HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Sanitation Department
108 8`h Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address
Nature of Work
Use of Buildin
Owner
NO. q ae�,
Building Permit Ye) 7- / Fe " Og -On/
1
Contractor
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wi)rs /--feh/e_
Amount of Permit $ gn F -S-3 Date 7-g/-06/
Clerk
8,6
1
'Permit No.
iqa
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8" Street, Suite 201, Glenwood Springs, CO 81601
Phone: 970-945-8212 /Fax: 970-384-3470 / Inspection Line: 970-384-5003
p,�
Parcel/Schedule No. 2y0 1 1 o` �'
Job Address.
Lis i-tiPii,/5 PAO/CH&rte , etl 8/w 3.
1
Subd. /Etion. f
Lot No ` H1ock No.: xemp
I � Z P10.4. 1'FNCr- � t .r ! �a uG
2
Owner.,Address. -r l�/df Aze
Address.
y3 -,-ei,c-- G`r-
Ph
ZSsS qG,S�
Wk P
4_ /1/ - <ja3
3
Contractor. TP� ✓IS l� e- c ,
t
Address: /J j 4
?Y YA,LY7if it/TC re
Ph: - ,�, -3Z.s�
LIC -N N t q
4
Architect / Enain eer
-7--rA .5 .? Ey L Lf ofua
Address: k0� per� , - Pas CO
Ph: Z�fl U 3bC`
Lic.No.
2 V .3 3 4
5
Sq Ft. Of Building. 57�Ca�AFr
LOO HSE
Sq. Ft. Of Lot: 9,D7
,3
Height:21
No. ef Floors:
6
Use of Building. SIA ria.6- pf1771/4ye
0,loine "JI .p 4.
f Q
770,d
7
Describe Work C 1 N57-RueSRuC
8
Class of Work. 151 New 0 Alteration 0 Remove
0 Addition 0 Move
9
Garage. ❑ Single
(11' Double
Carport. 0 Single
0 Double
10
tg "Fay Pernut T7 On -Site Sewage Disposal 0Site Plan
'41 (Septic) AJ/,4
11
Valuation of Work: $
2-CO,al) . CSU
Adjusted Valuations. $
/ 1 10/ g71r
12
Special Conditions:
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND
STATE OF COLORADO
THIS PERMIT BECOMES NULL AND VOID LF WORK OR
AUTHORIZED 15 NOT COMMENCED WITHIN 180 DAYS,
OR WORK 15 SUSPENDED OR ABANDONED FOR A PERIOD
ANY TIME AFTER WORK I5 COMMENCED.
I HEREBY CERTTIY THAT 1 HA VE READ AND IDLAMINED
AND I VOW THE SAME TO BE TRUE AND CORRECT
LAWS GOVERNING THIS TYPE OF WORK WILL BE COMPLEI
WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING
NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR
PROVISIONS OF ANY OTH ATE OR LOCAL LAW
CONSTRUCTIONOR THE ' • 9 RM CE OF CONSTRUCTION
! r
MUST BE ISSUED BY THE
CONSTRUCTION
OR IF CONSTRUCTION
OF 180 DAYS AT
THIS APPLICATION
ALL PROVISIONS OF
,
Plan Check Fee: Permit Fee-
776 6 /223. 35 -
Total Fee- Date Permit Issued.
2 O/g 53
OCC Group: Const Type:
a-3 (.1 T &/
ED WITH,
OF A PERMIT DOES
CANCEL THE
REGULATING
, - 0 -UY
Zoning Setbacks-
.� 'O
_r WN ' 1
dPJ/�I/fy
[Manu. 1come ISDS No. & Fee:
NI I
5 a D ;':
APP• •"AL/ DATE • •
ii a
_-' ij •-
AGREEMENT
PERMISSION LS HEREBY GRANTED TO THE APPLICANT AS OWNER. CONTRACTOR A ND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS MAILED ON PLANS AND SPECIFICATIONS SUBMFrTID TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF TF ISSUANCEOFTHIS PERMIT, THE SIGNER HEREBY AGREESTOCOMPLY WITH ALL BUILDING CODES AND LANDUSE REGULATIONS
ADOPTED BY G ARFI ELD 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 APPLIED WITH INTHE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT
MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE 1TSFIALL BECOME NULL AND VOID
ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BURDING OFFICIAL FROM THEREAFTER
REQUIRING THE CORRECTION OFERRORS1NSAID PLANS, SPECIFICATIONSANDOTHERDATA ORFOR PREVENTING BUILDINGOPERATIONBEINGCARRIED
ON THEREUNDER WH FN 1 N VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF 11115 JURISDICTION
REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUC 1 EU THEREAFTER DOES NOT CONSTTTU TE AN ACCEPTANCE OF ANY
RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND
IMPLEMENTATION DURING CONSTRUCTION 1S SPECIFICALLY WT7H THE ARCHITECT, DESIGNER, BUILDER AND OWNER. COMMENTS ARE INTENDED TO
BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST /y
(1/
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND TFIE AGREEMENT ABOVE (INITIAL). {/
o') co loci/
`7T(.9S
The folI'owing items are required by Garfield County for a final inspection:
A final Electrical Inspection from the Colorado State Electrical Inspector.
