HomeMy WebLinkAboutApplication- Permit4
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Job Address
No. 7500
GARFIELD COUNTY
BUILDING, SANITATION,
and PLANNING DEPARTMENT
109 8th, Street, Suite 303
Glenwood Springs, CO 81601(970) 945-8212
oy 3 c_12_ %c10, Tor&c xlc, C
Nature of Work Building Permit
Use of Building $D t E f Q c7IC Y c CQ ,
Owner rPct 1tu f,, W tk I 'CCM F
Contractor OW ! & C
Amount of Permit$ 5t c9 1(c a1 Date
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Pt( m ct Fee_t. p5a-aC
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Clerk
u' GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GIENWOOD SPRINGS), COLORADO
TELEPHONE: (970) 945-8212
INSPECTION LINE: (970) 945-9159
PERMIT NO. PARCEUSCHEDULE NO.
TOB ADDRESS: C R 3'1 V I�' (/d1 11� V ll
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SPECIAL CCNURn0H
NOTICE
A SEPARATE ELECTRICAL PERMT 15 REQUIRED AND MUST BE ISSUED BY THE STATE OF
CCLORADO.
MS PERMIT BECOMES NULL AND VOID I WORK OR CONSTRUCTION
ALTHORPPD IS NOT COMMENCED WITHIN 110 DAYS. OR IF CONSTRUCTION OR
WOR}: IS SUSPENDED OR ABANDONED FORA PERIOD OF ISO DAYS AT ANY TIME
AFTER WORK 15 CONB.IENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AN
AND
},NOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
GOVERNING THIS TYPE OF WORK WU1, 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 CONSTRUCRON OR THE PERFORMANCE OF
PLW CIBC}: FEE: y
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PERMIT FFid
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TOTAL FEE: DATE PERMIT ISSUED:
29,'!b D 2
(29,1C
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SETBACKS:
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SS at= of Owner. Contractor or authorized agent b dIad ad w� .. • oorie. abw..
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ISDS NO. & FEE: I CO. O 0
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Buildin{ Dep. -
pptovaYDale Planing Dept A • • • • ate
A(B EMINT ��/
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER NT
CONTRACTOR ALOR THE AUNT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THB�STRUCTLRE A
DETAILED ON PLANS AND SPECIFICATIONS SLBMITTFD TO AND REVIEWED BY THE BUBDLVO DEPARTNE NT.
IN CONSIDERATION OF THE ISSUANCE OF THIS PERMT. THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPI ED 8'
GARFIELD COUNTY PURSUANT TO AUTIORIfY GIVEN DI 70.22.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT EVLL'
COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FRO'
TICE 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 REQUBUNG TIi
CORRECTION OF ERRORS DI SAID PLANS. SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON TT-IREUNDIR MIEN r
VIOLATION OF THIS CODE OR ANY OTHER ORDNANCE OR REGULATION OF THIS 11JRLSDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF AN
RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNT' FOR ERRORS. OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPIEMEMATIO
DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT. DESIGNER BIDDER AND OWNER COMMENTS ARE INTENDED TO BECOHCI;AVA AND IN SUPPOR
OF THE OWNERS INTEREST. / NN
Gwnotmoo)- �� HEREBY ACIINTI
OWEDOE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INTAII`/
P4-735 516 aPSI /x
331
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 wash bowl, 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 VACATION
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 #
/ NXua vh. d 3/OO
Signature Date
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COLORADO STATE ELECTRICAL BOARD
ELECTRICAL PERMIT NUMBER: 350680
3bubau
I ORIGINAL PERMIT DATE ISSUED: 11/18/1999 PERMIT EXPIRES ON: 11/17/2000
BILL PAOLUCCI
1230 W BATTLEMENT PKWY
PARACHUTE, CO 81635
Daytime Phone: 970-285-6534
Power Supplier: HOLY CROSS - GLENWOOD SPRINGS
Owner Name:
Job Address:
BILL PAOLUCCI
CR 340
BATTLEMENT MESA
GARFIELD
DIRECTIONS TO JOB SITE:
