HomeMy WebLinkAboutApplication- PermitJob Address
Nature of Work
Use of Building
Owns
No. 67135
GARFTELD COUNTY
BUILDING SANITATION and PLANNING DEPARTMENT
109 lith Street Suite 303
Glenwood Springs, Colorado 81601
(303) 9454212
£e -a a5-9 C.
Ru ldina Permit
Contractor nLS Yt.,0,
Amount of Permit $
'2473
i°4-{-14
Date 0191 ! 5
ge4.+10,C,t
Clerk
Jun -09-95 02:21P Stella Archuleta
'tom
970-945-7785 P.04
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO
TELEPHONE: (970) 945-8312
Applicant w complete numbered spaces only.
PERMIT NO.
e/
INSPECTION LINT: (970) 945-9159
PARCEL/SCHEDULE NO.
LOB ADDRESS:
LOT NO.
c
BLOCK NO.
SUBDIVISIO'JE) 1NPT(ON SI L.-1-
�
i.F2 (d 1JCi i 4J l'.5% 6 e.
2
Orrrex ( V E. 3r -i-
ADoaiaL 457 % (O go ..?/9")8v47 }
�q0 7' %i --
6y'YJE
3
I f+ l 1 -172CM-
41"41CYljiL >d IA6 C Y
_ _
LIF NO..
4
AB(,NliLTrENOINB1
ADDRESS
m
TIC NO:
5
SQ. FI. OFBVR7 DID
W..0� 51
SO AT. OF TAT 1 r
11 IVf
ImMT
No of FLM)�1
6
. .,q,_ i
we �e BUBDme Y,-scn4A ( -Vo .9 f I' \ cS
7
DLICAIDIWols.
U9
awls w i DA WOY. a.AfEW CADMAN PALT�ATPOI� ONIONSi.Vi11OVti
OAPA a usicilE /ALE CAAMAT: .NEMS
cooilnIF
10
a D!WEWAY FEDI= .ON sTlsFwAcIF.DismosAtissprICI
alFTSPLAN
VAIDATIONOF *OM F AIMPSIEDVALVATIOICI
AFEti101 erworlicoiL /q v1 X /C . C % /7 93a . ao
SO/ Len ,-,4-4-
.
A SEPARATE
COLORADO.
THISPERMITB
1S NOT
SUSPENDED
IS COMMENCED.
I HEREBY
KNOW
GOVERNING
HEREIN
AUTHORITY
LOCALN'SREGULATING
CON'S
NOTICE
ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED
SNJLLANDVOIDIFWORORCONSTRUCTION
1 T(
COMMENCED WITHIN 110 DAYS, OR IF CONSTRUCTION
OKABANDONEDYUR A PERIOD OF 110 DAYS AT ANY
CERTIFY THAT I HAVE READ AND EXAMINED THIS
THE SAME. 10 RE TRUE AND CORRECT- ALL PROVISIONS
THIS TYPE OF WORK WILL BE COMPLIED WITH
OR NOT THE GRANTING OF A PERMIT DOES NOT
TO VIOLATE OR C EL THE PROVISIONS OF ANY
NS I7RUCTION OR THE
N.
//
BY THE STATE or
AUTHORIZED
OR WORK IS
TIME AFTER WORK
APPLICATION AND
OF LAWS
WHETHER SPECIFIED
PRESUME TO GIVE
OTTER STATE OR
PERFORMANCE OF
, e.
IJ/,/,/ /
4I l
PLAN CHECK FEE:
/1(0
, ?1
PERMIT FEE:
C/rtl 17. C
TOTAL FEE,,DATE
7
PERMIT ISSUED:
3_.94. ,
OCC: GROUT:
CONST: TYPE:
ZONING:
SETBACKS:
of Owen. Contractor m wlbatxed gea1 having wad . #1r!!�
.9/
A/W -e//41 le' Vy.� r%��e�
Sigfletie
1"
`---,,}el/
ON[E.
