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Home My WebLink AboutApplication- PermitGarfield County • Building, Sanitation, & Planning Department 108 8''` Street, Suite #201 Glenwood Springs, Co. 81601 Office- 945-8212 Inspection Line- 384-5003 NO. Qoai Job Address 1/?9 thn-66--oW l� `J Nature of Work Building Permit O Use of Building Owner Contractor sir Amount of ''t $ & 3. 73-/ Date r5�U 1 Clerksa_ GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8'h Street, Suite 201, Glenwood Springs, CO 81601 R Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 0 0 1 39-- / 7 ParceUSchedule :0239 C 9 021 04Og D AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONT CEOR OR OWNER TO CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT. 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 LIVEN IN 3018101 CRS AS AMENDED. THE SIGNER FURTHER AGREES TIIAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION. AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY 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 TITS 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 CARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Garfom.003 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): 1'1 1M 40 —ILC IA I 4*`' Job Address i�n r- ll�� • )M �I�'rLV ctt-nw-DOC j rinc[5 L(,�{'J ►��(1BIVoc►k 1 Lot No: Np ( -�r d./E e penal w (&sq� 2 ,�,s Owner: LM r'/•"'y'�r'�'�',on ��-11`. %��L nrpsIW„p'A,.,r•1`{6rt- ea Gd 9h3 2441 a' b 99S" 3 Contractor}. y 1 �a1dPr3se� �w�� ^D C' Ph i 8- .32.24,4Lic.4 2-' f c1 4 Architect/Engineer: Address.. ' .7Le 1 Ph: Lic. No. 5 Sq. Ft. of aui u I .S �,�- O (� Sq. F[. of Lot// Itte •r A A `-./JY'l lA.vLYAY Height: wi /� ,� /�} 11:K1 No. oj,J''loors: 6 Use of Building: 7 Describe Work: Finish *jet,basev►wc yArtuits 8 Class of Work: o New X Alteration ❑ Remove ❑ Addition ❑ Move 9 10 Garage: o Single f o! Double E�(;jt151' Iisposal Carport: ❑ Single ❑ Double o Driveway Permit a. On- Sewage ..p. --Site PipI1 Q ((geptic) 11 Valuation of Work: $ /O O OD. �CC 111910 Adjusted Valuations: S �O/ v'QT9f 12 Special Conditions: a 11DOI/EGS t P` ��.s pAo ya- A h`Pf 0#d,r ?AT ppm/w a Report 3°1 T[*ic dew 3e ,CegaA �� A SEPARATE ELECTRICAL PERMIT ISSUED BY THE STATE OF COLORADO. THIS PERMIT BECOMES NULL AND VOID AUTHORIZED IS NOT COMMENCED WITHIN CONSTRUCTION OR WORK IS SUSPENDED OF ISO DAYS AT ANY TIME AFTER 1 HEREBY CERTIFY THAT I HAVE APPLICATION AND KNOW THE SAME PROVISIONS OF LAWS GOVERNING THIS COMPLETED WITHIN WHETHER SPECIFIED GRANTING OF A PERMIT DOES NOT TO VIOLATE OR CANCEL THE PROVISIONS LOCAL LAW REGUL TING CONSTRUCTION OF CO STRUCTILk -• 1 ,..�I Ut i� I7r� 15 REQUI IF WORK OR 180 DAYS, OR ABANDONED WORK IS COMMENCED. READ AND TO BE TRUE AND TYPE OF WORK HEREIN PRESUME TO GIVE OF ANY OTHER OR THE ST BE CONSTRUCTION OR. IF FORA EXAMINED THIS CORRECT. ALL WILL BE OR NOT. THE AUTHORITY STATE OR PERFORMANCE #1---- Plan Check Fee: /M (� at Permit Fee: '1E3."5— Total Fee: Dated PermitLaIssued:!/ ^ r.g ^ S - -7 �PERIOD Uy OCC. Group: ]K'V 3 COnst. ype: t^y]L' Zoning: Setbacks: Manu. Home: ISDS No. & Fee: 1\ 1l;[IeJj/I��}r ER y7 aa Iler APP': • /DATE I/, D AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONT CEOR OR OWNER TO CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT. 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 LIVEN IN 3018101 CRS AS AMENDED. THE SIGNER FURTHER AGREES TIIAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION. AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY 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 TITS 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 CARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Garfom.003 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): 1'1 1M 40 —ILC IA I 4*`' • 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 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. A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. ****CANNOTOCCUPY 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 PREMISE UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, use and the issuance of a CerrifiAate of Occu' : cy for the dwelling under building permit# c - Sigddture BpcontO82002 a 41S/Dg Date 90x7 .s Applican PLAN REVIEW CHECKLIST Date 2 21.03 Building T:Engineered Foundation M g Driveway Permit d1 A, Surveyed Site Plan D Septic Permit and Setbacks' ro rt 1500 44) E 3 -Grade/Topography 30% .../Attach Residential Plan Review List ---"--Minimum Application Questionnaire Subdivision Plat Notes cit L%r Fire Department Review "Valuation Determination/Fees Red Line Plans/Stamps/Sticker XJ,4Attach Conditions application Signed �1an Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter- Manf. Hms. GENERAL NOTES: ?st'o , at, _ -ro,crTO Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building Height Zoning Sign -off Road Impact Fees 110A/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat Notes S'a 4 BUILDING & PLANNING DEPARTMENT LE: Garfield County 1, !