0.2 MI. FROM 300, W. SIDE OF 340. TRACK 23, TOWNSHIP 7, S. RANGE 95 W.
INSTALLATION DESCRIPTION:
Other: Temporary Construction Meter
Phares; Nc., door - 0,466
INSPECTOR: Merrill - For inspection call: 970/625-5085
Square Footage:
Cost of Electrical Work: $ 1,500 Permit Fee: $ 30
350680
Paid by: Check # 1139
COLORADO STATE ELECTRICAL BOARD
DEPARTMENT OF REGULATORY AGENCIES
1580 Logan Street, Suite 550, Denver, Colorado 80203-1941
Phone: (303) 894-2300
350680
•
Paolucci — House plans and associated documents (2 Sets of all drawings and documents)
1. Amerlink house drawings — sheets 1 thru 6 ✓
2. Amerlink construction details — sheets 1 that 4 be
3. Foundation design (by A.1.C'.) — 2 drawings ✓
4. Property boundaries with house & septic location — 1 drawing ✓
5. Garfield County Building permit application ,/
6. Garfield County Minimum application requirements V
7. Soils investigation and recommendations (by A.I.C.) — 16 pages v
8. Garfield County permit #100-99D — 3 pages ✓
9. State of Colorado Well permit #050502F — 2 pages ✓
10. State of Colorado Electrical permit #350680 -. 1 page
2/24/00
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District:
Road: CR 340
Permit #: 100-99 D
GAR F I E L D COUNTY
APPLICATION
F O R DRIVEWAY PERMIT
Application Date 10-08-1999
I, PAOLUCCI (herein called "Applicant"), hereby requests
permission and authority from the Board of County Commissioners to construct a
driveway approach(es) on the right-of-way of Garfield County Road Number CR 34Q
adjacent to Applicant's property located on the NORTH side of the road, a
distance of .2 mile(s) from 300 WEST SIDE OF 340 for the purpose of
obtaining access to RESIDENCE
Applicant submits herewith for the consideration and approval
of the Board of County Commissioners, a sketch of the proposed instal-
lation showing all necessary specification detail including (1) front-
age of lot along road, (2) distance from centerline of road to
property line, (3) number of driveways requested, (4) width of pro-
posed driveway(s) 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, and (7) setback distance of
building(s) and other structures or improvements.
GENERAL PROVISIONS
FIRST: 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.
SECOND: The Applicant shall furnish all labor and materials, perform
all work, and pay all costs in connection with the construction of the
driveway(s) and its appurtenances on the right-of-way. All work shall
be completed within 30 days of the Permit date.
THIRD: The type of construction shall 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 inspec-
tion and approval of the Board of County Commissioners or their
representative.
FOURTH: The traveling public shall be protected during the instal-
lation with proper warning signs and signals and the Board of County
Commissioners and their duly appointed agents and employees shall be
held harmless against any action for personal injury or property
damage sustained by reason of the exercise of the Permit.
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S P E C I F I CAT I O N S
1. A driveway approach is understood to be that portion of the high-
way right-of-way between the pavement edge and the property line which
is designed and used for the interchange of traffic between the road-
way pavement and the abutting property.
2. At any intersection, a driveway shall be restricted for a suf-
ficient 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 highway in order to maneuver
safely and without interfering with highway 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 highway 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 or property 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 highway 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 highway
right-of-way is specifically prohibited. Off -the -road parking facil-
ities should be provided by commercial establishments for customers'
vehicles
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 10 percent (10%).
11. All driveways and approaches shall be so constructed that they
shall not interfere with the drainage system of the street or highway.
The Applicant will be required to provide, at his own expense, drain-
age structures at entrances and exits which will become an integral
part of the existing drainage system. The dimensions of all drainage
structures must be approved by the Board of County Commissioners or
their representative prior to installation.
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) must accompany
application. No permit will be issued without drawing, blueprint, or sketch.
.-.
FIFTH: The Applicant shall assume responsibility for the removal or
clearance of snow, ice or sleet upon any portion of the driveway ap-
proach(es) even though deposited on the driveway(s) in the course of
the County snow removal operations.
SIXTH: In the event it becomes necessary to remove any right-of-way
fence, the posts on either side of the entrance shall be securely
braced before the fence is cut to prevent any slacking of the remain-
ing fence, and all posts and wire removed shall be turned over to the
District Road Supervisor of the Board of County Commissioners.
SEVENTH: No revisions or additions shall be made to the driveway(s)
or its appurtenances on the right-of-way without the written permis-
sion of the Board of County Commissioners.
EIGHTH: 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
50 FT OF DRIVE GRAVLED WITH LIKE MATERIAL
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 drive-
way(s) in accordance with the accompanying specification plan reviewed
and approved by the Board of County Commissioners.