ISDS NO. do FEE:
k/4�''i
Bra Dcpl. ApproviirDNe Pry r7 r . Amer+
AGREEMENT
FERMIS SION LS HEREBY CA -ANTED TO THE APPLICANT AS OWNER CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER 11D CONSTRUCT 11E STRUCTURE AS
DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE 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 30.21101 CRS AS AMENDED. TTI 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 TT SHALL BECOME NULL AND VOID.
711,E I55UANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTTER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE
CORRECTION OF ERRORS IN SAE:IMAN5. SPECIFICATIONS AND 01HER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION
OF THIS CODE OR ANY 0371511 ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OFIHESUBM TIED PIANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED ITIEREAFIER DORS NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES
ORLIABRI TIE5 BY C.ARFIE! D COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. 1015 RESPONSIBILITY FOR HESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION
RESTS SPECIFICALLY WIH THE ARCHITECT, DESIGNER BUILDER AND OWNER. COMMENTS ARE INTENDED TO BIS CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Gadmm.oD3 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INITIAL
4241
� —Qac a'�; 104"k G.
C
GARFIELD COUNTY
BUILDING and PLANNING
Owners agreement for a permit to build a garage prior to building a residence
I, 11/4Atc . -5 � , state that the garage built as
authorized the permit for which I am applying will be used exclusively for storage of
automobiles or personal possessions and not for any residentail dwelling or commercial
purpose. I also state that a building permit for my home will be issued with one (1) year
of this agreement.
Date
a-VP6F-
Jun -09-98 03:20P Stella Archuleta
Post -1t1 Fax Note 7671
Dale LlpegI p. 3
From
` -5
�+i+++"""
19
Phone M r
98� �r5
Phone 09 ��Ie.-i�'
1
Fax r enet_ ,:l
`FaM # e r��91C s
970-945-7785 P.01
Garfield County
Building and Planning
Owners agreement for a permit to build a garage prior to building a residence
-42&`" ' , state that the garage built as authorized by the permit
for which I am applying will be used exclusively for storage of automobiles or personal
possessions and not for any residential dwelling or commercial purpose.
Name
Date
GARFIELD COUNTY BUILDING PERMIT APPLICATION
GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO
TELEPHONE: (970) 945-8212
Applicant to complete numbered spaces only.
INSPECTION LINE: (970) 945-9159
PERMIT NO. PARCEL/SCHEDULE NO.
GOB ADDRESS: Ck.s101 a 55
1
LOT NO. BLOCK NO. SUBDIV ISIO ON 54 �n
2
OWNER
64/FIC) LC 57A 2 49-7—
A...}.3 - ' 6 low
3
COSTIRA[.'NRS:61• "
ADDRESS .S /' ,�
P //,..7e 7-
UC. N°:
4
AADNB88/_J/ ✓ i��.+f�c�'",y ��
nt fV f��J� f
ucN°:SQ.
A&SffintCrlEtft'ID�A /Ayekg-besi�,,,..
/r71?
5
FT. OF B1fQ.DINO �
%
c[,/S-I(�
9Q. Fr. OF/CAL6T 4 + s
3
�C�i/y !
NO. °P FLOORS 3
6
USE OP BIRLDR4O
fr
7
DESCRIBE. WOLK: / 6t/ We/rtf r%."91-1 02Y1 "/T ` „t ,.,7)/(/' .2-.‘? Utie.--{ 11
8
CLAM OF WORM /::) nADDITPON oALTERATION .MOVE oRRSIOVE
9
GARAGE:SINn5TPJr/ CCDOUSP CARPORT: aRWC£E COQUILLE
J R. eL� 1' e"►
36
IV
n DRIVEWAY PEMUA{ON PRE SEWAGEDBA05AL (REY1C) �RTfE17--)LANVALUATION
OP WORE1 fct9. i0 ADIOSrfD YAWATIONi�4
CONDITIONS: a30U)(6 L. o a = r ie7,$•4, � . au -35,3;4
Zt x 17. aq, .�
NOTICE
A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF
COLORADO.
THISPERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN I80 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED ORABANDONED FORA 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 WEIR WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
AUT'HORI Y a VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL it/ REGULATING CO 'UCHTON OR THE PERFORMANCE OF
� _
;le .41ir r/' ON. /AP .5----,04
t Date U4
PLAN CHECK FEE:
'o I` o1C9/ r %!
