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Application- Permit
, Garfield County Building & Sanitation Department 108 8th Street, Suite #201 Glenwood Springs, Co. 81601 Office- 945-8212 Inspgec##io-n Line- 384-5003 03 y 7 Lebo. nn Rar`cin &/ . Job Address t CSS'"3 021 r%/T - l l a- o 4'71( Nature of Work Building Permit $'f f c�a�,,, 1iAreftyj C.vf�� aity e ', NO. 9283 GD $/650 Use of Building Owner 4014 f�� C/ Contractor # �+ C0f / / Amount of Permit $ 33 a . 6 Date �C to/ aoo l Clerk e ` �� ' GARFIELD COUNTY BUILDING PERMIT APPLICATION GARFIELD COUNTY (GLENWOOD SPRINGS). COLORADO TELEPHONE: (970) 9454212 PFRAIITNO. l��i�5 3 0541 L-.44aPrt iearuh 1@.c! INSPECTION LINE: (970)384 5003 PARCEUSUIEDULE NO. ?/ 77/120a078 Scheda./c 2/Oy,.'2, MB ADDRESS: R; -Fie. Co if 4 So I LOT NO./ BLOCK NO. SUBDIVISIONt® MP ION L^,4.�/'.�'�)GAA F� r Q�S'iv% ^ ".���. 2 "°m' /le5- PC" .293 Di °`6-3-,z%` °nm / e,I/ I-#7%/01 3 cansActifill did rNie., "n'127 27/3 61-1.11' a.S33y'7 .NO. 4 , £ P6,111.98,--808 fN IMACZ:n AA. ea 5 .°m.v.�.33 5U /�T •°R.� 33.7 acre 5 ��Q Pu wigwam 6 "—RiiS, aItA/7A J Sis'yii A-Mn,./1 7 I ,P, t k e v /,U,9/Ken-l. sE i 44t g /HTr >�.PaL 37 t l,' F� t 8 CAU OV WOIL °yes ax OUNY meow ouw.a 1 9 °..a one ® Co,.,°Pn: uOYR m°°cu 10 ante.�., £ 5� AM 30/ 000 ••�: ..: a,c.,) mss.« � (� J rt lag. 44?0.x.7 E. c A PA., A COLORADO. THIS AUTHORIZED WORK AFIERWRE& I KNOW ODVERIN HERE AUTHORITY LOCAL CONSTRUCTED • SEPARATE PERMIT IS HEREBY THE NIieTms � NOTICE ELECTRICAL PEBMIU LS REQUIRED AND MUST BE ISSUED BY IIS STATE OF BECOMES NULL AND VOD) IF WORK OR CONSTRUCTION IS par COMMENCED WITHIN 1S0 DAYS, OR IF COT• STMIC1ION OR SLIMIRSDED OR ABANDONED FOE APERIOD OF ISO DAYS AT ANY me. IS COMMON®. CERTIFY THAT I HAVE. READ AND EXAIW 1ffi APPLICATION AND SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS PLAN CHECK FEE: PERMIT WE: 1312 • ole 20/R . �'S DATE PERMIT DEWED: FOTAT ..g/ ER `" 33i0.6! _.(.1„.....— OCC: C CNP: p. Li .'1 CONST: TYPE: TYPE OF WORK WILL BE COMPLIED WITH WI 1 K SPECIFIED NOT. THS GRANTING OF A PERMIT DOES NOT ° VME TO (EVE OR W TO VIOLATE OR CANCEL THE PROVISIONS OF ANY ODER STATE OR LAW REGULATING CONSTRVCIEDN OR THE PERFORMANCE OF . i _ Al ZONING: SETBACKS: / / c�� ��!, ✓.�� MANU.HOME: *FEE: GW "SNI cOMST&ICTwTT� PSRMIISION S HEREBY GRANTED TO THE APPLICANT AS CONIBACTOR AND/OR TAW ASN[ � THE COMBACTOR OR OWNER TO STRUCTURE AS DETAHm ON PIANS AND SPECIFICATIONS SUBMHTERDTD AND REVIEWED BY THE BUBDRJGDEPARIMENT. DI CONSWERAITON OF TRE ISSUANCE OF THIS PELMET; THE SIMMS HEREBY AGREES TO coact WITH ALL BUILDING CODES AND LAND USE REGIATIONS ADOPTED BY GARFD D COUNTY PURSUANT TO AUIHORDY GEN IN 30.1.201 CSS AS AMENDED. THE SKINER FUETHER. AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COUPLED WITH LN TRE LOCATION ERECTION, COMTAUCOON AND USE OP THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKE) BY NOTICE FROM 'THE COUNT/ ANDTHAITREN AND THERE TT SHALL BECOME NUIL.AND VOID. TRE ISSUANCE OF A PEWIT BASED UPON PIANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OP.ICLAL FROM THEREAFTER REQUIRING 1T1E CORRECTION OF ERRORS DN SAID FLANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VHDLATHON OFTHIS CODE OR ANY OTHER ORDINANCE OR. REGULATION OPTICS JURISDICTION. TRE !HEMP/ OF TEE SUBMITTED PANS AND SPECWI AIIQN9 AND INSPECTIONS CONDUCED 'THEREAFTER DOES NOT CONSTITUTE AN ACC6PIANCE OF ANY RESSONS BR.D'ISS 01UAflflm! BY GARFIELD COUNTY FDR ERRORS, t1MGSSI0N8 OR DISCREPANCIES_ THE BBSPONAIBILLLY FOR THESE MAD AND IMPLEMENTATION DFIIIRi CONSrRUCTIONREST3 SPECWTCAIEY WITHTRE ARCHITECT, DESFGIIER, BUILDER AND OWNER. COMMENTS ARE INT» TORE ECC VOTIVE Alm IN SUPPORT O�PTi OWNERS INTEREST. IMEB THAT I RAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. QRMAL1 ate fFaiov4 `81 L itr cam• 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. A complete bathroom, 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 constructedhto all 1997 UBC 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. 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 occupancy, use and the issuance of a Certificate of Occupancy for the dwelling under building permit # gc'3 . Signature Date Bpcont082002 VALUATION/FEE DETERMINATION Finished (Livable Area): Main 11 ct Upper Lower /740 Other Subdivision (.a#t&w\ 0(-emelpit o n Lot/Block Lo -f- 1 Contractor r%d-WA Co tis(. 