2. Permanent address assigned by the 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 wash bowl, tub or shower, toilet stool, hot & 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, guardrails on
balconies or decks over 30" high constructed to 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.
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,
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 agree to abide by the above conditions for occupancy, use and the issuance of a
Certificate of Occupancy for the dwelling under building permit #
a Lure
% ,(2
Bpcont03/ 2004
ho4
Date
/7 (%Y
k
VALUATION/FEE DETERMINATION
Applicant )RoS
,Address 7- -O if
.'Date (5 (Jul/4.c
Finished (Livable Area):
Main /608 Ce
Upper
Lower
Other
Total Square Feet
Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Plan Check Fee for Conversion
Valuation
Garage:
Crawl Space:
Valuation q755
Valuation `' 08
Subdivision i'lanuenemi- Ctrek ti;(ie5t=
Lot/Block &,o t(
Contractor
ucAvo" PPS, t i 2
//0,9 5 Z
! /4 47 Z
Decks/Patios:
Covered
Valuation
Open
Valuation 200 R /2
Total Valuation
2 o/
/1/c1 4go
AL. 21.2004 1:O3PM BATTLEMENT MESA CO
1 f ik
P. 0. Box 6000, Battlement Mesa, CO 81636
' , Cabe; (970) 285-9740, Fax: (970) 285-9721
Fax
NO.r P.
Battlement Mesa
Company
Phnom
lbw e7/,_;/10 q
0 Urgent 0 For Review 0 Please Comment 0 Please Rey 0 Please Recycle
• Comments:
RECEIVED
JUL 2 1 2004
GARFIELD COUNTY
BUILDING & PLANNING
3LL.21.2004 1.03PM BATTLEMENT MESA CO
NO.297 P.2
BATTLEMENT MESA SERVICE ASSOCIATION
ARCHITECTURAL COMMITTEE APPLICATION & CHECKLIST
(for New Hume Construction projects)
Homeowner: M'‘ rc E Qct
Home Maling Address: 4 S p R u yE (Qv/LT e-- , Co SI C,
Home Phone: °I Za - ZS S - Work Phone (if desired): 110 -2.14 - 4 t Z3
Project Address: to L.,,ai06 L.4I46 Lot: 1 Block: t.. Subdivision: Pliewt)woo CRewe V;Lue
ProductionHomePlanName(ifapplicable): N 1f}
Homebuilder: P, ,l ok—a^�r _.
Business Mailing Address: P&G • u zs :_ ' L . : w, -r uErr► E., ns • 1f1(.., 3
Business Phone: rn, - "Air - 'y 2 ST ax (ifdesired): p 9S- 2.0 ZP
Submittal Date: GI+o 104 f Estimated Start Date: 1.0,L'1
sfimatedCompletion Date: 1]eL,O
SUBMITTAL REQUIREMENTS: Two Copies each of items 1, 2 & 4 need to be submitted.
(Check -off items attached to the Application. Fill in spaces as indicated)
f 1. She Plan Drawing (1" = 10' or 1" = 20' scale) with the following information shown:
✓ Lot, Block & Subdivision name,
✓ Street Address of Project.
1 Building Setback Lines (also fill-in the shortest distance between property line to the
exterior wall closest to that property line). Please be aware that all Building Setback
Lines are taken from your Property Line Pins!! Your Property Line IN NOT the
Curb Line!!