PERMIT FEE:
$ / OQ7• f-
TOTAL FEE: DATE PERMIT ISSUED:
f/ , I
31# 01
y5/' /� nf?
OCC: GROUP: �7 CONST: TYP
��j II f
+ !/f !
ZONING:
SETBACKS:
Signet= of
Owner, Contractor or auWuriacd agent having / and ,„ - �. notice above.
jolJ% Q Q� 4,
l D r
MANU. HOME:
ISDS NO. & FEE:
1 c73' . CO
Building Dept. Approval/Due amrog Dept rma
AGREEMENT
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 THE ISSUANCE OF T 1Ls 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 DJ SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN L3 VIOIATIO`"
OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OFT1413 JURISDICTION.
THE REVIEW OF THE SUBALITIEDPLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE TE AN ACCEPTANCE OF ANY RESPONSIBILITIES
ORL.IABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE LIENS AND IMPLEIMIE T1ON DURING CONSTRUCTION
RESTS SPECtFTCALLY WITH THE ARCHITECT, DESIGNER, BUILDER AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND THE OWNERS INTEREST.
Gadotm.003 THEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INITIAL).fi
itp78,1t
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 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, 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,
floors and walls finished an 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 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 #
Signature
prmtcond.lst
gyig
30,0/0 1.S -12do'w/4•4/ I� 93.2, a 0
Atoi ) fX Aid as RIO f CS ,119-14
J -4-,.-Q434511141. /#6.T I V 4..G, 0 = '41_7g, ? 6 .. 1 (
x'3,..20 G, O 6
ld 4ea �`@ 7.5'x._. r / o
4'
3 / I/33
FO skg 0..13
7-(74-,e .. '3/Y/ti27./.
x'-5 f)5 , _5 0 0
19932.00+
133228.36+
92956.16+
53200.00+
18116.80+
2053.80+
006.........
T
319487.12+
1987.25+
1297.71+
150.00+
003 .........
T
3428.96+;
7'
rrr.t .to '7t3 L t7 ; 1,1 his
TO 9-130775735T7 P.OS
£O'd
in
r�
ZLa£-LSL-£O£ SWJISAS JNIO IIf19 'V -S-3 dtO=ZO R6 -92 --AAV
Apr -28-98 02:02P C.S.A. BUILDING SYSTEMS 303-757-3572 P.04
4 6
i
g
w
b0'd GLSC1SL2OET-6 01
.@ 21
7
LJ TT.n,
Apr -28-98 O2:O1P C.S.A. BUILDING SYSTEMS 303-757-3572 P.O2
cc 90 " 39 Ud 11:1101 4::
1
21.36Usal ova 2E
.0
90',: z4L .sL200-6 01
•
•
•
.0 5
uWD
6: r 411
--w
NS
H1 WL1Zr
InVI
". 7 -
i6 -N
ni14
1-4IW"'ou_
b5
;JJ 77./70. nr n� .
r
e•
N
in
-®
N
1..1
in
0 0
K` Q
n
n
—
-'.
ola
N
@
fl0 � 0
ri
•
r•
h
h
0
90',: z4L .sL200-6 01
•
•
•
.0 5
uWD
6: r 411
--w
NS
H1 WL1Zr
InVI
". 7 -
i6 -N
ni14
1-4IW"'ou_
b5
;JJ 77./70. nr n� .
r
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.
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 the plans indicate the location and size of ventilation openings for under floor crawl
spaces and t e clearances required between wood and earth?
Yes
6. Do the plans indicate the size and location of ventilation openings for the attic, roofjoist
spacess and softs?
Yes
7, Do the plans include design loads as required under the Uniform Building Code for roof
snow loads, (a minimum of 40 pounds per square foot in Garfield County), floor loads and
wind loads?
Yes X
8. Does the plan include a building section drawing indicating foundation, wall, floor and roof
construction?
Yes
9. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roafters or joists or trusses?