7:4„. Total Square Feet 31c)-19 X 69 •oD Valuation Basement: Unfinished Conversion of Unfinished to Finished Plan Check Fee for Conversion Valuation Garage: Crawl Space: Valuation (To y / 8 Valuation Decks/Patios: Covered Valuation Open Valuation O x2 d 94, Total Valuation Z$2,ge+0 4 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. 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. 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. Yes 1,"" 2. Does the site plan also include any other buildings on the property, setback easements and utility easements? 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 V 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes V 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 V i 2 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 ✓ 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 ►".- 9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes ✓ 10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes ✓ 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 ✓ 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 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 y 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 ✓ No 3 4 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 r/ 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? If you do not have written permission from the association, do you understand that the plan check fee will not be refunded should the architectural committee deny or reject your building plans? 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 size a home can be on a lot is a 20ft. x 20ft.? Yes ✓ No 24. Have you designed or had this plan designed while considering building and other construction code requirements? Yes 1! No 25. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes ✓ No i 26. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes Ii` No 27. 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 28. Are you aware that twenty-four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoons. All inspections must be called in by 3:30 p.m. the day before. Failure to give twenty-four (24) hour notice for inspections will delay your inspection one (1) day. Inspections are to be called in to 384-5003. Yes ✓ No 29. 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 30. Are you aware that the person signing the Permit Application, whether the "Owner", "Agent of the Owner", "General Contractor", "Contractor" or otherwise, is the party responsible for the project complying with the Uniform Building Code? Yes ✓ No 31. Are you aware that prior to issuance of a building permit 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 32. 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 ✓ No 33. 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 issuance of a building permit? Your attention in this is appreciated. Yes No I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. 8/ 4/.0( ignature Date Phone: 9 70 '25- 239€ (days);/�� Project Name: L-�G� �`IC Y(\ s a n? e (evenings) Project Address. 1 q 8.5- 2.93 i?oa d ;-Pie Co J7(,-57 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. bpminreq 08/2002 6 PLAN REVIEW CHECKLIST Applicant im-ifyrYV1 Date / Building /Engineered Foundation ‘.-Driveway Permit ,t.,."( sP f1114%1 rTw4 ...8(rveyed Site Nan ✓Septic Permit and Setbacks -'‘rade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnaire ✓ Subdivision Plat Notes jjiliFire Department Review ✓ Valuation Determination/Fees `V ed Line Plans/Stamps/Sticker 44. Attach Conditions Application Signed Plan Reviewer To Sign Application 'Water and Sewer c{nw(S'`t14) Parcel/Schedule No. 114k..) -9Prt,(,n t, 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 HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat Notes Fireplace: hearth, ventless fireplaces, fireplaces, vermont castings, ventless fireplace, fire... Page 1 of 3 NVCVR36 - Designer Series Non louvered with operable doors Cove NVCVR36 (3 sides) The Majestic Designer Series Natural -Vent Gas Fireplaces are for homeowners who want a look that is different and unique, something that sets their home apart. The two-sided See -Through and three -sided Cove fireplaces provide the versatility to create any number of bold, unique statements - complementing