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HomeMy WebLinkAboutApplication- Permit1 Garfield County , Building & Sanitation Department 108 8`" Street, Suite #201 Glenwood Springs, Co. 81601 Office- 945-8212 Inspection Line- 384-5003 NO. C:1 (4 C� /6+6) �7 Job Address D c/ q 6 c7/ k /L- ,- / YQQx� l n s Nature of Work BuildintPermit41,95C - 7R3-11 'DQ - COG Use of Building S/Pon 0. Lindner) 0 , u_ yn QJ) p±QS 1 l 1 sothale_Owner n in-Senn11 117 I�L i'I'1 neldepTheAk Contractor Amount of Permit $ 3, EbR, Date Clerk (9_ roc/ GARFIELD COUNTY BUILDING PERMIT APPLICATION GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO TELEPHONE: (970) 943-8212 PERMIT NO. CI X49 INSPECTION LINE: (970) 3 8 4-500 3 PARCEL/SCHEDULE NO. 2-125 - 231- o9 �,L, 1 JOB ADDRESS: MVO" Elk h& n (a,SI/t Vi6y 7 1 -/V LOT NO. 6 BLOCK NO. SUBDIVISION/EXEMPTION 3 etc RVr-L 2 OWNER AN pot.l 4u�jRSOt0 AOOMd + NE�cASTCi 4...3.6 pAgLlO'At c"!=T g1641 — 984-3 r "`"` 94-.i •roDC 3 cONTIAC1uR kJ... OA Di.UL fr..V3T A)YV� n 6 L R: N✓"0 T''0 •P 14- 484 ¶ AFS IAD/ ra P+tt•4426 u Na 4353 Ail. N+C4STM F uc NO 4 uOIITEcxroeal /.f.'Jbt A�>tps�rJ AYYa 2%M�I.�vA)c',.cT 'kY7 3tf3s S MQ. rt. al 3100 e0 rt.W10I 3.8) Ac-. immi 1', zf Ina OF FLOWS 3 6 ��.. ,J DVk (cs.MY T•I11. * wl.Pv t s.*i i f aita �f mai 7 anal Wac Co r.Stt.°vs. uoi 4i OA.✓,Iw4t, 4,4f....A E3f 441(C inIL.O-L4I, 4 Ct171C Sr St e4+ 8 GAY or worm 6E" cA11031311 OAItSMASIDN GLOVE SWOVE 9 O...AOg CNN= : capon.. =CEA oWO.V 10 O OMITEWAY PERICT / ^Gal ma.�wAae OlmO.ALcmlm 4eIHrLw ` AOM�.AIAAMMRLM %,257 329. (0Q GIAAflOWW GICM 2y0, o9D i NOTICE A SEPARATE ELECTRICAL PERMIT A REQUIRED AND MUST BE ISSUED 8T THE STATE OP COLORADO. THIS PERMIT BECOMES NULL AMID VOID IF WORK OR CONSTRUCTION AU1BORII5D 15 NOT COMMENCED WITHIN 110 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 110 DAYS AT ANY TIME AFTER WORE IS COMMENCED. \---422-a.1)-1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW H1IE SAME TO HE TRUE AND CORRECT. ALL PROVISIONS OF LAWS GOVERNING -THE TYPE OF WORE WILL BH COM PLED WITH WHETHER SPECIFED IEREIIN OR NOT. THE GRANTING OF A PERMIT DOER NOT PRESUME TO LIVE AUIBORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OMR STATE OR LOCAL LAW REGUTATIYG CONSTRUCTION OR THE PERFORMANCE OF CONBIRUCION. . /tL. / t0-1_04 Lir— - PIAN CECK FEE: / 228, 34 PERMIT FEE: /889• 75 TOTAL FEE DATE PERMIT ISSUED: �. OCC: GROUP: CONST: TYPE: Tg C �fr� 2ON y f�{(I (2....:\ P`(� 1 V \/ SETBACKS: i /Air / -!': 1!, #0 ¥%/��//J/A� ,//4 ii- yoa3 �alU&7o /60 1 f/O� — `4444�•••/ AGREEMENT FERMGSSION a M3REBY GRANTED TO THE APPLICANT / C AMID/0RT'HR AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT TSR STRUCTURE AS DETABBD ON Fula AMID SPECIFICATIONS SUBMITTED ED TO AND REVIEWED BY THE BUBDINGDEPARTMENT. IN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, TEE STONER HEREBY AGREES TO COMPLY WHIT ALL BURDNG CODES AND LAND USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT' TO ATM:LORIY GIVEN IN 30.21.201 CRS AS AMENDED. THE SIGNER FURTHER ADIPES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WTIH N THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY TEEN 88 REVOKED BY NOTICE FROM THE COUNTY ANDTHAT THEN AND THERE TT SHALL BECOME NULL AMD VOID. THE ISSUANCE OFA PERMIT BASED UPON PLATA, IPECPFE•ATTONS AMID OTHER DMA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM TEEM-MrI1Ll REQUIRING THE CORRECTION OE ERRORS V SAID PIANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRETO ON THEREUNDER WHEN N VIOLATION OEM S CODE OR ANY OTHER ORDINANCE OR REGULATION OF THE IIIRISOICISON. THE REVIEW OF THE SUBMITTED PLANS AMID SPECIFICATIONS AMID tram -nom CONDUCTED THEREAFTER DOES NOT TONIN IYTE AN ACCEPTANCE OF ANY RUMMERS= QR M MABU I1ES BY GARFIELD COUNTY FOR IRKORS, OMISSIONS 0R usca ANCIFS_ THE RBSP•ONSIBBIFY FOR 'SSE meas MC) IMPLEMENTATION IRIRING CONSMRZC[AN RESTS SPECWICAILY WITH TSR ARCIBMECT. DESIGNER, BUILDER AND OWNER. COMMENTS ARE WENDED TO BE CONSERVATIVE AND IN SUPPORT Named ME OWNERS