Yes
10. Does the building section drawing or other detail include the method of positive connection
of all columms/and beams?
Yes
2
11. Does the plan indicate the height of the building or proposed addition from the highest point
of the buildi _ or addition measured at mid span between the ridge and the eave down to
existing gra e contours?
Yes
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 No
13. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform Building Code C apter 37?
Yes No
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 No
15. Does the planinclude a window schedule or other verification that windows provide natural
light anditilation for all habitable rooms?
Yes No
16. 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 spe ' safety glazing for these areas?
Yes No
17. Is the loca ion of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated n the plan?
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 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
architectur committee deny or reject your building plans?
Yes No
20. Will this b - t e only residential structure on the parcel?
Yes I No If no -Explain:
21. Have tw complete sets of construction drawings been submitted with the application?
Yes
22. Is this an application for the placemenf a manufactured home?
Yes No ((��
If yes, have you specified the size of the unit (min. 20ft. x 20ft.); live roof load (min. 40#);
wind design (min. wind speed of 80 mph & 15 lb. wind load); foundation design; method of
anchoring?
Yes
23. Have you a esigned or had this plan designed while considering building and other
constructi n code requirements?
Yes No
24. Does the pl .accurately indicate what you intend to construct and what will receive a final
inspection b the Garfield County Building Department?
Yes No
25, Do you understand that approval for design and/or construction changes are required prior
to the application of these changes?
Yes ''�� No
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 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 you inspection one (1) day. Inspections are to be called in to 945-9159.
Yes 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 d occupancy of the building?
Yes No
4
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 projecmplying with the Uniform Building Code?
Yes No
I hereby acknowledge that I have read, understand and answered these questions to the best
of my ability.
signature
Phone: 01/ ris-r
(days);
L1 -7 -
date
(evenings)
Project Name: or, I Q 7!
Project Address_ /Or cSree a676-76,-)
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.
PerApp02.95 Effective August 15, 1995
5
o
GARFIELD COUNTY co
BUILDING AND SANITATION DEPARTMENT
109 8th Street, Suite 303
Glenwood Springs, CO 81601
(970) 945-8212/(970) 285-7972
PROCEDURE REQUIRED FOR COMPLIANCE WITH THE GARFIELD COUNTY SEWAGE DISPOSAL
REGULATIONS.
Step I: Application
A. Obtain a standard "Individual Sewage Disposal System" application from the Building and Sanitation
Department, 109 8th Street, Suite 303, Glenwood Springs, Colorado 81601, 970-945-8212 or 625-
5571.
B. Return completed application, map to property, site plan and diagram of site to the Building and
Sanitation Department (Pages 2 and 3) and building plans. INDIVIDUAL SEWAGE DISPOSAL
SYSTEM PERMITS WILL NOT BE ISSUED WITHOUT AN APPROVED BUILDING
PERMIT.
C. Make check or money order payable to "Garfield County Treasurer" (The cost for the permit fee and
percolation test is $150.00 or if a Registered Professional Engineer does the percolation test, the cost
is $50.00 permit fee). FEES ARE NOT REFUNDABLE.
D. Your Individual Sewage Disposal Permit will be issued along with your building permit provided no
prohibitive problems are encountered.
Step II: Percolation Tests -SEE DETAILED INSTRUCTIONS ON PAGE 6
A Prepare three (3) percolation holes 4 feet deep, 8 to 12 inches in diameter, and 20 feet apart in the
area of the proposed leach field area (Instructions for post hole or back hoe holes are on page 4).
B. Fill percolation holes with water once for the required eight (8) hour soaking period.
C. Request percolation test by Sanitarian. (To avoid construction delay, we suggest arrangements for
percolation test be made at least 24 hours prior to the end of the soaking period). Please have at
least five (5) gallons of water for each hole available at the site for the percolation test.
! ! ! IMPORTANT!!! ! Please be advised that if the Sanitarian's initial field visit to your property reveals any unusual
difficulties such as high water table, excessive percolation rates, bedrock, etc., the services of
a Colorado Registered Professional Engineer and/or Board of Health approval will be
required.