any interior design with a new viewing perspective from a single room or adjoining rooms. NVSTR36 and NVCVR36 models are equipped with the patented Insta-Flame® Ceramic Burner. Standard Features • See -Through and Cove and Corner fireboxes are available in standard 36 - inch radiant models • Fully Refractory -Lined firebox sides and hearth with realistic firebrick imprint for beauty and authenticity • Clean -Surround Face with hidden cooling air inlet permits flush finishing for traditional fireplace appearance • Exclusive Insta-Flame® Ceramic Burner System with Limited Lifetime Warranty on NVCVR36 and NVSTR36 only http://www.vermontcastings.cont/about/products/productdetails.php?id=77 8/15/2004 Fireplace: hearth, ventless fireplaces, fireplaces, vermont castings, ventless fireplace, fire... Page 2 of 3 • Unique U -Shape Burner produces realistic golden, dancing flames and generous amounts of glowing embers on NVCR36L/R • Eight/Nine-Piece Random Placed Log Set and enhanced bar grate beautifully simulates an authentic seasoned fire (on NVSTR36 and NVCVR36 only) • Four/Five-Piece Ceramic Log Set on NVCR36L/R • 30,000 BTU Burner System uses either natural or LP gas with choice of ignition systems: standing pilot with piezo lighter or an electric hot -surface ignition for energy conservation. The standing pilot system generates its own low -voltage current so no outside electrical power is needed to operate the fireplace • Factory -Installed Outside Air System provides steady flow of combustion to firebox for tightly sealed homes. Venting and termination sold separately • Utilizes Standard 6 -Inch 'B -Vent' Flue System that keeps installation simple and economical • Black Wire -Mesh Firescreens for realistic fireplace appearance • Convenient Gas Controls Access for easy installation • Gas -Line Access (See -Through model only) on either side for ease of plumbing • Factory Pre -tested for highest quality -control standards • CSA designed certified • Limited Warranty and 2/20 Year Protection Plan to assure quality and dependability Additional Product Brochures > Glass Door (PDF) http://www.vermontcastings.com/about/products/productdetails.php?id=77 8/15/2004 Fireplace: hearth, ventless fireplaces, fireplaces, vermont castings, ventless fireplace, fire... Page 3 of 3 * Vermont Castings and Majestic Fireplaces are registered trademarks of CFM Corporation © 2004 CFM Corporation, All Rights Reserved. http://www.vermontcastings.com/about/products/productdetails.php?id=77 8/15/2004 ) QUADRA-FIRE: Products - Gas Fireplaces Page 1 of 2 ABOUT US PRODUCTS CUSTOMER CARE CONTACT US DEALER LOCATOR Return Home Site Map 1 Products OVERVIEW FIREPLACES Gas Wood Electric INSERTS STOVES ACCESSORIES MANTELS & SURROUNDS OUTDOOR PRODUCTS HOME PRODUCTS GLOBAL PRODUCTS Home - Products - Fireplaces - Gas Fuel Gas Fireplaces 407 QV -ST The fireplace that not only warms your home, but allows you to essentially have two fireplaces In one, the Village Collection's qvST gas fireplace, is an elegant addition to any home. With the production of 22,000-37,500 BTU's an hour your family will enjoy a home environment that Is comfortably warm, even during the fiercest of snowstorms. A standard wall switch klt and other optional features, including a thermostat remote, offer easy access controls that are simple to use. A choice of top or rear venting offers flexibility In where your fireplace is placed. You are able to vlew the qvST through both sides of the wall In which it is placed. Both rooms can enjoy the enchanting fire nestled within the ceramic fiber split oak logs. There are even two fronts to choose from, so each room can have its own look. Features • Top or Rear Venting • Ceramic Fiber Split Oak Logs • High Thermal Efficiency • Electric Embers • Sealed Combustion Chamber • Standard Shut-off Valve, Flex Connector & J -Box • Standard Wall Switch Kit Options • Eleven Fronts (In Black, Hammered Pewter or Vintage Copper unless otherwise specified) • Harmony Hall (Black Only) • Remington Avenue • Town Square (Black & Hammered Pewter Only) Product Downloads 4 Available Fronts -y Brochure (PDF) Install Manual* (PDF) • Install manual files may be http://www.quadrafire.corn/products/fireplaces/gasFireplaceDetail.asp?f=11900 8/15/2004 QUADRA-FIRE: Products - Gas Fireplaces Page 2 of 