INTEREST.NamedI HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE, ITNITAL1 01 • I3k5. '9-62; 1 5A3 (Ia3s." p�V, ✓1 /so.w � d/I1-°Y VALUATION/FEE DETERMINATION Applicantite Address 0 �IYB EIK C t1✓1 Date 1 1 '0-01 Finished (Livable Area): Main / $ PO Upper 77 0 Lower MO Other Subdivision /lie&t: IK Run Lot/Block to+ b Contractor 4 m Je toes o+ Total Square Feet ) 1 p le- 74 /DS _ 2 33,001, �Q Valuation Basement: Unfinished Conversion of Unfinished to Finished Plan Check Fee for Conversion Valuation Garage: Crawl Space: Valuation $7$ k Valuation (}%"10 x9 Decks/Patios: Covered Valuation Open 120 Valuation 36]. 729,/2= Total Valuation S'(pG4 259, 3Z9,ce0 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS for SINGLE FAMILY DWELLING CONSTRUCTION including NEW CONSTRUCTION ADDITIONS 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 be 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 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. If you do not, it may be helpful to obtain a book 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 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. 1 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. 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. 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, an 80 M.P.H. windshear, wind exposure B, windload of 15 pounds per square foot, 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 incompliance with the 1997 UBC, UMC and 1997 UPC. 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: 106.3.1 (7.) 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 surveyors 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 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 3. Does the site plan include when applicable the location of the 1.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 i/ 2 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes N/A 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? Yes 6. 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 ✓ 7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces's and soffits? Yes I/ 8. 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? Yes t/ 9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes t/ 10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes t/ 11. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes ✓ 12. Does the plan indicate the height of the building or proposed addition from the highest point of the building or addition measured at mid span between the ridge and the eave down to existing (undisturbed) grade contours? Yes t/ 13. 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 No ✓ 3 14. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the Uniform Building Code Chapter 37? Yes No V 15. 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 t/ No 16. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes ✓ No 17. 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 these areas? Yes ✓ No 18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes �/ No 19. 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 ✓ No 20. 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 21. Will this be the only residential structure on the parcel? Yes No If no -Explain: 22. Have two (2) complete sets of construction drawings been submitted with the application? Yes 23. Do you understand that the minimum dimensions a home can be on a lot is 20ft.wide and 20ft. long? Yes 1/ No 1 24. Have you designed or had this plan designed while considering building and other construction code requirements? Yes V No 25. Do your plans comply with all zoning rules and regulations in the County related to your properties zone district? Yes ✓ No 26. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes t/ No 27. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes i/ No 28. 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 Impact" or "Septic System" fees required, at the time you pick up your building permit? Yes ✓ No 29. 