Dwelling Unit Garage
1
II
Front Setback: '�- ? 42 - 1
Left Side Setback: 7.1 '- O" Io'- 0"
Right Side Setback: fp.- 4 " 3t -- 01"
Ream Setback: t� 44 O
V Utility Easements.
m1c_ 55' Clear Site -Line at intersection Corner Lots.
Site Grading Elevations & Drainage.
__ First (main) Floor Height in relation to top of street curb at front -center of lot.
N.-, Driveways (including width of driveway), Walkways, Patios, ctc,
_jar_Outbuildings.
Page 2 of 6
JLL.21.2004 1:04PM BATTLEMENT MESA CO
v
NO.2J7 P.3
2. Architectural Drawings (1/4" =1' or 1/8" = 1' scale) with the following information shown.
Floor Plan(s) with overall dimensions (fill-in the following square foot areas).
First Floor Finished Living Area:
Second Floor Finished Living Area:
Lower Floor Finished Living Area:
Total Finished Living Area:
Total UnAnitd Living Area:
14207 square feet
N r+ square feet
_ N ti q square feet
1(0 v g square feet
uI R square feet
Garage Area: ls. square %eet
Building Elevations Plans indicating doors, windows, exterior materials, building height,
roof pitch roof -mounted evaporative coolers, etc. (fill-in stun height below).
Maximum building height to highest ridge line or building structural projection
2.G — 3o feet above top of street curb at. front -center of your lot.
Engineered (stamped) Foundation Plan.
A Outbuildings indicating dimensions, elevations and overall height to ridge line.
3. Exterior Materials (fill-in the selections below):
II +
t/ Roofnedaterial: k4_Ch;T_Actukt- Asilliavf Color: 1-",.rrrh6 bOc!
✓ Primary Siding Material: STu c -c -C) Color: S L) ao 31 ,1;11% tui..• u.,, be «e
ti
V Accent Siding Material: STL -o Color: Sva 2.o3 t PPM L•L''o.r bey
..
TriniMaterial: ?as, p"..,.1..., -p"..,.1...( P+„Te
4N_ ) Color: _Si...)VI
�L MRI low El.re.u,c
V Masonry Material: M IA Color: N 1 A
J Stucco Mater: 444,h carr Dai 4., i r Color: 5.4 zol i � PR.*, Lt.. #4 9e, I,
✓ Front Door Material: $tee L an. C; b c' L nJColor: G. otc.i r. Q i Na. Corr{ RCS f) )
Y Garage Door Material: LTee t` Color: ALL esti. 90._ tpr..a e
COLOR SAMPLE
S T'o c.
•
COLOR SAM/LE COLOR SAMPLE
! reNt-I k r-:,CwI r Do Lot
JLL.21.2004 1.04PM BATTLEMENT MESA CO
1
6 t_ 4. Landscapefirrigation Plans with the following information:
Planting Plan (indicate areas of irrigated
etc.).
Plant Material lis species of trees, shrubs and grasses.
Groundc = criai with weed control barrier.
ND.2S7 P.4
ec placement, shrub beds, ground cover,
s.
ether Landscape Improvements (decks, site lighting, flag poles, etc),
5. Variance Request (if applicable) Give details below:
6. Residential Construction Monetary Deposit!
I/We hereby acknowledge and understand that our failure to complete Home Construction, Improvement
Projects or Landscaping Construction within the time constraints noted in Conditions 2. & 3. On Page
6 of this Application will result in a Notice and Opportunity for a Hearing before the BMSA Board of
Directors. If I/We are found is violation of these Conditions at the Hearing it will result in a fine to the
Owner of not less than 5500.00 per month for each full month in excess of the allotted completion time
frame.
I/We hereby acknowledge that Home Construction orlmprovement Projects or Landscape Construction
features which are built in non-conformance with this foil application, inchiding the Conditions of
Approval noted on Page 6 of 6 herein, 1/We will be cited by the BMSA/AC in written citation form at the
time of discovery. In extenuating circumstances a Variance may be requested from the BMSA/AC,
provided such Variance request item is within the purview and approval jurisdiction of the BMSAIAC.
If a Variance is not granted by the BMSA/AC and if the Non -Conforming Item are not corrected within
60 days after the d ate of written citation, I/We will be served Notice of a Hearing before the BMSA Board
of Directors, and if I/We are found in violation of these Non -Conforming Items at the Hearing 1/We will
be fined a minimum of 5500.08 per Non -Conforming Item. Notwithstanding the foregoing, I/We
acknowledge that the BMSA Board of Directors and/or Architcetural Committee may pursue any legal
remedy available in the event of a non-compliance.