2 • Sun Prairie • Chapel Hill • Mission Viejo (Vintage Copper Only) • Fire & Stream (Black Only) • Greek Key (Black Only) • Sonoma Valley (Hammered Pewter & Vintage Copper Only) • Dream Weaver • Grecian Garden • Blower Kit • Wall Thermostat • Thermostat Remote • Multi -function Remote Specifications • BTU Input (NG): 24,500 - 37,500 • BTU Input (LP): 22,000 - 37,000 • Efficiency: 70% • Glass Area: 750 sq. in. • Vent size, top: 5" x 8" • Vent size, rear: 5" x 8" • Weight: 275 lbs. The Hearth & Home Technologies limited Lifetime Warranty guarantees that the following components will work as designed for the lifetime of the stove or Hearth & Home Technologies will repair or replace them. These items include but are not limited to steel and cast iron components, all gas burners, gas logs, combustion chambers, heat exchanger systems, stainless steel firebox components, plating, doors, glass damaged by thermal breakage, steel baffle supports, steel and ceramic baffles and manifold tubes. Labor is for the first five years. Return Home 1 About Us I Products 1 Customer Care I Contact Us I Dealer Locator 1 Dealer Login Copyright © 2004 Quadra-Fire, a Hearth & Home Technologies brand. All rights reserved 1 Privacy Policy 1 Site Ma HEARTHhHOME tech WOW http://www.quadrafire.com/products/fireplaces/gasFireplaceDetail.asp?f=11900 8/15/2004 Z128 -9P6 (016) auoyd Joloadsui buipim8 0 0 3 0 d o m m 1 0• 0 0 3i CD to. 5 0 o5 - m to 0 m 0 0 0u:i 'm n. O 3 c 0• a cc m 0 S m 0 0 1< 0 r m a 0 St W m 0 0 0 0 m ` 0 0 3 3 c 0 m 3 0 m 0 m 0. v CO c 0 0. m io m o N a N A 2 N O N v m 0 When correction(s) have been made, call for inspection at 970-384-5003. 0 0 0 3 co n O A n 30 N 3 co co a �o a 'ON MWJad ;e pe;enol qor o 0 0 co Pi 91 N m D 3 0 n m O— r'D 1r - v V O . O Z ndoio oZ2 N O v mi co �Dm n a M o co o �► 0 OD . O 51'33- D Nps co M G1 N m D 0 mil r 6 -v o ' W ° W C_ r CJI v_ N a Z N v 3 N c " 013 � °m3 m o 1 101610c( 64 Q — .50, OD GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT Permit 4007 Assessor's Parcel No. &,1i-fia-oo-'0175' This does not constitute a building or use permit. PROPERTY iaw1 Keri 1985 Cr-a't5 4 7/Lsb 6a5-013�fro Owner's Name � Present Address Phone OSJ'l 7 L4114 -4M K�tr f� 1 System Location Para',' / r ufS -v-T3 "` @r�f��' �+ `eCo 1o4-1 Laktc.IM EX -emetic if) Legal Description of Assessor's Parcel No SYSTEM DESIGN /00 0 Septic Tank Capacity (gallon) Other L {� Percolation Ram (minutes/inch) Number / of Bedrooms (or other) 3f 6 ' �w,,,�1n... Required Absorption Area - See Attached _5 / 0 3 -- - / o e� • -5.50a) r eQ36 Special Setback Requirements: Date Inspector 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 CJ/ Date [ /I 2/» O ( Inspector O 741444.•. p4 vc�OJ_ Pc• RETAIN WITH RECEIPT R CADS AT CONSTRUCTION SITE q�J`Z *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 I. Petty Offense ($500.00 fine - 6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT 0 0 X 5„ V` o m O_ C O C a O co O O 0 `� 23 y 7d 7 a 7 y co i 0 • (D 0 0 C to O O 3 = a a ` • c c 3 0 O O' a a a r- I Z 0 m N 0 cn ommmg* St "00 0 7 m W CD N m o o o ry St m O U ' TO o T O 3 O ri O O o O 2r on N 0 0 0 3 * • G� eirc CU 1v 0 N N O N Z 0 0 O z 9 T) rent. INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADOp Date Issuedl.QJ4k.WQ ..Zoned Area Permit No 1 a35 AGREEMENT AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structure for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Inspector and IMMEDIATELY BECOME NULL AND VOID.A_ Use &P1 i a±1" /.di a *t IP .a Address or Description • �% �y i - 't ,,1 /� Owner Cootractor��lr l din Setbarks Front Side Side Rear This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD Footing j 0 -//-0y_ Driveway /OA - Foundation to -4r- Dci ,g -`c— Underground Plumbing /j. j..( kick_ Insulation Q -/1-P �_ Rough Plumbing /- l�a5 - Drywall a-a,r�jgS *.- Chimney & Vent of /� OS,�- Electric Final (by State Inspector) 4-zz-oseA— Gas Piping /.-4-Q, _ Final 7. -o5 Electric Rough (By State Inspector) ✓ Septic Final ,/ , 67;40.4_ — Framing a-//- '5 $„-- (To include Roof in place and Windows and Doors installed). Notes: / ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE For Inspections Call 384-5003 108 8th Street Glenwood Springs, Colorado DO NOT DESTROY THIS CARD APPROVED Dat IF PLACED OUTSIDE /COVER WITH CLEAR PLASTIC