Witness: Signed: )li�r�-c.- 040-6-0 _
(Signature of Applicant)
/230 w /i4.cv,rMe,f /711.<,, 330/
?actt.a«.hJAddress) 5/e1:7—
d%4) jK5--LS3C/
(Telephone Number)
PERMIT GRANTED THIS DAY OF 19 , SUBJECT TO THE
PROVISIONS, SPECIFICATIONS, AND CONDITIONS STIPULATED HEREIN.
For Board of Count nia'ssioners of Garfield County, Colorado
•
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE FAMILY DWELLING CONSTRUCTION
including
NEW CONSTRUCTION
ADDITIONS
ALTERATIONS
and
MOVED BUILDINGS
In order to understand the scope of the work intended under a permit application and expedite the
issuance of a permit it is important that complete information be provided. Adequate and complete
information will prevent delays in the plan review process. Reviewing a plan and the discovery that
required information has not been provided by the applicant may result in the delay of the permit
issuance and in proceeding with building construction. The owner or contractor may be required to
provide this information before the plan review may proceed. This causes delays because other plans
that are in line for review may be given attention before the new information may be reviewed after
it has been provided to the Building Department.
Please review this document to determine if you have enough information to design your
project and provide adequate information to facilitate a plan review. If you do not, it may be
helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code".
This book is available to you through this department at our cost. Also, please consider using
a design professional for assistance in your design and a construction professional for
construction of your project.
To provide for a more understandable plan in order to determine compliance with the building,
plumbing and mechanical codes, applicants are requested to review the following check list prior to
and during design. Applicants are required to indicate appropriately and to submit the completed
check list at time of application for a permit.
January 1, 1999
Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to
scale.
Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with
decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line.
A section showing in detail, from the bottom of the footing to the top of the roof, including re -bar,
anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheating, 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# per ft. up to
7,000 F.O.S. and an 80 M.P.H. wind.
All sheets to be identified by number and indexed. All of the above requirements must be met or your
plans will be returned.
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 Yp;
/ 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 Yes
3. Does the site plan indicate the location and direction of the County or private road accessing
the property?
Yes ye.s
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
Yes yea
5. Do the plans indicate the location and size of ventilation openings for under floor crawl
spaces and the clearances required between wood and earth?
Yes 10 P\
2
•
6. Do the plans indicate the size and location of ventilation openings for the attic, roofjoist
spacess and soffits?
Yes Yes
r• 7. Do the plans include design loads as required by Garfield County for roof snow loads, (a
minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor
loads and wind loads?
Yes )' e
Does the plan include a building section drawing indicating foundation, wall, floor and roof
construction? Se e RIC- OOAJc rt i of cLiy - a 1)&4.)N
Yes yes
9. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roof rafters or joists or trusses?
Yes Yc c
10. Does the building section drawing or other detail include the method of positive connection
of all columns and beams?
Yes Yes
11. 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 grade contours?
Yes Ye s
12. 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 ont No _ 601 bite c_+ vein` 1ri;ep)st-e
ou platys-F143es4lc - DVT36RN -
13. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform Building Code Chapter 37?
Yes No 1,)D - Roos< cQoes niof Haveu)ooc. &&)(Qeu5
PIACI
14. 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 Ye g No
15. Does the plan include a window schedule or other verification that windows provide natural
light and ventilation for all habitable rooms?
Yes Yes No
3
16. Do the plans indicate the location of glazing subject to human impact such as glass doors,
glaring 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 yes No
17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated on the plan?
Yes yes No
18. 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 Yes but 1311 No
19. Do you understand that if you belong to a homeowners association, it is your responsibility
to obtain written permission from the association, if required by that association, prior to
submitting an application for a building permit? If you do not have written permission from
the association, do you understand that the plan check fee will not be refunded should the
architectural committee deny or reject your building plans?
Yes Yes No
20. Will this be the only residential structure on the parcel?
Yes y P S No If no -Explain:
21 Have two (2) complete sets of construction drawings been submitted with the application?
Yes Ye s
22. Do you understand that the minimum size a home can be on a lot is a 20ft. x 20ft.?
Yes yes No
23. Have you designed or had this plan designed while considering building and other
construction code requirements?
Yes yet No
24. Does the plan accurately indicate what you intend to construct and what will receive a final
inspection by the Garfield County Building Department?