� { heTC 1 L a, , state that the residential structure described below will be occupied solely as a Domestic Employee dwelling unit provided to an individual and related family who derives their income from work on the property at which the dwelling is located and, further, pays no rent. It is agreed that proof of employment, in the form of Intemal Revenue Service Forms W-2 or 1099 for each person employed as described above will be submitted to the Garfield County Building and Planning Department upon request by the county. It is agreed that this property will not be sold to another party without representing that the domestic employee dwelling structure is for domestic employees only and may not be used for any other purpose. Property and Building Description: Address 11 q l iZ. n Vs2_ �iz� �� G C C Assessors Parcel Number 23950 lar �{ y Building Description n. cm ury Building Square Feet Habitable —71 7 C*50 Building Permit Number ISDS (Septic) Permit Number Owner 111/4 -ANT— t44 -`a \trza li a b (Signature) Owner Address (°t ilvo«(L, c� S Date 3 5 Witness 108 8th Street, Suite 201, Glenwood Springs, Colorado 81601 (970) 945-8212 (970) 285-7972 Fax: (970) 384-3470 • 1, GARFIELD COUNTY 0703043470 02/02/04 0S:18pm P. 003 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 ordcr 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 dunng design. Applicants are required to indicate appropriately and to submit the completed checklist at time of application for a permit. 1 to GARFIELD COUNTY 9703843470 02/02/04 0S:1Bpm P. 004 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 tbundatton plan, elevations all stdes 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, floc rjoists, 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.II. 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 p d� distances to the property lines from each corner of the proposed structure(s) prepared by a tj-' licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or greater must he 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. Docs the site plan also include any other buildings on the property, setback easements and � � utility casements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution 1ti"'l -- if the property you axe applying for a building permit on is located on a corner lot. Special setbacks do apply. ('9 Ycs Does the site plan include when applicable the location of the I S.0 S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? Yes 2 GARFIELD COUNTY 9703843470 02/02/04 OS:18pm P. 00S 4. Docs the site plan indicate the location and direction of the County or private road accessing e y the property? 9yI/ Yes 5. Do the plans include a foundation plan indicating the size, location and spacing of all rein forcing steel in accordance with the uniform budding code or per stamped engineered 0i"' design? Yes bnk 6. Do the plans indicate thc 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 Bye loads and wind loads? Yes 9. Docs 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 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 thc height of the building or proposed addition from the highest point of the building or addition measured at mid span between thc ridge and the eave down to existing (undisturbed) grade contours? Ycs weep OaS 1-alre-t-4--ve Ifi/ ruo 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 s4 GARFIELD COUNTY 8703843470 02/02/04 08:18pm P. 006 Does the plan include a masonry fireplace including a fireplace section indicating design to comply with thc Uniform Building Code Chapter 37? Yes i-- No 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 Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes X No 22 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 X No f. trek Is thc location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes X No 19 Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, arc