Page 4 of 6
JLL.21.2004 1.94PM BATTLEMENT MESA CO
NO.297 P.5
Failure to pay fines levied as deternsined at the Hearing may also result in a Lien being placed on your
Property or litigation Process initiated by the BMSA Board of Directors to secure conformance with this
full Application and its respective Conditions Of Approval.
11We understand that Architectural Committee approval does not constitute approval of the local building
department, drainage design or structnrai soundness, nor does it constitute assurance that the plans
comply with all applicable codes, regulations, ordinances and laws.
I/We further acknowledge that any subsequent field changes which I/We may desire to the Home
Construction orlmprovement Projects of this original Application Submittal and the original Conditions
of Approval issued by the BMSA/AC wiH requite an additional Revised Application Submittal on our
behalf, and that I/We will not proceed with any subsequent field changes until a Revised Conditions of
Approval have been issued to us by the BMSA/AC.
Owner's Sigoature(s): 217
(34fik...6
GeLlaJC) )
Owner'sPrmtedNmnes: 41.1K T ' (-3;10 S Date:
Builder's Signature:
3 -
fr. a co s _s Date: c ---/j
Builders Printed Name v 14 A d .. Pyr _LI Date: (o 1 io 194
PRe-e ',.sc.
Page 5 of 6
JLL.21.200.1 1:05PM BATTLEMENT MESA CO
NO.297
This portion of the Application Form is to be completed by the
Architectural Committee (not the Applicant).
CONDITIONS OF APPROVAL or DISAPPROVAL
P.5
1, No sitework or building construction may proceed on any Lot (including no preliminary site clearing,
grubbing, grade alteration, storing of materia], foundation excavation, extension of underground utilities,
etc.) until the Project has received a Project approval from the Architectural Committee and has been
issued a Building Permit (as required by Garfield County for new biome or Renovation projects).
2. All general building and site improvements construction for any Project shall be completed and shall have
issued a Certificate of Occupancy from the Garfield County Building Department no later than one (1)
year, after the issuance date of this Architectural Committee Approval.
3. The complete landscaping and revegetation ofthe improved Lot, to specifically include the from„ side and
rear yard areas, shall be completed no later than six (6) months from the date of the Certificate of
Occupancy.
4, If the selection of colors and /or landscaping plans are not included with this application they must be
submitted for approval before any action is taken to install the missing items.
5.
6.
7,
Application Approval
By:044
of Archital Committee Members):
Application Approve or ons ction subject to the above conditions:
By Chairman: r Date:
Application Denied (Initials of Architectural Committee Members):
By:
Application Denied for reason(s) stated above;
By Chairman:
Page 6 of 6
ov
Date:
Plans to be included for a Building Permit, must be on drafting paper at least 18" x 24" 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 wrap, (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. wind
shear, wind exposure B, wind load 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 in compliance 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 ishown on the final plat with the proposed structure located within the envelope.
Yes
2. Does this site plan also include any other buildings on the property, setback easements and
utility easements? Please refer to Section5.05.03 in the Garfield County Zoning Resolution
if the property you are applying for a building permit on is located on a comer lot. Special
setbacdo apply.
Yes ,)C
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
adjacentproperties), streams or water courses?
Yes A `
4. Does the site plan indicate the location and direction of the County or private road
accessing the property?
Yes
2
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 X-
6. Do the plans indicate the location and size of ventilation opening for under floor crawl
spaces and the clearances required between wood and earth?
Yes t'C
7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces 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 lever), 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 )M(
11. Does the build ing section drawing or other detail include the method of positive connection
of all columns and beams?
Yes 1
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
certifica tion ?
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 per.
3
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 X 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 y 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 5C No
22. Have two (2) complete sets of construction drawings been submitted with the application?
Yes 5( No
23. Do you understand that the minimum dimensions a home can be on a lot is 20 ft.wide and
20 ft. long?
Yes No
24. Have you designed or had this plan designed while considering building and other
construction code requirements?
Yes 'PC No
4
25. Do your plans comply with all zoning rules and regulations in the County related to your
properties zone district?