Step III: Final Inspection
A. When all components are in place, connected and ready to cover, request a final inspection by the
Sanitarian,
B. DO NOT backfill any part of the system prior to the inspection.
C. The initial fee covers the percolation test and one inspection before cover up. Any additional
percolation tests will be charged at $100.00 each and additional inspections will be charges at $42.00
each.
D. Upon final approval, carefully cover the entire system.
l
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER .Z) /leave 57?
`, �r
ADDRESS /-6f C3/e"/
CONTRACTOR 5,9/77r;
ADDRESS S,/ L
777eg c PHONE 27a-9d5/-
PHONE
7a- 9d 5/ -
PHONE ?.761` f
PERMIT REQUEST FOR (J 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).
DCJ TION OF PROPOSED FACILITY:
Near what City of Town S, Z7L Size of Lot / 7 C&c 5
Legal Description or Address /cr. 69,t-ekvel 92.7e r4 57)Ad 5162-)r-
WASTES
f
WASTES TYPE: (V) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: e5-10es1 �F
Number of Bedrooms Number of Persons
()0 Garbage Grinder (X/) Automatic Washer (X) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /722/45, ?
Was an effort made to connect to the Community System? /t47
A site plan is required to be submitted that indicates the following MINIMUM distancesz
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 SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED
WITHOUT A SITE PLAN,.
GROUND CONDITIONS:
Depth to first Ground Water Table 4�
Percent Ground Slope 05-1
2
'TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
SEPTIC TANK
VAULT PRIVY
PIT PRIVY
CHEMICAL TOILET
FINAL DISPOSAL BY:
( )
(
( ) AERATION PLANT ( ) VAULT
( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
( ) OTHER - DESCRIBE
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?
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does
the Percolation Test)
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 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 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.
Sign
Date 6/02 q % h9
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
County Road (Note the Road Number and Nam
0
cp
ti
a�
0
rocn
0
Pa A3
CCD
CD
a
w
0
0D
fid CD
w
CD y. ti▪ J
3
P
0
o'erR-
w
cr p• ay
CD w
On o
o
a. o
Err
ca.w
w
cla
1-1
CD
ti
0
cD
cA
•
0
0
0
0
c�
0
c�
O
molly ij1aoN a1 U ISaQ
PERCOLATION TESTS
The successful operation of your septic system depends on the rate the soil in which your leach field will be installed
will accept water. THIS IS CRITICAL, The rate of absorption is called the percolation rate and it determines the size
of the leach field needed for a particular flow of sewage and in some cases even determines the feasibility of the
installation of a septic tank and leach field system. In some cases, the profile hole may be waived but only by specific
approval of the Environmental Health Department. PERCOLATION TEST MUST BE DONE AT THE GROUND
DEPTH WHERE ABSORPTION WILL TAKE PLACE. STANDARD SEEPAGE BEDS (LEACH FIELDS) ARE
INSTALLED THREE FEET DEEP, SO THE PERCOLATION HOLES ARE DUG FOUR FEET DEEP, AT LEAST
20 FEET APART, IN A TRIANGLE SHAPE. THE PERCOLATION TEST IS DONE IN THE BOTTOM ONE (1)
FOOT OF THE HOLE:
--
\✓ • 1 �__ �JATER �, i E
A post hole digger, auger or back hoe can be used to dig the percolation test holes. If a back hoe is used, dig the back
hoe hole three (3) feet deep, with a bite for steps, and put a test hole one (1) foot deep and 8 to 12 inches in diameter
m the bottom. Installation of absorption areas (i.e. drywells) deeper than three (3) feet require the permission of the
Environmental Health Department.
BACK I-1OF HOLE
Of
Saturation with water will affect the percolation rate, and since the system will be expected to operate when the soil is
saturated with water, THE HOLES MUST BE FILLED WITH WATER AT LEAST EIGHT (8) HOURS BEFORE
THE TEST AND ALLOWED TO STAND. More water will be needed to perform the percolation test, so AT LEAST
FIVE (5) GALLONS OF WATER PER HOLE SHOULD BE ON HAND WHEN THE TEST IS PERFORMED.