building plans in compliance with all plat notes and/or covenants? Ycs X 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 appli cation for a building permit? If you do not have wntten permission from the association, do you understand that the plan check fec will not he refunded should the architectural committee deny or reject your building plans? Ycs X No 21. Will this he the only residential structure on the parcel? Yes X No If no -Explain: 22. Have two (2) complete sets of construction drawings been submitted with the application? (P �,5 Yes x 4 23.1 Do you understand that the minimum dimensions a home can be on a lot is 20ft.wide and 20f1. long? Yes y.. No 4 GARFIELD COUNTY 9703043470 02/02/04 05:18pm P. 007 24. have you designed or had this plan designed while considering building and other construction code requirements? Yes K 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 x No 27. Do you understand that approval for design and/or construction changes arc requiredprior to the application of these changes? Yes__ __E ...._ No 28. Do you understand that the Building Department will collect a "Plan Review" fee froin 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 von 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 384-500`3.. Ycs X No 30. Are you aware that requesting inspections on work that is not ready or not accessible will result in a S47.00 rc-inpscction fee? Ycs jL 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? Ycs jt. No 32. Arc 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 K No 5 C GARFIELD COUNTY 9703843470 02/02/04 0S:18pm P. 008 Are you aware that prior to submittal of a building permit application you arc 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 623-8601. Yes 1C 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 thc work? The license number of the person performing thc work will be required at time of applicable inspection. Yes �( No 35. Arc 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 arc applying for this permit on prior to submittal of a building permit application? Your attention in this is appreciated. Yes x No Gj Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes X No (please check with the a building department about this requirement) 1 hereby acknowledge that 1 have read, understand and answered these questions to the hest of my ility. 1 1 _ 4 e Signature oft bwncrr , Date 22,C�''II n �y Phone:'1 log G3 sign (days): 4 J 7 1 /` o, `� f7I ngs 1-)o.r'�n�� "�?03 Mom 11Up,1jW1 r lk., gtwiote i co s Iit, 0I 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. Project Name: Project Address: 1194 bpminreq 11/2003 6 W tbank Mesa Hom own rs Association 199 Delores Circle Glenwood Springs CO 81601 President Vice President Secretary Treasurer Board Member OFFICERS 2003-2004 q $° oM Roger Brown q - ./-, Mike Brodogi 9z € / 6 7 7 q / Carolyn Meadowcroft q 4 ' - H - 19T �a3Z Mike Wynn c '-a - - Z'. )T -LOA- Jan Mcnutt ti : - ,,jJ Ha ;;1 evtf Vdkt9L nW Jar - I002:11.a. A R&Imae_LI-u„-,,c • 1 tn •°N uuuad 2u!ppng Certificate of Occupancy OWNER ADDRESS • 4 ~� '"" �.- CONTRACTOR SLIMF2 t4 rO CC INDIVIDUAL SEWAGE DISPOSAL SY$TEM APPLICATION ADDRESS 20 Ens SVS caReo•.rDHZtr Gd. PHONE 379-77 4412 PHONE 93 - PERMIT REQUEST FOR (\ NEW INSTALLATION ( ) ALTERATION ( ) REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: Near what City of Town j'L0✓Nffii p - +S . Size of Lvl 3. -f•- Rite Legal Description or Address /19Q Nue niter_ J . C -S . Co WASTES TYPE: Ae1 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER - DESCRIBE_ ,1 ' _ BUILDING OR SERVICE TYPE: ifkr ¥7 4741 ►% +,/s`9�K-- RFkt�C.ti S r� �c «irks Number of Bedrooms -3 Number of Persons V �J O.< Garbage Grinder QC Automatic Washer PQ Dishwasher SOUR -E AND TYPE OF 1 ATER SUPPLY. ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of' supplier: L.e1 T7ae t )c /TkaSf 14010pow v Cot DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: .C-1 mnt 4L.s. Was an effort made to connect to the Community System/ un A siteplan Is required to be submitted that indicates the followinE MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGEDISPOSAL_SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT &SLTE PLAN. GROUND ONDITIONS: Depth to first Ground Water Table Percent Ground Slope 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED. (XJ SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE FINAL DISPOSAL BY: ABSORPTION TRENCH, BED OR NT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?