HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY
BUILDING, SANITATION
and PLANNING DEPARTMENT
109 Sth. Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
No. 8112
io$M
Job Address GA 313) }3L t,J c 4STU c 0
Nature of Work Building Permit
Use of
Owner
Contractor
GrRS, 013ALb
Wo �m
Amount of Permit$ 4037
Date
-41(LP/13 0&
filer
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO
TELEPHONE: (970) 945-8212
PERMIT NO.
INSPECTION LINE: (970)384-5003
PARCEL/SCHEDULE NO.
JOB ADDRESS: 1` -M17C t\ 3 /3 e uJ Cas -f re. Co ?l ci 7
LOT NO. BLOCK NO. SUBDIVISIONIE MFFION
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OWNER I�ana... ICl119 � �f/ - aq t s
ADDRESS
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ADDRESS /
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LTC NO:
5
SQ. Fr. OFBUILDING 1 q �O1
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HEIGHT
N0. OF FLOORS a
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DESCRBEWORi +c, s t I M tin 0, 3aC tl.I,Ci 1 to 0-1*,_So, . c S ° { e% GLS et. ,..1;' 5u S tyyy�c_
O9
CLASS OF WORK: aADDMON DALTERAIION °MOVE °R MOVE
710
GARAGE: 00W(8E - °DOUBLE CARPORT: =MOIL ODOUR E
D DRIVEWAY PERMIT °ON arra SEWAGE DISPOSAL (SEPTIC) DSrrt PIAN
YALU/MON OF WORK: S U S/ R! 0 D EOUSTHO VALUAtION:SIt' I " p� Ago o • /J
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SPECIAL CONDITION& t ] , g /n , ,� q1 - 0,4Q-A.,
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NOTICE
CA SEPARATE OLORADO. ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF
THIS PERIarr BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK I5 SUSPENDED OR ABANDONED FOR. A PERIOD OF 180 DAYS AT ANY TIME
AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONS CTION.
t Date '010 . a
PLAN CHECK FEE: 70,416
PERMIT FEE: 2 G Z
�C•
TOTAL PEE: a DATE PERMIT LSSUED:
—4 G 3 2 :7
OCC: GROUP: CONST: TYPE: +
1. V FI
ZONING:
SETBACKS:
Signature ofOWne;�iJG'.ontractor authorized agent having read and understood notice above.
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MANU. HOME:
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Bwldeng t. Pl,�n�inv DepE. ppjt�vaVD�t�e
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PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS
DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF TIM ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY
GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY
COMPLIED WITH IN THE 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 IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMIT 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 FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN
VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THE.REAFrER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY
RESPONSIBILITIES OR LIABBITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ABMs AND IMPLEMENTATION
DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER, BUILDER AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT
OF THE OWNERS INTEREST.
Garforntoo3 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INITIAL)
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 1994 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 # i �. .
bpcont
BEST SUNY
•
`o
026
cCD.co
6-3QofiI
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
for
MANUFACTURED HOMES
In order to understand the scope of the work intended under a permit application and expedite the issuance ofa
permit it is important that complete information be provided. Adequate and complete information will prevent
delays in the plan review process. Reviewing a plan and the discovery that required information has not been
provided by the applicant may result in the delay of the permit issuance and in proceeding with building
construction. The owner or contractor may be required to provide this information before the plan review may
proceed. This causes delays because other plans that are in line for review may be given attention before the
new information may be reviewed after it has been provided to the Building Department.
Please review this document to determine if you have enough information to design your project and
provide adequate information to facilitate a plan review. If you do not, it may be helpful to obtain a
book titled "Dwelling Construction under the Uniform Building Code". This book is available to you
through this department at our cost. Also, please consider using a design professional for assistance in
your design and a construction professional for construction of your project.
To provide for a more understandable plan in order to determine compliance with the building, plumbing and
mechanical codes, applicants are requested to review the following checklist prior to and during design.
Applicants are required to indicate appropriately and to submit the completed checklist at time of application
for a permit.
1
1. Is a site plan included that indicates the distances of the proposed building or addition to property lines,
other buildings, setback easements and utility easements?