Yes Yes No
25. Do you understand that approval for design and/or construction changes are required prior
to the application of these changes?
Yes Yes No
4
•
26. 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 Ye,S No
27. 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 5:00
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 945-9159.
Yes 7e3 No
28. 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 Ye,s No
29. Are you aware that the person signing the Permit Application, whether the "Owner", "Agent
of the Owner", "General Contractor", "Contractor" or otherwise, is the party responsible for
the project complying with the Uniform Building Code?
Yes Yei No
30. Are you aware that If you are accessing a county road and do not have an existing driveway
you will reed to acquire a driveway permit from Garfield County Road and Bridge? Their
phone number is 945-6111. You will need to show proof prior to the issuance of the building
permit. - CR 34D Pert -i,+ si /DO -99 D S ke iosped etO el
ApprovecD /i/8/99
I hereby acknowledge that I have read, understand and answered these questions to the best
of my ability.
70.L.e.t4A
`(d / Ate(
signature
a/aalon
date
Phone: TM- _ Q RE. 7a O i (days); 970- 02813-- 653./ (evenings)
Project Name: P A I u c r i -
Project Address: (, R. J 0
5
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 bas been provided and the application rotates again to first position for review, delay in issuance of the permit
or delay in proceeding with construction
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ocate well, all streams, irrigation ditchs, and any water
septic tank & system, detached garages,
`If a change of location is necessazy, you must submit a
Certificate of Occupation will be
Pile.
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•
1994 Building Cede
Setbacks: 25 feet front and rear and 10 feet on the sides
Snowload: 40Ibs. /sq. ft. up to 7000 feet
Seismic: Zone 1
Windshear: 80 mph
Wind exposure: B
Windload: 151bs. /sq. ft.
Frost Depth: 36 inches -30 inches from finished grade to top of footing
(Liveload is snowload-imposed by snow)
8
f
FOAM NO.
CiW07/93 a
a»
STATE OF COLORADO
OFFICE OF THE STATE ENGINEER
916 Centennial Bldg., 1313 Sherman St. Dernvr, Colorado 80203
(303) 9664581
For Office use only
- - .--
I �)-..
. - RECEIVED
-
WOV 081999
wmEn pcs0URCES
/ ( STA1E ENGINEER
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L o I L pit, k Sr+i r
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OWNER'S COPY
PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE
CHANGE IN OWNERSHIP/ADDRESS / LOCATION
WELL PERMIT, UVESTOCK TANK OR EROSION CONTROL DAM
1.
NEW OWNER
J304
NAME(S)
Mailing
City,
Will.Lam...L.....T.a.P.1.u.C.C.1...an4....S.t.epharae.....2..aolucci'//
Address 1230 W, $attlegrent Pkwy
St. Zip k.a.x'.a.>:.hu.te.,....G.O 813.5
X85-a,s .E1
`Phone(±7)Q.)
2.
THIS CHANGE IS FOR ONE OF THE FOLLOWING:
WELL PERMIT NUMBER 050502-F
LIVESTOCK WATER TANK NUMBER
EROSION CONTROL DAM NUMBER
:r
❑
❑
3.
WELL LOCATION: COUNTY Garfield
OWNER'S WELL
(City)
❑ N. or EIS Range
❑ N. or ❑ S Line,
Lot 23 Block
DESIGNATION
(State)
(LP)
60.,, P.M.
(Address)
SW 1/4 of the SE 1/4, Sec. 3 Twp. 7
Distances from Section Lines Ft. from
95 ❑ E. or PP W.
Ft. from ❑ E. or
Filing (Unit)
II W. Line.
Subdivision Ptorrisania Ranch
4.
LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY
or ❑ W. P.M.
1/4, Sec. Twp ❑ N or ❑ S., Range ❑ E.
5.
The above listed owner(s) say(s) that he (they) own the structure described herein.
The existing record is being amended for the following reason(s):
�
L^_1 Change in name of owner. ❑ Change in mailing address. ❑ Correction of location.
6.
I (we) have read the statements made herein, know the contents thereof, and state that they are true
to my (our) knowledge.
[Pursuant to Section 244-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in
the second degree and is punishable as a class 1 misdemeanor.]
tvilliam
Name/Title (Please type or print)
T. Paolucci
Stephanie Paolucci
Signature �/G a . /e t J: jL-`` Date
�G
c�
'.li2GG%� v N./ A�ueCi
10-13-99
FOR OFFICE USE ONLY
ACCEPTED A$ A.CRANOEK.QA
AND/OR MARINO ADDRESS.