____A ) PERCOLATION TEST RESULTS. (To be completed by Registered Professional Engineer, if the Enginee9r does jhe Percolation Test) t4 r ; .i l t „' o co, I I •,c n(f K r/ a D/ o/ x:11 pOov' tic !!,J!.-/ C6co''k1 Minutes per inch in holc No. 1 Minutes per inch in hole NO. 3 Minutes per inch in hole No 2 Minutes per inch in hole N0. _ Name, address and telephone of RPE who made soil absorption tests. Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be trade and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any fidsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. reignedi T, n„d!L • (pc),, Date 6- 2 5- v 1 bv� PLEASE DRA AN ACCURATE MAP TO YOUR PROPERTY+, 3 R 1 1 n 0 2 i 0 E. a z .. s tn A 0 .074 i c.�' R. P o pa C 0•.x 181 9° �e 0 o 2 1< n E R. 1 0.p 4 P Vyi .9 --,• .r .1 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs. Colorado 81801 Phone (303) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT 1 PROPERTY Owner's Nams..X1T']CEjJ'. aleil jGtt 1 Present Address Ca°L)sL : IDI E System Location �r e r ,! - - - e• s Permit Nn 3 5 3 3 Assessor's Parcel No. This does not constitute a building or ilea 4rmIt. t -1 O�jj PhOMZ75-7 717 Legal Description of Assessor's Parcel No. SYSTEM DESIGN Septic Tank Capacity (gallon) Other f Percolation Rate Imrnuteali non) Number of Bedrooms (or other) Required Absorption Ares - See Attached Special Setback Requirements: Date Inspector —Act SIul 4f -o ( Conn P81 --cc Ac,& 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 Ares Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Data - — °2— inspector / ' rl t ice^ rJ C! RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE •CONDMONS: 1 Ail lnatenation mums eomplywdh all roquirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25. Article 10 C.R.S 1973. Revised 1934. 2. This permit Is valid only for connect ICC to structures which have fully complied wnh County zoning and building requirements. Com noel ton to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or l requirement of the permit and cause for both legal action end revocation of the permit. 3 Any person who construete.ellen.. or Installs anindividualsewage disposal system In a manner which Involves a knowing and material venation from the terms or spool/!cations contained In the appllnartion of permit commit a Class I. Petty Offense (S500.00 fine — a months in jail or both). White . APPLICANT Yellow - DEPARTMENT GARFIELD COUNTY 9703943470 -Campbell Engineering 12/1S/09 12:1Spm P. 00S #\Ec)'.�L P O. Box 1593 Grand Junction, CO 81502 a 7k1'tE L (970) 2434174 fax 2434131 gcampbel@tj.net CERTIFICATION OF COMPLETION RECEIVED UFC 0 2 2002 GARFIELD COUNT'( BUILDING & PLANNING 1 hereby certify that the septic tank/ absorption bed installed at 1199 Huebinger Drive, Glenwood Springs, CO., has been completed according to the plans and specifications and that the installation meets the requirements of the Garfield County Sewage Disposal Systems Regulations ./1P-Seretallfiet{ Gary W Campbell P.E. GARFIELD COUNTY 9703843470 12/15/03 12:1Spm P. 006 DIMENSION TABLE W W W, W Q Zo ‹c Co Zo Bo . + CU CO Ch If) 10 1s- CO O'N "i el et /y1� T1 /11 /y1� /y1� /y1� ry1� /y1� /y1� /y1� on /y1� 111111 P P FY YY CA PA Y N/ PA W W W W In Co 0^etCUCUvococo�c) C`7'4tID 00 ON rqo`�+ CU � CU 1 1 1 1 1 1 1 1 1 1 1 1 1 .CL <I<Q<¢¢a¢¢a¢¢ :o. Q CU CU 1500 GAL, TANK PUMPING SCH,(YRS) NUMBER OF PEOPLE CO N k0 CU 2 21[ lb r SCALE 1 INCH = 30 FEET 1 ( 1 • • .- biD U ^' 4. h0 •d Q Q - O Q. cn :ea U a o °' o c4-4 eti o0) o o� / T/0 • !S / lg. 0 \ 30 tith3 3 r _& a�o ,OB •0 09 6L Iry Km h oto as O Nj —.06 0 • N 0 / 3 7 /p` h / / / m >, c 0. o o m o u a oc o E u o N 0�. O U N at0 c > u o 1-2 0 a. u rE N _ — >` 0 C N . 0 c c C E m o c 0 u` -"ac _> dEv O O v c 0. i.j CI .0 E cv o O .- m N a co oN O 3 t O D O .EEO yu 0 0 V C O M o 0 a N P O O 0coma, >>.:6o c>, 0 N Ua O L.c p C o O C 0 W p U O' v - L C N 0— VO ao 000 a._, fo.0 y ai tovc NE ov O D D 3 N .V > v D N N v O 0 r • r C iv > O O o, ao 5 n U O . 