.4 Caw (ol')
Ph:
4,10 ` icsanC151 s
Wk Ph:
3
Contractor:
Address:
Ph:
Lk. No.
4
Architect/Engineer Y
Address:
Ph:
Lic. No.
5
Sq. Ft (.T Rnilelina:
Sq. Ft. of Lot:
Height:
No. of Floors:
6
Use of Building: (� Q ^ 'r
/625<c/fit/eV/625<c/fit/eV�`pt ,.h torte . �r,Lai I _in •'F S'
�T3 Y.
7
Describe Work: / I
.4/eLal Residence. (v& tksrne)
8
Class of Work: V New o Alteration o Remove
o Addition o Move
9
10
Garage:.❑ Single
I4 o Double
Carport: o Single
/t%� 1 o Double
% Driveway Permit ak Ar On -Site Sewage Disposal X Site Plan
(Septic)
11
Valuation of Work: 5
Adjusted Valuations: 5
30, 3241
12 Special Conditions: �� I
0, ( (r In f (.b cl In A- `.1:/,2, W '- r- (- J ((/ ( 6 �fl�rtrj 'I;r,- ( i ✓ . , /_
O
NOTICE
A SEPARATE ELECTRICAL PERMIT
ISSUED BY THE STATE OF COLORADO.
THIS PERMIT BECOMES NULL AND VOID
AUTIIORIZED IS NOT COMMENCED WITHIN
CONSTRIC CION OR WORK IS SUSPENDED
PERIOD OF 180 DAYS AT ANY TIME AFTER
I HEREBY CERTIFY THAT 1 HAVE
APPLICATION AND KNOW THE SAME
PROVISIONS OF LAWS COV ERNINC THIS
COMPLETED WITHIN WHETHER SPECIFIED
GRANTING OF A PERMIT DOES NOT
TO VIOLATE OR CANCEL THE PROVISIONS
LOCAL LA RECU INC CONSTRUCTION
T I
OF CO •J CO,
f
IS REQUIRED
IF WORK OR
180 DAYS,
OR ABANDONED
WORK IS COMMENCED.
READ AND
TO BE TRUE AND
TYPE OF WORK
HEREIN
PRESUME TO
OF ANY
OR THE
AND MUST BE
CONSTRUCTION
OR, IF
FOR A
EXAMINED THIS
CORRECT. ALL
WILL BE
OR NOT. THE
GIVE AUTHORITY
OTHER STATE OR
PERFORMANCE
e-
Plan Check Fee:
Z ?'2.70
!//
Permit Fee:
) m!
Total Fee:n Dated Permit Issued:
1 G.O +OO.
'l g5.55 C'.� Ctir-
l
1196. 55-
OC rooup: Const. Type:
.gc.,
Zoning:
1111L
- J1 T
Setbacks:
Manu. Home:
'7G0 `
ISDS No. &
1.�50
Fee:
1
St
• ER
,1�.��,, 149-0v�
f
�I DATE
S off"
BLDG D Pr. N . DEPT.
APPRO ,ATE APPROVAL/DATE
. ;�'7033
AGREEMENT
PERNIISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUC1 URE AS DETAILED ON PIANS AND SPECIFICATIONS SUBMITTED TO A.ND REVIEWED BY THE BUILDING DEPART HENT.
IN CONSIDERATION OF THE ISSSUANCE 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 COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT NIAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT 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 THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBIIJTY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER BUILDER. ANDER. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Carfom.003
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIA
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 posted where readily
visible from access road;
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running water, non-absorbent
kitchen floor coverings, 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 stool, hot and cold
running water, non-absorbent floors and walls finished and a privacy door;
5. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or
decks over 30" high constructed to all IBC and IRC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of
extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until
all the required items are completed and a final inspection made;
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 WILL NOT BE ISSUED UNTIL ALL THE
ABOVE ITEMS HAVE BEEN COMPLETED.
****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY
(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 occupanp�pY, use and the issuance of a
Certif cate of Occupancy for the dwelling under building permit # .