Yes
2. Does the site plan include the location of the I.S.D.S. (Individual Sewage Disposal System) and the
distances to property lines, wells (on subject property and adjacent properties), streams or water
courses?
Yes
3. Does the site plan indicate the location and direction of the County or private road accessing the
property?
Yes
4. 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
5. 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 thattheplan check fee -will not be refunded should the architectural committee deny or
reject your building plans?
Yes No
6. Will this be t only residential structure on the parcel?
Yes No If no -Explain:
7. Have two (2) complete sets of construction drawings been submitted with the application?
Yes
8. For the placement of a manufactured home, have the following been specified?
The size of the unit (min. 20ft. x 20ft.); live roof load (min. 40#); wind design (min. wind speed of 80
mph & 15i�lb. wind load); foundation design; method of anchoring?
Yes
9. Have you designed or had this plan designed while considering building and other construction code
requirements?
Yes No
10. 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
11. Do you understand that approval for design and/or construction changes are required prior to the
application of these changes?
Yes No
2
12. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time
of application and that you will be required to pay the "Permit Fee" as well as any "School Impact" or
"Septic System" fees required, at the time you pick up your building permit?
Yes No
13. 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 afternoon. Morning inspections must be called in by 12:00 p.m. the day
before; afternoon inspections must be called in by 4:00 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
14. 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 2( No
15. 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 necess ? You can contact the Road & Bridge Department at 625-8601.
Yes No
16. Attached is information for placement of a manufactured home. Please review. If you have any
questions, please call this office at 945-8212.
17. 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
I hereby acknowledge that I have read, understand and answered these questions to the best of my
abili r.;.
signature
Phone:
Project Name:
date
(evenings)
Project Address:
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SITE CERTIFICATION AND CONSUMER INSULATION INFORMATION
SITE CERTIFICATION
Beginning July 13, 1994, manufactured homes were required to be built to conform to specific Wind Zone
ratings. Beginning October 25 1994, manufactured homes were required to be built to conform to
specific Thermal zone ratings. There are restrictions on where a home can be placed dependent on its
construction for conformity to the Wind Zone and Thermal Zone requirements.
The home which you are purchasing, Serial Number HOCO15F05231AB , has a
construction date of 05/08/2000 and was built to the following specifications:
WIND ZONE 1 (Not applicable if built prior to July 13, 1994)
THERMAL ZONE 3
(Not applicable if built prior to October 25, 1994)
The home is to be placed in Garfield
1 and Thermal Zone 3'
county, in the state of co , which is Wind Zone
This home cannot be placed within 1,500 feet of any designated coastal body of water unless the
construction date is prior to July 13, 1994 or the home is built to meet EXPOSURE 'D" requirements,.
CONSUMER INSULATION INFORMATION
This home contains the following insulation specifications:
LOCATION
TYPE OF INSULATION
''THICKNESS
**"R" VALUE
FLOOR
Fiberglass
6.7
22
EXTERIOR WALLS
Fiberglass
3.5
it
CEILING
Cellulose Blown
- 8.7
30
*Thickness and "R" value as certified by original supplier of insulation.
** Savings vary. Higher R values mean greater insulating power.
This insulation information was furnished by the manufacturer and is disclosed in compliance with the
Federal Trade Commission Rule, Labeling and Advertising of Home Insulation, 16, CFR Section 460.16.
BUYER ACKNOWLEDGMENT
Buyer acknowledges and confirms receipt of this document and that he/she/they has read the same the
date(s) set forth below.
urchaser ignature
Ronald gers
Pu ch
ed or Print
urcha er ' at
Lisa Specht
Date
Purchaser Typed or Printed Name
Purchaser Signature
Date
Purchaser Typed or Printed Name
Purchaser Signature Date
Purchaser Typed or Printed Name
SiteCert (Rev. 3199) Customer Copy - Not An Original Document
Pogo 1 of 1
Form #1240
RoV. #1 (1118100)
•
•A
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
26;7
t
Assessor's Parcel No.
This does not constitute
a building or use permit.