0 QUO f O Oc n O O C o a O N J m O O N c at E—n E u- > > u O O 0 r as n —0 E 0 E O 0 vo. 2 aa 0• 0 U 0 0 0 0 0 N E v .0 t 0 C v O N O .0 0D D U O a O C .T o uCD 0 0 a N O N y 0 L O LI w 0 z Michael J. Gumbo #28036 IMPROVEMENT LOCATION CERTIFICATE 0 z x .141- 0 0 z 8 m u SURVEY DATE u 8 s Lu n 0 F- V E b 3 3� V DD 02/12/2004 06:17 9709452953 PARADISE GALLEY HOME February 7, 2004 Ms Tern Harrington Via Facsimile 970-963-6730 Regarding: Completion of Home at 1199 Huebinger Drive Terri, PAGE 02 I am writing in regard to your recent request for approval by the Westbank Mesa Architectural Control Committee to complete the basement level of your home at 1199 Huebinger Drive, Glenwood Springs, Colorado. According to the Westbank Mesa Covenants, the role of the Architectural Control Committee deals specifically with the original plans for home completion, as well u any changes which will affect the exterior of the home_ However, once your plans have been approved by the County and your permit issued, your plans to complete the basement level of your home should be submitted for the Association's records. In addition, it is my understanding that you will be adding We exterior windows, which will match the existing windows. Please submit detailed information on the placement of these windows, which will require formal approval by the Committee. Finally, you stated that your plans include a small kitchenette, designed to accommodate your child's caretaker. It is clearly prohibited in the Association's Covenants that any home shall be made to include a "rental" Si. You have said that you have no intention of using this space for that purpose. Therefore, there is no further approval of this construction required by the Board. My wife, Valerie, has spoken with Roger & Lon Brown, as well as Nancy Crenshaw regarding this matter, and they, also members of the Architectural Control Committee agree with this action based on the Association's Covenants. Good luck with your completion of your plans; please let us know if we may be of any further assistance. We will look forward to receipt of your details regarding the installation of windows Sincerely,, illiam Eason Chairman, Architectural Control Committee Westbank Mesa Homeowners Association 970-947-0222 cc: Roger Brown President, Westbank Mesa Homeowners Association Via Facsimile 970-928-0726 02/12/2004 06:17 9709452953 ° 'Y February 7, 2004 Ms. Terri Harrington PARADISE UALLEY HOME Via Facsimile 970-963-6730 9 t' 5 441 Regarding: Completion of Home at 1199 Huebinger Drive PACE 01 Terri, Sorry if this fax didn't go through the other day....I was unaware of any problem. My home number is 947-0222. You may call me with any further questions. Good luck with the submission. Valerie (J b (4A c, l� TU�t f uc cd C;P 4- , r • ta d N F- 0 J •o e • a emoca N 01 0 C_ ›...0 0. - L O U c E E 0 O W o o > 0 cC 0 0 o 0. oco E •o 0- C w V O `. 0 N u 0 O 0 0. cy o > • uu o 00 o• w 'E>, N _ _ > C a . 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'O 0 °, 0 � 0 0 z m Fo Ow Nw (az ca CO 13 f= 0 00 E 0 zz W w z_ 0 w E 4 0 1 N P Ni mT. al P_^ ger wet DRAWN BY JAB 8 SURVEY DATE- as 0 U s a N 0 V Y s Z0 td 0 0 00 Improvement Location Certificate Lot 44 Westbank Ranch PUD, Filin 4 Town of Glenwood Springs g Garfield County, Colorado 3' pat • I hereby certify survey plat, and that I further certify within the boundaries premises, except as i noted. thot this improvement location on the above P ement line of the parcel, except os shown, described porter on this dote, December 18, ndicated, and thot there is n that there ore no encroochme built 2003 except ut'I't it is not to be relied upon certificate wos prepared for Gar Sutherland, for the estoblishment of fence, d errand, that it [hot the improvements ding, or other future is not a lond survey plot or improvement improvement s sign of o opporent evidence or ^ s upon the described premises b 'im connections, are entirely any easement crossing or burdening ony P improvements on any adjoining porter, except os :%42 rO-e$ S, ANO P• MN63911. Samba #28036 NOTE- The real property described above does not lie within the limits of o 100 Year Flood Hazard Boundary Lot 44 SCALE 1"=6. SURVEY DATE DECEMBER 18, 2003 DATE - ' PROJECT: 03956 CERTIFICATE DATE- DECEMBER 18, 2003 DRAWING. Iu Min*,DIRECTORY- Pam* DRAWN BY MB CHKD BY N18 Fintshezi Stora le Gary Sutherland 1199 biner Drive Glenwood Springs, CO 81601 GAMBA & ASSOCIATES, INC. CONSULTING ENGINEERS • 970/948.2550 LANDN ERING.ORS • •a •o 1 •3 ,,,coo spins.. CON � •Rau .. sox toe vw non wcomoos Haf l- on SHEET NO Iigci UU PIlu GER. D .. GWS nooks - 3',c 8' rcENcu 3 - (o x? Fre.nctt 1- stroGi 3y aQ' wovoivi x ig" 0' 4.0 rt (14/ winow 6X S nn frtna 90 - fterCO Pc DC. -1 sK- e8 5.P.P3! 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