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 384-5003. Yes ✓ No 30. Are you aware that requesting inspections on work that is not ready or not accessible will result in a S47.00 re-inpsection fee? Yes No 31. 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 ✓ No 32. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an Agent and that the party responsible for the project must comply with the Uniform Building Code? Yes ✓ No 33. Are you aware that prior to submittal of a building permit application you are required to show proof of a driveway access permit or obtain a statement from the Garfield County Road & Bridge Department stating one is not necessary? You can contact the Road & Bridge Department at 625-8601. Yes No 34. 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 r/ No 35. Are you aware, that on the front of the Building Permit Application you will need to fill in the ParcellSchedule 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 No 36. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes ✓ No (please check with the building department about this requirement) I hereby acknowledge that I have read, understand and answered these questions to the best of my abili Signatur of Owner Phone: 94.5"- 'Doe (days); 1 o_ 1_ o 4 Date 9s¢-3949 (evenings) Project Name: Andodrrsl.) AZ3it. Ztic C Project Address: Lor 6 •o 446 £ L,< Ra Notes: 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. Bpminreg092004 yy/yy/UV VI ALJ YVIV OV Y JVVJ yl\VJl f1H SIV ,'it -1 J -n 7 t c Tins -l' 6.0 -rot (ate.- ti V V /f La,r-de a --o( t? a .J.J t d -g -,1.41 a 36 niet(4la (a.cf /dew 6,141 6, (6 c? £ • act) c SIJ g /.( IJs— to 1-444, a S sar.ltree cio fiLt_ C si'v%a u r 074,-"- ' b n, *et- whC ,-k 1 C5c : cs s bl I40b-c 4ctA t3 cd reind -ac l SLK«. 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LLJ`� N 07 e acts AO P `i imesetail. 4r qfract( � � ��- g-r,.$cr: e_.�J c.�► . pi&' s ?. - ACG • {41'43-� o� ;o,3 doa L ,f r� _ELIA rc.,"to/a�/� (=S ,1.— -. . --._..._. _0 Si _.-th«....f.... ,�„ eX L r , &z.) a r'tL laces; t). 14, 1 :..i i-t/di an -it 7; y t ;/: wkc�. .?-s d n. _ -�e .. . d9�� .��S &tom . � . t -Fa +A- (. Jfr/ q, ) 04 .L atf u c - .fl . 314 i/y ONc-c,sci ce± !/,,,c4�f/6"),--e !i iik ( K (U�.e¢ a� I,) s %._,Q.PataA. .(Z at_ Age ori c-f,r_tc,✓ pin,_ Io erAl ,,,, s •+tS' Re". 1") O-otati fro J r b) s a< plot ( rma-rd. . CJ, -o YvL t% ` ret • - ., j aQ r fate( J -NL pc -cc f -4r Soccer._((; wed Itt Lbo;+nI aP/ c>0C2 <"+ tMa tws� {Y�t�c , G- `&L TQC(+2 D. Si,u.fcrrs a-0 t)cooi" art all fes'" ACC ,Qo c s s, e 5c{ c c ori in) cc M iL Y C (vr we tea- fi -1:-0 src i)ctif,o-t- &1 b••)2r#01-in0 ez_Scco01(. (rWr,.)eti (i'- co 1 (/4 f naA{ (, f2C co fly cd. / le. �Cc c. I err o Yc) -� s r�' Q2 6 t-, c.g I ._ cods In -r_ w inip -t, d "* 0-7 e Gl o -y1 r cc2.2eo1 -Ra ' /o- qi r ("°.).34-,t„_r":6.3 A420 -L • 0710 -o -L. Pc o L f' a n€ gi Yl/11/LAY V1 GV 16101V OVA. yyyy of �17 2.. g/% -c i .{..-iw�4 v UI � 6 3 f,r.,.-t (Iv? . 9/7 ircra -fitao r a,L �., n� I- �0,,, •-� ,N 'i. . Ste; (1).� {7- YR. �I t rots - 64. La.Y Y l 4 •c. fe e - pcc Cc :--7— / < C• ye - /1 CTdso,A — PLAN REVIEW CHECKLIST Applicant >t 4)fteacw Date l>I' - ©di Building `--j gineered Foundation gel l Driveway Permit Surveyed Site Plan Septic Permit and Setbacks '—Grade/Topography 30% Attach Residential Plan Review List ✓Minimum Application Questionnaire ubdivision Plat Notes Aldt Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker atibtAttach Conditions , /Application Signed Plan Reviewer To Sign Application arcel/Schedule No. 40# Snowload Letter- Manf. Hms. GENERAL NOTES: Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building Height Zoning Sign -off Road Impact Fees -/OA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat Notes Rpr 11 2005 9:33RM Canyon Gate Flight Servic 970-524-2501 p.1 THREE ELK RUN HOMEOWNERS ASSOCIATION (TERRA) RECEIVED ARCHITECTURAL CONTROL COMMITTEE (ACC) Landon and Lianne Anderson 23le+reoin! /gr de/ c,c . New Castle, Colorado 81647 1 12005 