Signature
BpcontOct2004
/-,- os
Date
PLAN REVIEW CHECKLIST
Applicant Wtrete, t.J
Building
,vat Engineered Foundation
v�Driveway Permit
L Surveyed Site Plan
Septic Permit and Setbacks
`�ade/Topography 30%
�-Attach Residential Plan Review List
Minimum Application Questionnaire
11,4 Subdivision Plat Notes
,tit Fire Department Review
_luation Determination/Fees
Red Line Plans/Stamps/Sticker
44( Attt ch Conditions
7Application Signed
Plan Reviewer To Sign Application
arcel/Schedule No.
Date 2-9- O5
404 Snowload Letter- Mani Mir
p. .R.0,, . GENERAL NOTES:
Zoe{
7o *11
9) zo
30, 324
Property Line Setbacks
M.4. 30ft Stream Setbacks
y/7tkFlood Plain
V Building Height
, ming Sign -off
>4, /pt Road Impact Fees
N4. HOA/DRC Approval
Grade/Topography 40%
.4
arming Issues
gSubdivision Plat Notes
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
For
MANUFACTURED HOMES
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.
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.
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. Applicants are required to indicate appropriately and to submit the completed checklist at the
time of application submittal for a permit.
All plans submitted must be incompliance with the 2003 IRC for Residences and 2003 IBC for
Commercial Offices and Storage.
1
1. Is a site plan included that identifies the location of the proposed structure or addition and distances to
the property lines from each comer of the proposed structure prepared by a licensed surveyor and has
the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or more
must be shown on 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 when applicable include 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? This information must be certified by a licensed surveyor
with their signature and professional stamp on the design.
Yes ./
3. Does the site plan include any other buildings, setback easements and utility easements? Please
refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying
for a building permit on is located on a comer lot. Special setbacks do apply.
Yes v
4. Does the site plan indicate the location and direction of the County or private road accessing the
property?
Yes
5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel
in accordance with the uniform building code or per stamped engineered design? A Floor Plan of the
Modular showing exterior doors is required.
Yes
6. Do you understand that if you belong to a homeowners association, 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 not be accepted without it.
Yes ✓ No
7. Will this be the only residential structure on the parcel?
Yes No Ifno-Explain:
8. Have two (plete sets of construction drawings been submitted with the application?
Yes
2
9. For the placement of a manufactured home, have the following been specified?
The size of the unit (min. 20ft. x 20ft.); live roof load (min. 40# could be more depending on elevation
of property )fwind design (min. wind speed of 90 mph); foundation design; method of anchoring?
Yes
10. Have you designed or had this plan designed while considering building and other construction code
requirement .
Yes No
11. Do your plaromply with all zoning rules and regulations in the County related to your zone district?
Yes r/ No
12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection
by the GarfiejkCounty Building Department?
Yes jj// No
13. Do you understand that approval for design and/or construction changes are required prior to the
application of these changes?
Yes No
14. 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 "Road Impact" or
"Septic Syst " fees required, at the time you pick up your building permit?
Yes No
15. 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
between 7:30 a.m. and 3:30 p.m. Monday through Friday. Inspections are to be called in to 384-
5003. /
Yes v No
16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a
$47.00 re -ins ction fee?
Yes No
17. 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 (/ No
3
18. Are you aware as part of the submittal for a building permit you are required to show proof of a
driveway access permit from Garfield County Road & Bridge Department or if applicable the State
Highway Department? If a permit is not necessary, then a letter stating that information is required.
You can contact the Garfield County Road & Bridge Department at 625-8601 or refer to the phone
book for the 5 to Highway Departments number if applicable. '
Yes t No
19. 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 o. -the person performing the work will be required at time of applicable
inspection. Yes L/ No
20. 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 the submittal of a
building permit plication? Your attention in this is appreciated.
Yes L No
21. Are you aware that you will need to have your installer obtain an installation inspection as per the
State Division of Housing requirements prior to the County building department doing their final
inspection? 'lie State will charge a fee for this inspection.
Yes 1/ No
22. Are you aware that the Pc lit 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 Uniform
Building Cod ?
Yes V No
23. Are you aware, that if you receive your water and/or sewer from an Association, a District or
Municipality, you will be required to provide the County with a copy of the Tap Permit (or evidence
of an exemp n) at the time of the building permit application submittal?