AN EIGHT (8) FOOT PROFILE HOLE IN THE LEACH FIELD AREA IS REQUIRED IN THE STATE OF
COLORADO TO DETERMINE THE PROXIMITY OF GROUND WATER AND BEDROCK. (One soil profile hole
shall be drilled or dug to provide observation of the soil profile of the area of the soil absorption system. The hole shall
be prepared at least eight (8) feet deep. The hole may be terminated when groundwater or bedrock is encountered.
The hole shall be prepared in such a way as to provide identification of the soil profile four (4) feet below the bottom
of the soil absorption system).
(FOR APPLICANT'S INFORMATION)
4
PERCOLATION TESTS FOR DRY WELLS (SEEPAGE PITS) ARE PERFORMED AT THE LEVEL
OF THE BOTTOM OF THE PIT (USUALLY 10 FEET).
cRotwa Level
Percolalio,.5 1csf or SceJP.
If you call for a percolation test or inspection and for some reason are not ready when the time comes,
please call us before 5:00 p.m. at 945-8212 or 625-5571 to cancel the appointment.
THANK YOU FOR YOUR COOPERATION.
(FOR APPLICANT'S INFORMATION)
5
ENDED MINIMUM REQUIREMENTS FOR
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS
Before construction is started, the Inspector must be contacted for approval and detailed information concerning the
proposed disposal system, Higher standards than those whish follow may be required in individual cases to assure
attainment of the objective. Those objectives are to locate, construct and maintain individual sewage disposal
systems in such a manner that existing or contemplated water supplies will not become contaminated and so that
sewage will not overflow the ground surface and result in a nuisance or health hazard.
1.
LIQUID CAPACITY OF TANK (GALLONS)
(Provides for use of garbage grinder, automatic clothes washers and other water using household
appliances).
Recommended Minimum
Number of Bedrooms Tank Capacity
2 or less
3 or less
4
For each additional bedroom, add
750 gallons
1,000 gallons
1,250 gallons
250 gallons
2. MINIMUM LEACHING AREA OF DISPOSAL FIELD ABSORPTION AREA REQUIREMENTS FOR
INDIVIDUAL RESIDENCES
Percolation Rate
(time required for
water to fall one
inch, in minutes)
Required Absorption
Area, in sq. ft.
per bedroom
(b) standard trench
(c) seepage beds &
(d) seepage pits
Percolation Rate
(time required for
water to fall one
inch, in minutes)
Required Absorption
Area, in sq, ft.
per bedroom
(b) standard trench
(c) seepage beds &
(d) seepage pits
228
279
395
483
558
*1 or less
*2
*3
*4
*5
10
15
30(e),
45(e)..
60 (e), (f)
*(See Below)
'Percolation rates faster than five (5) minutes per inch or slower than sixty (60) minutes per inch require
engineered system and/or Board of Health approval.
(a)
(b)
It is desirable to provide sufficient land area for entire new absorption system if needed in future.
In every case, sufficient land area should be provided for the number of bedrooms (minimum of 2) that can
reasonably be anticipated, including the unfinished space available for conversion as additional bedrooms.
6
Absorption area is figured as trench -bottom area and includes a statistical allowance for vertical side wall area.
(c) Absorption area for seepage pits is figured as effective side wall area beneath the inlet.
(d) Unsuitable for seepage pits if over thirty.
(e, f) Unsuitable for absorption system if over sixty.
Dwelling on less than two acres, areas of high water tables, or areas with a percolation test rate faster than 1" in 5
minutes must have alternative sewage facilities, i.e., central collection, holding tanks, individual treatment, etc.
EXCEPTION: Absorption areas may be allowed with percolation rates faster than one (1) inch in five (5) minutes
provided the soil is a sandy texture and no water table problems are encountered.