Yes X 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 4 No
27. Do you understand that approval for design and/or construction changes are required
prior to the application of these changes?
Yes 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 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
30. Are you aware that requesting inspections on work that is not ready or not accessible will
result in a $47.00 re -inspection 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 as part of the submittal for a building permit, you are required to show
proof of a driveway access permit 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
5
Department at 625-8601 or refer to the phone book for the State Highway Departments
phone number:
Yes No
34. Do you understand that you will be required to hire a State of Colorado Licensed
Electrician and Plumber to perforin 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 "x--
35.
35. 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 XC 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)
37. Are you aware, that if you receive your water and/or sewer from an Association, District,
or Municipality you will be required to provide the County with a copy of the Tap Permit
(or evidence of an exemption) at the time . th - . g permit application submittal?
Yes X No
38. If you are within five (5) miles of the City of Rifle or the Town of Parachute, have you
checked with them concerning water shed protection zone _ - • uirement for 1SDS and
other activities? Yes « No
I hereby acknowledge that I have read, understand and answered these questions to the
best of my ability.
�-/6 0
Signat e of Owner Date
9635
Phone: � � 'Y (days) 3,q /7-7 (evenings)
Project Name: C5 DSS
Project Address: X05 Lupi r46 Lig NE e+-rrtL` M"
M-ey
Co
'elc035
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
6
Connect Permit
Date Issued 6/16/04 , 20 Permit # CO2 -5038
❑ —Biles Mesa Melropoli awn DiaTri F—Consolidated-Me roopoli awn Dis c
Issued to: Preble, Inc.
❑ Home Owner *Contractor
Address: 78 Promontory Place, Parachute CO 81635
Type of Connection: INATER ;SEWER ❑ OTHER
Describe Other:
Service Address: 65 Lupine Lane, Parachute CO 81635
Jcog
Permit Fee $ 50.00
The permit fee covers the cost of ONE trip to inspect all services indicated above. If more than one
inspection trip is required, they will be billed at $ 30.00 per inspection. Plans must be submit-
ted to the District for approval prior to this permit being issued to insure compliance with District Rules
and Regulations. Connections and installations must be in accordance with the approved plans. The
District requires a 24 hour notice for all inspection (excluding weekends and holidays). No inspections
will be performed on weekends or holidays. All connections and lines must be fully exposed for inspec-
tions. All service connections must be inspected and approved prior to the District providing water and
sewer services.
(1/6L
Customer Signature Date Initials
II s.
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
(,,'17/2004 Invoice Number: 41
Travis Preble/Preble inc.
78 Promontory Place
Battlement Mesa , CO 81635
Driveway Permit Number:
575.00 per Driveway Permit.
Driveway Permit Fee:
41
575.00
Total Due:
Thank You!
575.00
# / 0 0 <
fc, 6f17
_vi/
Garfield County
Application for Driveway Permit
Application Date: 6/17/2004 Permit Number:41 Permitee: Travis Preble/Preble Inc.
Termination Date:8/17/2004 County Road Nwnber: 372 Inspector: Jake Mall
District: 3 Sub -Contractor:
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, 372. at address, 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:
1. 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
1) 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 shalt 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.
Specifications
1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge
and the property line that is designed and used for the interchange of traffic between the roadway and abutting
property.
2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the
normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum
intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be
provided.)
3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to
obtain adequate sight distance in both directions along the county road in order to maneuver safely and without
interfering with county road traffic.
4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or
extending over any portion of the county road right-of-way.
5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than
one hundred (100) feet.. Additional entrances or exits for parcels having a frontage in excess of one hundred 100)
feet shall be permitted only after showing of actual convenience and necessity.
6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon
adjoining property.
7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline
of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater
than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased by
permissible radii.
8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle
between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will
be made according to the type of traffic to be served and other physical conditions.
9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited.
Commercial establishments for customer vehicles should provide off -the -road parking facilities.
10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the
normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20)
feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%).
11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the
street or county road. The Applicant will be required to provide, at his own expense, drainage structures at
entrances and exits, which will become an integral part of the existing drainage system. The Board of County
Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage
structures.
