HomeMy WebLinkAboutApplication- PermitJab Address
No. 6405
GARFLELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
County Road 117, Glenwood Springs.
Nature of Work Building Permit
Use of Building Manu. Home on Foundation
Owner John & Alice Bers.henyi
Contractor
Buckey Arbaney
Amount of Permit S 467.71
Permit: 162.25
Plan : 105.46
Set TJp Fee ; 200.00
Paid $105.46 7-9-97
Date
July 21, 1997 •
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
f to complete nurr�bered spaces only. PERMIT NO. V G 47 PARCEUSCHED NO.
JOB ADDRESS -' L • — / 1 { , v .y
1
'
LEGAL -
DESCR.
CCJJ���
LOT NO
BLOCK
SUBDIVISION
2
I
OWNER] eJ + A I{1c, SQ rote
G �f /�
ADDRESS,�G ',j 3 0 ift {ii s
PH9rs 7373
WK. PH.
3
CONTRACTOR.&Lk Air6q �_J
ADDRESS�y S.57 (j�. 11 a� 41,
P1y5: 5bO4.
LICENSE NO.
4
Ate! DESIGNER1TECTOR1A/r��
ADDRESS..'7^.{' G C'ex� In ,“
f``l J
P � 05$0
LICENSE NO,
5
ENGINEER
ADDRESS
PH.
LICENSE NO.
6
S,F OF BUILDING /5 7 F1
S/.'F��O`FLOT 2 �C
HEIGHT
n�—
7
/ ,,NO. �OF�FLOORS
USE OF BUILDING S•gyp) . 1 j)g a \\ e'/
j�(`���%yam y
4' '��fwi�r'�'[ I[ /�4 � F`."
,
8
CLASS of WORK: EW c ADDITION ❑ALTERATION c REPAIR = MOVE REMOVE
9
DESCRIBE WORK: Can Cw� el r� C 4]rt ]..,r i 1„,.R c( Q.e.i'ft[ GCI+ OS c4 L.i 1t
i
n Fes.cu✓c*1,...
1 0
GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT CN SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VALWncN on WORK' S ADJUSTED VAL.S
PLAN CHECK FEE /c�. '4(a
PERMIT FEE / �g y . .Z `�
SPECIAL CONDITIONS',
SCHOOL IMPACT FEE
NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
TOTAL FEE 5/ 7. 7/
OCC. GR_
CONST. TYPE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING_
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS
NOT COMMENCED WITHIN 190 DAYS, OR IF CONSTRUCTION OR WORK 1S SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED
1 HEREBY CERTIFY THAT I HAVE READ ANC EXAMINED THE APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORREC'_ ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN GR NOT. THE GRANTING OF .A PERMIT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATE CR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF
CONS RUCTION
lie�Ld�yd� �r q (Date) 9 /r %
WATER SUPPLY
DATE PERMIT ISSUED 7 ` . / -9 i
$PEcvL.APPRCVnLs
REC FRE]
RECENEL
NcrREcurREn
ZONING
HEALTH DEPT.
FIRE DEPT
SOIL REPORT
SETBACKS
FLOOD HAZARD
,(4/ f
fi/ • f
., -ture off - Contractor ora o ed agent rJ ng eae . uneerstood nctrce a • •ve_
.017.. ,n
�1/ ( I. . ► I�/ �!�% ///. •... �1/ i J
MANUF HOME
�{ D C
OTHER T�+ V
30 • ‘)°
Bu}lding -oa ent Awroval. =re / Planning De. a ent Approval/date
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 CF 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 FROM PREVENTING BUILDING
OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS
.IURISD4CTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE
RESPONSIBILITY FOR THESE ITEMS 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.
Garform.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL
10.6 R ecved /9*7
I1 25- V L
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.
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, - 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 CONIPLETED.
****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 4
Signature Date
\7"--04ui rn -g,els44
,47
1/14/14-4wPWil
M ft p 54-7- (};
* 4toq A. 0 rift JC(o"; -3 e,
Pia?
/CS:1-{m
5 7.7(
I, _ . { �, ' , state that the residential structure built
un er .building permit Sloes is an employee dwelling unit provided to an
individual(s) and /or his/her family, who derives the majority of their income from work on the
property and pays no rent. Itis agreed that this unit will not be used for residential occupancy
for any person and/or family that is not employed on the property and is accessory to the
previously constructed primary single family dwelling on the property.
Proof of employment of individuals residing in said additional dwelling unit(s), which is the
appropriate signed IRS Form 1099 and copies of workman's compensation insurance for each
person employed shall be provided upon request by the Garfield County Building and Pla fin ing
Department.