Yes No
4
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
05
Signature of Owner ate
)
Phone: `� 70 - 7C5/ (days);
Project Name: (,(i[I01-ip u IT<
(0 c-3 0
Project Address:
Notes:
(evenings)
If you have answered "No" on any of the 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
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 permit or delay in proceeding
with construction.
bpminregmhOct2004
5
•
•
Garfield County
Road and Bridge Department
P.O. Box 426
Rifle, CO 81650
Phone -(970)625-8601 Fax- (970)625-8627
Invoice Date:
Bill To:
Invoice
1/5/2005 Invoice Number: 1
Richard and Abbi Withrow
103 Mesa View Ave
Grand Junction , CO 81501
Driveway Permit Number.
$75.00 per Driveway Permit.
Driveway Permit Fee:
1
Total Due:
Thank You!
-77 7V4
Garfield County
Application Date: 1/5/2005
Termination Date:
District: 3
%L
Application for Driveway Permit
Permit Number:1
County Road Number: 320
Sub -Contractor:
Permitee: Richard and Abbi Withrow
Inspector: Jake Mall
hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es)
on the right-of-way off of County Road 320 At address of 6955 CR 320, adjacent to Applicant's property located on the
North side of road for the purpose of obtaining access to property.
Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the
proposed installation showing all the necessary specification detail including:
I. Frontage of lot along road.
2. Distance from centerline of road to property line.
3. Number of driveways requested
4. Width of proposed driveways and angle of approach.
5. Distance from driveway to road intersection, if any.
6. Size and shape of area separating driveways if more than one approach.
7. Setback distance of building(s) and other structure improvements.
8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision
expense.
9. Responsible for two years from the date of completion.
General Provisions
I) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by
him for the bona fide purpose of securing access to his property and not for the purpose of doing business or
servicing vehicles on the road right of way.
2) The applicant shall furnish all labor and materials. perform all work, and pay all costs in connection with the
construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date.
3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their
representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the
Board of County Commissioners or their representative.
4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board
of County Commissioners and their duly appointed agents and employee shall be held harmless against any action
for personal injury or property damage sustained by any reason of the exercise of the Permit.
5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of
the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal
operations.
6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall
be surely braced before the fence is cut to prevent any slacking of the remaining fence and all posts and wire
removed shall be turned over to the District Road Supervisor of the Board of County Commissioners.
7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written
permission of the Board ofCounty Commissioners.
8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County
Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and
incorporated herein as conditions hereof.
Special Conditions:
1. Driveway Width-40ft
2. 40ft wide x 15" culvert required
3. 40ft wide x 10f1 long x 4" thick asphalt or concrete pad required.
4. 40ft of gravel portion required.
5. Work zone signs required.
In signing this application and upon receiving authorization and permission to install the driveway approach (es)
described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions
and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved
by the Board of County Commissioners.
Signed:
Richard and obi
Address:
Telephone Number:
Permit granted 1/5/2005 subject to the provisions, specifications and conditions stipulated herein.
For Board of County Commissioners' of Garfield County, Colorado:
'1 I ��
(.LA-�I" J Y / / 9
i
COUNTY OF GARFIELD - BUILDING DEPARTMENT
CORRECTION NOTICE
108 8th St., Suite 201 Glenwood Springs, Colorado
Phone (970) 945-8212
Job located at 6077 -326
Permit No.
I have this day inspected this structure and these
premises and found the following corrections needed:
- ,d u a • Git,4� 7i L%1
eat -Pi -el iefr-
diet "Ada Aie:te c,
/24714
You are hereby notified that the above correction must be inspected
before covering.
When correction(s) have been made, call for inspection at 970-384-5003.
Date 7 S 20
Building Inspector J.J.{ 49 114._ 04
Phone (970) 9454212
�-.
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
owner's Named I iii /C iktfat 74)
System Location 1fl gcn ek l 2
30
Present Address /03 gbh Va- .
,Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
bC..
Permit
4033
Assessor's Parcel No.
Qo.
This does not constitute
a building or use permit.
phon rf -705
Ja/75/- ,?34 -00-ice
Septic Tank Capacity (gallon) Other
n /
Percolation Rate (minutes/inch) Number of Bedrooms (or other) sjr' i
Required Absorption Area - See Attached VI '7'r+ ya / �ry��"�-�R^"�"
Special Setback Requirements: Oo ke
Date n'5 -U<
Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer C 1 r '\& -"--
Septic Tank Capacity (' C
Septic Tank Manufacturer or Trade Name
r,
(
e-v21))tr. i A
Septic Tank Access within 8" of surface jMr"
Absorption Area L 2- t^ ' f ,1
Absorption Area Type and/or Manufacturer or Trade Name " / .