GARFIELDAPRCOUNTY BUILDING & PLANNING Re: Meeting corrtingencies of approval by the TERRA/ ACC for house building cm les 116 of Three Elk Run Subdivision as requested. Dear Lianne and Landon, 3/9/05 It Ilex iting to see your home being built We look forward to you joining the an This letter is to follow up on the contingencies requested by the ACC in the 11/04 letter to you. 1. In regards to the siding of the house: The ACC is still awaiting a copy of the house blueprints stating the cedar siding to be used, as approved by the ACC. Also as formerly requested, the blueprints stating the cedar siding to be used need to be Sled with the Garfield Cowry building department as part of your approval by the ACC to obtain your building permit on lot 86. The vote to chane the covenants, instituted by you, failed to pass in the January, 2005 TERRA meeting. Therefore we need you to follow through with the above, as requested. 2. Please submit the other items to the ACC, (as stated in the 11404 preliminary approval lever ) prior to oonstruetionhastailattion of same, such as. any roof structure alterations, final mattaials for any privacy fence and its' location, and exterior light fixtures. 3. Just a reminder that each les owns shall be liable for construction/Impact damages to Elk Rim Road and private driveways barred during that lets' construction Please feel free to call Thad Greene if you have arty questions and/or to submit materials as requested above. Thank you for your cooperation. Sincerely, ,/� Barbara Cebula• McCune"` — Iii .", /741 - )/ c /w—t Member TERHAJACC Y Cc: Thad Greene, Bill Gibson, TERIWACC member, and alternate member for lot N6 building review respectively. 0 1O U N 01 c 0. 0 r 30D dI' 3o 1 0) 0 0 r t Oa N N 3 0) N L o 0 0 O t O O N 0) c C 0. h 0r Sao C0 et i, 3 °f O 1- 0 0 c O L g O a N 3 N Job located Permit No. Q° t v d ai y < C c c 1� 3• O v n E C v 0 N 01 N0 x N c 6 1 c Ililhi to Ts, L R J 60 e4,...! N _ E -� '71 Q 0 1 if rst D 0 r 0 0. 0 C 0 0 c 0 U 1. 160 01 0 C o 1- > o c .0 a to 0 .c0 — L 2 v d V ti T m L ro 0 d 0 0 0. N 0 .0 0 3 E c 0 0 0 1C >m j O O a u R ai L6. O - w ma L 0 0 tr.O c 1 r .0 0 L d A 3 O r GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Permit 4023 Assessor's Parcel No. This does not constitute a building or use permit. 99g4-341-' 1 Owner's Name Yl -ihjrny an.iln Present Addresac;"XO uCi. IslerrnaPhone OOIc System Location k A403 eQ .,(lQ ct4S- Li4aLO Legal Description of Assessor's Parcel No. � 57- o q - U�..J° SYSTEM DESIGN `aCt Septic Tank Capacity (gallon) Other 1.{ 6411-'g / Percolation Rate (minutes/inch) Number of Bedro ms ( other) 1 f ' 1S7o1W il^i� " yZ1 - G Required Absorption Area - See Attached /cal ;-fi. „ _Q — i p{�S g..�, (}?(.(j.C,t, 7/ J# c„6.2[.Y�—�' L ^' qi- ioma%Ql Special SetbackJRequirements: �1�Z� Date ] - p2 L -Dc Inspector /44-'r/' lluisteet FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation 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 ]7 1' V ) Inspector *CONDITIONS: RETAIN WITH RECEIPT RECORDS A CONSTRUCTION SITE c. 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 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 I, Petty Offense ($500.00 fine — 6 months in jail or both). No Assessor's Parcel No �7!/(/ y�. BUILDING PERMIT/C D Job Ad ess 0 7 5 /2 DE /� � iltocJ i' )le- OwnerblidEC (-aftCli301 Addres a( 255 a2 -CCS Date tea -- - TW • hone #ALr5-koc�0. Phone # q45 -44'at Zoning J4S-3 a%/1M//btL 2J �fC�l� �4 Contractor K L \ te le_ me - Address bcsy_4754 Setbacks:�Front 1 ., S//��Os�'/'os INSPECTIONS Soils Test W th f Footing Foundation Grout n. " Underground Plumbing -2$-0 IBvvL Rough Plumbing -i -oS Framing O$ ►, Insulation - 20 -Q Roofing Drywall /-5-795- Gas -J`--795 Gas Piping 6-1,S-1J, —1l2 LA -4 Rear RH LH M. NOTES ea erproo fin Mechanical Electrical Rough (State) Electrical Final (State) QStc Final i-�d"sS /Checklistist Complete Certificate Occupancy # Date Septic System # S 4bo23 Date hp--/ —c Final Other (continue on back)