744e 41
State
Court
Engineer By Det
Case No. Div. Co. WD Basin MD Use
FIRM NO.
gc Z 93
t `
STATE OF COLORADO
OFFICE OF THE STATE ENGINEER
818 Centennial Bag., 1313 Sherman St, Denver, Colorado 80203
(303) 8664 581
For Office
194c
OWNER'S
Usa only I' . L L. t.. ; " ,�
DLT 27 29
V'' �: -� of �_ rUp
S1: ;t CN=„ fit S
CI F. NwooD
tECEIVEL'
NOV. 0 1 19gg
WATAhE ENGINEER
cop-
SCity,
COPY
PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE
1. APPLICATION FOR WELL LOCATION AMENDMENT
WELL PERMIT NUMBER 0E50191_ F
2. WELL OWNER
"P&L0C.s I
Re4-'i i r 53a,/
j,..5S
NAME(S)Il,/i.1,1.d.....T..... c3i...,5..7 .(ia..»i1
Mailing Address.Ili5P W.tIVI7lraiiipx
St. zip.. "..Sl iturE 1 Qt 61
Phone (.q.7.0..) a..e?1-_iase t/
3. ACTUAL WELL LOCATION: COUNTY
GeFIE1<D • OWNER'S WELL DESIGNATION..V.L.I�.!Q.fth.... Wi?5.0j.,Vo
£AJ4l°
r�/�, (City) (State) • CGP)
Twp. (r, . 5 , Range cis- ,y
•,,j , WI P.M.
(North or South) (East or West)
Section Line, I540(3 Ft. from FAST Section Line.
(East or West)
Ti2I+e T
Lot /Z 1 Block Filing (Unit)
(Address at well location)
\kJ 1/4 of the E 1/4, Sec. 3
Distances from Section Lines
SSO Ft. from SU. -:(71±
(North or South)
Subdivision IMo€ Alti\•Rhos
4. The location of the existing well needs to be amended for the following reason(s): (Attach appropriate documentation as necessary)
..t .uw props 6j....QsOneirS axe- `,*,.-I L'..i:1.his c) by; .I.d.1.±1_ 51`J2 CI)f Side-1'I1.t-
ZUc}% raH Di -1 Iv. Jo ea, I) Cice tssriz-led 0,,...-ke, -I- y.misc.t .(......�. ftl -1--
5. I (we), the above listed owner(s) own the well described herein. I (we) have read the statements made herein,
know the contents thereof, and state that hey are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S.,
the making of false statements herein constitutes perjury In the second degree and is punishable as a class 1 misdemeanor.]
Name\Title (Please type or print) .cc
'_>11P/ -1•3J16. —Ojai) w0e-/
// Signature 11
v'� ICt�,r� � �ul'eC
Date
/0/J 7/c/ %
FOR OFFICE USE ONLY
APPROVED FOR A CORRECTION OF LOCATION PURSUANT
TO POLICY EMORANDUM 93-1 DATED JULY 7, 1993
r TR0452788110144 0.04
State Engineer Y /ate
/�
Court Case No DN. Co.'?`3 ' WD...7' Basin MD
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 Issue&,) .a d. oned Area Permit No 1.5 Y
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
Addre s rtDescAp
Owner it
Setbacks —
Setbacks
Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPE TION RECORD
Footing f - j- €20 /bEc a -G, -cc C
it
r
Foundation f Ric zi-L7 noz Kap, ti
-'-1-C7 �(/ I
Underground Plumbing q _jr_ , ,,i
Insulation 7 -2q -o2,
Rough Plumbing 747-00
Drywallu F{wt_z-2( h-ereJ Kg M(
Chimney & Vent 7-20_x, eLn
Electric Final (by Stat I spector) eg-hb,P01
Gas Piping
Final ?'_ 7-b2) ad
Electric Rough (By State I pector) 4440/1
Septic Final — / (7_ 00 .A. --
Framing 7-(7-e
(To
(To include Roof in place an (Windows
and Doors installed).
Notes:
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
38i-5oO3 THIS PERMIT IS NOT TRANSFERABLE
Phone MS 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVED DO NOT DESTROY THIS CARD
Dat
y.
IF PLACED OUTSIDE - COVETH CLEAR PLASTIC