Adequate compliance with County and State regulations/requirements 1 1/J'
Other
i /•
Date ' /) I / V J Inspector +r\. / 1 l 7 / I\. C ( `
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 end 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 Clasa I, Petty Offense ($500.00 fine — 6
months in jail or both).
• No (1J 9a
Job AddrQss
Owner
Contractor Jl t ,fl G P'
BUILDING P
Assessor's iC7t115-Q13L1'CIO /64 1
Date 4-/c/-as—
WAIT CARD
Setbacks: Front Rear
rrini -p. (2t1C.
Addre
Address
/n3 /Km i/c1,1
RH
INSPECTIONS
Soils Test
Footing 3 2-b`c-
Foundation •i -o; J7ZoYN. •Ofc Qi&.
Grout
Underground Plumbing !�
Rough Plumbing (-2--0.5 • 'alit-
Framing
Wl`
Framing
Insulation
Roofing
Drywall t dY+'
Gas Piping �-2-�
LH
Phone
Phone
Zoning
Weatherproofing
Mechanical
Electrical Rough (State),.A
Electri al Final (State) -) Z -o5C4-t
Final - hecklist Completed9
Certificate Occupancy #
Date
Septic System #
Date
FE al
Other
04Theariza, cc -Fe NOTES
SguiUsi 6-MAJM4 Ct4 0 ficr"
EXTERIOR
Address No
Drainage
v
Decks -support 8 clearance 10 wood
Decks -stairs 8 rails
Exterior locks
Flashing around doors 8 windows
Insect screens
INTERIOR
GARAGE
Fire wall separation
Service doors -14S" min.
Door (20 min ) w/auto closer -14V min
Mech. equip. 18" above floor
No opening into sleeping area
BASEMENT -CRAWL AREA
Access
Insulation
Headroom/SIairs
Ventilation
2
7
FINAL CHECKLIST
MECHANICAL ROOM
Boiler
Hot wgas
FA.er
gas/oil
Floor dram
Clearance
Air con system
Hot water heater
Combustion air
Gas piping, valves
LPG Dram
FIREPLACEfSTOYE _
Clearance to combustibles /t"'✓'^
Termination of chimney
Combustion air
Hearth (12 or 20" on sides)
Glass doors
Certified by.
REMARKS
STAIRWAYS �,
Headroom (6'6") v4
Railing 8 guardrails
Width
Rise 8 run
KITCHEN
Clearance above grill
Exhaust fan
Broiler exhaust (1 hr. chase)
BEDROOMS
Egress
Smoke detector
BATHROOMS
Exhaust tan ✓
Shatterproof glass
OTHER
' INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS
POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS
MANUFACTURED HOME
BUILDING PERMIT
/ G IELD COUNTY, COLORADO �y
Date Issued a/.1 �1 . 05 -Zoned Area Permit No 9 YI' s,...
r AGREEMENT
In consideration of the issuance of this permit the applicant hereby agrees to comply with all laws and
regulations related to 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 Official and IMMEDIATELY BECOMES NULL
AND VOID.
Use /. nn[15
Address o Lwl Description
Owner l► 1►f t
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado
DO NOT DESTROI THIS CARD
APPROVED
Date
07 -s -/el
B
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)
INSPECTION RECORD
Footing : ,Z-05n}\S'1 tad( 4r."Q 4►;
Foundation or Blocking :
t k
Driveway : i /1' _ a - : _
Rough Plumbing :
Gas Piping : sea , ase- 6c f `� q
�
Electrical Final : gag e W
(by State Inspector) OW
OK
Septic Final : 3 1 V JJ gVV`-
Final : 7_ , O s ck
�Y�`--�
Notes:Likadig�D-tl' ")907
seowbae ��
p /�
Serial of Unit: kl i1 1� 02..4Z 3518 4/13
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado
DO NOT DESTROI THIS CARD
APPROVED
Date
07 -s -/el
B
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)