Note: This permit shall be made available at the site where and when work is being done. A work sketch or
drawing of the proposed driveway(s) mast accompany application. No permit will be issued without drawing,
blueprint, or sketch.
f ' !{ j
6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall
.be sur4ly 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 of County 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. At 65 Lupine Lane
2. Asphalt or Concrete pad as per Battlement Mesa.Work
3. No culvert required.
4. Work zone signage is required.
5. No more than a 3% slope away from the county road.
6. Driveway must be constructedso no drainage accesses County Road.
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:
Address: 7 Si Pr2cina.1/Tve.
Telephone Number: q74 - Z'r' -3ZS.5
Permit granted 6/17/2004, subject to the provisions, specifications and conditions stipulated herein.
For Board of County Commissioners' of Garfield County, Colorado:
Representative of Garfield County Road and Bridge Signature
PLAN REVIEW CHECKLIST
ApplicanG80 Date 7/6 `
Building
-/ Engineered Foundation
Driveway Permit
Surveyed Site Plan
m 4' Septic Permit and Setbacks
irade/Topography 30%
`./ Attach Residential Plan Review List
- Minimum Application Questionnaire
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
-Red Line Plans/Stamps/Sticker
Attach Conditions
---Application Signed
------1;lan 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
..-410A/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat Notes
3
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BUILDING PER
Contractor ! rati1 S
Setbacks: Front
Soils Test
Footing
Foundation
Grout
Underground Plumbing
Rough Plumbing q-,7-1(-Viarrn
Framing
Insulation 0 7 iprt�
Roofing
Drywall /D�r 2r��5�
Gas Piping ! - 9 7 --
EXTERIOR
Address No
Drainage
Decks -support & clearance to wood
Decks -stairs & rails
Exterior locks
Flashing around doors & windows
insect screens
r
r
INTERIOR
GARAGE
Fire wall separation
Service doors -134" min.
Door (20 min.) wiauto closer -11/2" min.
Mech. equip. 18" above floor
No openinc+ into sleeping area
BASEMENT -CRAWL AREA
Access
Insulation
Headroom/Stairs
Ventilation
,//
Assessor's Parcel Nog/07V
�9.-c9/-651
�f
Date c9l d l -
ARD
%/
C[' tel-, �/3
Address I �.�iL7ack Phone #add 945-51
Address 72 YJO`I bi:7 Phone #
J
RH
INSPECTIONS
NOTES
LH Zoning
Weatherproofing
Mechanical /0-/1-04f
Electrical Rough (State)
Electrics Fin�State) //-3-O
Final/% -O hecklist Completed
Certificate Occupancy #
Date
Septic System #
Date
Thp� Final
Other t
FINAL CHECKLIST
M3CHANICAL ROOM
Boiler
Hot water
F.A. gaeloll
Floor drain
Clearance
Air con. system
Hot water heater
Combustion air
Gas piping valves
LPG train
FIREPLACE/STOVE
Clearance to combustibles
Termination of chimney
Combustion alr
Hearth (12" or 20" on sides)
Giese doors
Certified by
ffigirr 1/41
REMARKS
1://
(continue on back)
STAIRWAYS
Headroont°'(8'8") +
Railing & qu*drabs
width
Rise & run
KITCHEN
Clearance above grill
Exhaust fan
Broiler exhaust (1 hr chase)
B EDROOMS
Egress
Smoke detector
B ATHROOMS
Exhaust fan
Shatterproof glees
OTHER
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued:vat. Zoned Area Permit No O2
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.
Use S/p i, /114/
Address or Legal Descritn
Owner NoLL r)c?IIW
Setbacks Front Side Side Rear
This Card Must Be Posted So It is Plainly Visibk From The Street Until Final Inspection.
INSPECTION RECORD
,
Footing '7- v3-0 ' kry\_
Foundation 1- g°-OcterigirK
Underground Plumbing
Insulation /04,0 Q
Rough Plumbing ei-c2.?-05/ ,Qii1/4.—
Drywall Ao_04/ ,vv -
Chimney & Vent 9'- zg-ei cf 'Q -*IL.-
I
Electric Final (by State Ins tort 3a-0
Gas Piping c 8 a �.
Final j (0_ 0 cG
Electric Rough (By State Ins, _ d - t—O °K
Septic Final 1 ,
Framing +1- a$ t !
(To include Roof in place and Windows
and Doors installed).
Notes: - + _ t►'1
( /
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPRQV®DO NOT DESTROY THIS CARD
Date 2I.
BY Z.5.
IF PLACED OUTSIDE - COVER WITH CLEAR PLASTIC