1. Maximum length of drainage line: 100 linear feet
2. Minimum width of drainage trench: 18 inches
3. Minimum spacing between trenches or pipes: 6 feet
4. Maximum grade of drainage lines: As level as possible
5. Minimum depth rock under drain PVC: 6" under PVC, 2" over PVC
6. Minimum depth of cover over distribution lines: 12 inches
7. Maximum depth of cover over distribution lines: Variable
8. Minimum grade of house sewer: 1/8 to 1/4" per linear ft.
9. Minimum distance of sewage disposal system
from dwelling: 10 feet
10. Minimum distance of septic tank from dwelling: 5 feet
11. Minimum distance of leaching area to a well: 100 feet
12. Minimum distance of septic tank to a well: 50 feet
13. Minimum distance of leaching area to a stream
or water course: 50 feet
14. Minimum distance from septic tank and disposal
field to property lines: 25 feet for drywell
10 feet for leach field
15. Minimum sewer pipe and distribution pipe: 4 inch diameter
Septic construction should be of concrete, concrete block or of a material that will resist deterioration and which
can be made reasonable watertight.
Acceptable drain field pipe materials include plastic, terra cotta or concrete. If the house sewerline is longer than 10
feet between house and septic tank, a clean-out Y Should be installed as near as practical to the house.
Septic tanks should be inspected once a year and cleaned when necessary. Cleaning is recommended when space
between the scum accumulation and sludge residue on the tank bottom is less than eighteen (18) inches.
The Department recommends pumping a septic tank once every four (4) years when a yearly inspection by the
owner is not practical.
7
'.eng1I1 deter -
liked from
fere Lest:
-esill is
1 ' !
n
✓
TYPE OF SYSTEM TO BE CONSTRUCTED
(1 1/2" to 2 1/2" Clean Gravel Required. Unless Otherwise Approved)
OF
4" perforated
ii i i)e
4" solid pipe
frOn1i tank
1
CI O ca cZ ra CJ — On cz o a21 r-. r,
� ca [) o d 0 b t c3 O co cap � u
Q Q n P40 °a U b O nbp 41
� d C� __ A o c 0 Q c �] . c. o c
.L �r r�. Q 0 c to & aio 0 61 0 O C7 Q U
37
.-1. 6' 1 3
,cickri11
2'1
1
SIDE VIEW
Seepage [led
Backfill
i" 11�ay —_
or s trat•r
rave1oval
'1" pipe in
gravel
6" Gravel
tender pipe
k
TOP
O 0❑t"041)° C O000� 0 4 D
a0°C%°00
bop 0"0610(3° 000o
O0 o 0 p 00 4
Pa �4' 0 0000000
0 oci,—o 0 n0o
000a0° 0nofld
000 Q0 u, c o 4" soled pipe ex -
000 tl'
6 -6 -ETF 6-6-ETtending into
ot] 0aoa drywall 1'
of.,00 °ooD O ♦�:i• ,I���
• 0
0_0 00a 0 0aa„top ��I�Ierto 0•
Gravel
4an�
b nq z c, b0
k
*Size determined
SIDE VIEW
T
1
}
from perc
•
4" hay or
straw over rocs
test results
Backfill
4" solid pipe to tai
9" hay or straw
Gravel
Concrete r1ng§
1' of caravel in
bottom
Grywel1 [ I
8
1
• ■■■Y YAuuY ■Y ■ YY i =IMP Y•u ■ ■■i Y1101111.
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
1
Date Issued. . ` ..Zoned Area Permit No.(0/216
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
Inspect° and IM EDIATELY BF. OME NIL AND VOID.
ONla Ltst OKty
out) ttek
.... ...
Use
Addre r al De cription
Owner,
o Cid
11 I
Contractor
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing 7_ 1—q /k A- r(1,._.ri
r
Foundation
Underground Plumbing A)
Insulation /09
Rough Plumbing JV
1
Drywall 4//7
Chimney & Vent A/i-
Electric Final (by State Inspector) e,
Gas Piping N/
Final /�aY/ - ,,'.1 7iL,e
Electric Rough (By State Inspector)
Septic Final A/ /9
Framing Yk.&.t
(To include Roof in place and Windows
and Doors installed).
Notes
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
qiirdi THIS PERMIT IS NOT TRANSFERABLE
Phone 94541i. 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVEDDO NOT DESTROY THIS CARD