It is further agreed that his property will not be sold to another party without representing that
the additional dwelling unit is for employees only and cannot be used as a guest house or rental
unit.
lx/A
ate
Witness
GARS{IELD) COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE FAMILY DWELLING CONSTRUCTION
including
NEW CONSTRUCTION
MANUFACTURED HOMES
ADDITIONS
ALTERATIONS
. and
MOVED BUILDINGS
in order to understand the scope of the work intended under a pennit 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 require to indicate appropriately and to submit the
completed check list at time of application for a permit.
For the placement of a manufactured hotne, questions numbers 1-4 and 19-28 are the only
questions that need to be addressed:
}
Is a site plan included that indicates the distances of the proposed building or addition to property
lines, other buildings, set back easements and utility easements?
Yes
? 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 v
Does the site plan indicate the location and direction of the County or private road accessing the
property?
Yes
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
Do the plans indicate the location and size of ventilation openings for under floo craw] spaces and
the clearances required between wood and earth?
Yes
6 Do the plans indicate the sije and location of ventilation openings for the attic, roofjoist spaces
and soffits?
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 ✓
Does the plan include a building section drawing indicating foundation, wall, floor and roof
construction? _
Yes
Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists,
roof rafters or joists Or trusses`'
Yes
10. Does the building section drawing or other detail include the method of positive connection of all
columns and beams?
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 cave down to existing
grade contours?
Yes
12. Does the plan include any stove or zero clearance fireplace planned for installation including make
and model and Colorado Phase 11 certifications or phase 11 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 Chapter 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 plan include a window schedule or other verification that windows provide natural light
and ventilation 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 specify safety
glazing for these areas?
Yes No
l 7. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated
on the plan`'
Yes P'rr No
18. Do you understand that if you belong to a homeowners association, it is your responsibility to
obtain written permission fro the association, if required by that association, prior to submitting
an application for a building permit?
Yes No
19 Will this be the only residential structure on the parcel?
Yes No I.f no -Explain:
20: Have two (2) complete sets of construction drawings been submitted with the application?
Yes
3
21. Is this an appl cation for the placement of a manufactured home`
Yes ✓ No
If yes_ have you specified the size of the unit (min. ?Oft. 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
2J.
Have you designed or had this plan designed while considering building and other construction
code requirements?
Yes No
Does the plan accurately indicate what you intend to construct and what will receive a final
inspection by he Garfield County Building Department'?
Yes No
24 Do you understand that approval for design and/or construction changes are required prior to the
application of these changes?
Yes ✓ No
25. 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
26. 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 he 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?
Yes J No
27. 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 V No
28. 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 c replying with the Uniform Building Code?
Yes JJ No
4
I hereby acknowledge that I have read, understand and answered these questions to the best of my
ability.
.Y94 -.e
ignature
Phone:9 7e— z74,-7,--- 731 /(dad's),
7'/,77
LI
(evenings)
Project Name
Project Address•
Nokes
if you have an sw crud "No" on any of the questions. von may be required 10 provide this information a1 the request of the Budding
Official prior to beginning the plan rcvieri process. Delays in issuing the. permit are to be expected. Work may not pro eed
without the issuance of a permit. if i1 is detcrmnimed by the l3uildin g O1fiiei<i] that additional u1Cormation is necessary 10 review
the application plans to datemiine minimum compliance with the adopted codes: the application may be placed behind more
recent applications for that* permits in the rev,iev, process and not reviewed until required information has been provided and
the application rotates again 10 first position for review. dela' its issuance of the permit or delay in proceeding with construction.
PerApp02.95 Effective August 15, 1995
5
•
•
INSPECTIWILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTION
BUfLDING PERMIT
T
D O
Date IssuedF. 9 4 RF7
IELZoned Area
UNTY, COLORADO Permit No
411 Ot)511°
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 pert it may then i • revoked by notice from the County Building
Inspectg>rjnd IMMEDIAT , Y IIIECOM r N , AND OID.
Use
Address or' Le al D ' lion
vl
Owner
• nip 9 e tAstidel.,
12t,t-f-WirASINAK
eft
Contractor •
1441
Setbacks Front Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing y -,276--__q•; 412/40
Foundation : fe.: _,'1 - .. ..
Underground Plumbing NA.
::Insulation NA
Rough Plumbing Ai •
• • Drywall .. om,
Chimney & Vent.,
-
Electric Final (by State inspector)•
Gas Piping I al -11 ./•;'--,,.
Final /R -a a -4"1 , _;'7:-Z=.-:7
Electric Rough (By Slate Inspector)
f
Septic Final - is ` 9 7 . f .^' c
Framing
(To include Roof in place and Windows
and Doors installed).
Notes:
vr
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRitIYSFERABLE
Phone 945-8212 109 8th Street County Courtiouse .Glenwood Springs, Colorado.
APP OVEDDO NOT DESTROY THIS CARD
ate !
�j til 130-0)44;1"r�.�
g�y.
PLACED OUTSIDE - COVER WITH CLEAR 1.LASTIC