IZOG 1 S •
Owner's Name Greg Ba�' egeexl�Pa Present Address 0811 CR 3? 3s New Cast1e Phone . s6--7,24
fG�'uC
• System Location
0811 County Road 313, New Castle
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
i„�f✓
/00t2 Septic Tank Capacity (gallon) Na 644.45 Other
7 Percolation Rate (minutes/inch) Number of Bedrooms (or other)
Required Absorption Area See Attached Q� f6 1/✓F44,—,€R-727/A 0 .fr;16Vic—U -‹
Special Setback Requirements:
71/_
Date �
Inspector \,/r
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for inspection (24 hours notice) Before Covering Installation
System Installer 0f
Septic Tank Capacity (sM
Septic Tank Manufacturer or Trade Name C (1J f4 11. h( t`
Septic Tank Access within 8" of surface V E
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
I/%4 F t i 1- A. A i 0,7 [
Adequate compliance with County and State regulations/requirements "
Other
"'Date C7 Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
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 ($500.00 fine — 6
months in jail or both).
White - APPLICANT Yellow - DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER ge6-C-4 RALLCG
ADDRESS O$// C'.,P. 3/3 /l 457-4,6 PHONE 3776 - z2.V?
CONTRACTOR 5-rtit
ADDRESS PHONE
PERMIT REQUEST FOR (x) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area,
habitable building, location ofpotable water wells, soil percolation test holes, soil rofiles in test holes (See page 4).
LOCATION OF PROPOSED FACILITY: COUNTY PFiE'c.1)
Near what City or Town 5/&T` Size of Lot 45,
Legal Description or Address Og// r. E. 3/3
S c . i -2-vu 7 CN4 9/
WASTES TYPE: N) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
t (. ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: /44d409M4e6D hv4/L-
Number of Bedrooms ' 3 Agie Number of Persons 7
( ) Garbage Grinder (>) Automatic Washer ()c) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (X) WELL ( ) SPRING ( ) STREAM OR CREEK
Give depth of all wells within 180 feet of system:
If supplied by Community Water, give name of supplier
GROUND CONDITIONS:
c Depth to bedrock:
r( Depth to first Ground Water Table
Percent Ground Slope
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to community system? ( ) YES ( ) NO
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
00 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:
OO ABSORPTION TRENCH, BED OR PIT
( ) UNDERGROUND DISPERSAL
( ) ABOVE GROUND DISPERSAL
( ) OTHER -DESCRIBE
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) WASTEWATER POND
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? 4/o
TTEI C -01J TION TEST RESULTS: (To be completed by Registered Professional Engineer)
Minutes per inch in hole No. I Minutes per inch in hole No..3
Minutes per inch in hole No. 2 Minutes per inch in hole No.
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 made and furnished by the
applicant or by the local health department for purposes 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
adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements
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 falsification 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.
Signed
6CLINLe Date 8-01,(--9�
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON
1...
THE JOB
24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS
MANUFACTURED HOME
BUILDING PERMIT
IELD COUNTY, COLORADO
Zoned Area Permit No............
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and
regulations related to zoning, location, construction and erection of the proposed structure for which this
permit is granted, and further agrees that if the above said regulations are not fully complied with in the
zoning, location, erection and construction of the above described structure, the permit may then be revoked
by notice from the County Buildin .. tor and IMMEDIATELY BECOMES NULL AND VOID.
Use
Addr �. Legal Descriptio
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 109 8th Street County Courthouse Glenwood Springs, CO.
DO NOT DESTROY THIS CARD
Sii
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)
INSPECTION RECORD
Footing 10,10 _p / 4,s,
Foundation or Blocking
10 -i%-04
'.
Rough Plumbing
Gas Piping A- 6 -D]
Electrical Final ✓
(by State Inspector)
Septic Final ri:
Final - )- t ` 0 ( - 5
Notes: S v\Dw i ocL.d
se,Ra.l .- c1 uv►t ;
1 bS------
5352.,31 A
THIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 109 8th Street County Courthouse Glenwood Springs, CO.
DO NOT DESTROY THIS CARD
Sii
(IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)