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HomeMy WebLinkAboutApplication- PermitTn. 5 9 7 9
GARII.E[.!J COUNTY
IIUIf_JNNG, SA NI 7A7TONa+rrd PLANIVKAU /J!i.PATCTMENT
109 lith Strut S1iiIc 303
Glcnwovd Springs, Colorado 81601
(303) 945-8212
Job Address 73 Sipprelle, Battlement Mesa
19ature of Work Building Permit
use of Lluildinp Remodel Interior
Owncr
Contractor
St. Mary's Hospital & Medical Center
Francis Constructors, Inc.
AinountorPerrniLL 829.54 Daft. July 21, 1996
Permit: 502.75
Plan : 326.79
Paid $586.46 6-17-96
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
applicant to complete numbered spaces only. PERMIT NO. 59 %7 , PARCEUSCHED NO.
JOE ADDRESS
1
2
LEGAL 1
DESCR.
3
4
lrnpl ELLE 1 cs%AINS 4? 1 2-AN.(va 9 S 5Er_no, I"I
LOT NO. LOCK
ST Nvax.J-('a 44,05 vt
OWNER t. totem I Cly t,. erm. its' •L
5
SUBDIVISION To d.4 N CENTER- F i Li hJ G. 1
zL35,.N. —1 ST.
ADDRESS I`iP-/„,Np SMCZM,CO $/�i
PH'2_41- 1213
WK. PH
CONTRACTOR FP-Anicas Coo Slam cab L
nuc..
72,135C/2_T w5
ARCHITECT OR DESIGNER Aull / mattimr
P.O.38y fl(7
ADDRESS fs • 3-. co 9 `yam I
Woo N• R, '"f 5T 4. 3 S
ADDRESS 6.S. $ s gp I
PH.41311-9043
LICENSE NO.
PH 2.5-6,-118
LICENSE NO. To b i (0
ENGINEER 73U WzAAsso /4-1Evrc.
/aoo ra• 94'1' St #
ADDRESS 6 . 1-L co 8. Sa 1
PH2.La 3851
LICENSE NO.
6
S.F OF BUILDING 8 Cor:.o55 S. F,
S.F OF LOT lv.A
HEIGHT /4) 4
NO. OF FLOORS
7
USE OF BUILDING
8
9
is - 2 A /-',x.E1. Antal i" 12-0-0M
CLASS OF WORK: D NEW PDDITION D REPAIR D MOVE D REMOVE
10
DESCRIBE WORK. 51"(jex ij�arl4, ga ILADuaL .
GARAGE SINGLE DOUBLE
CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT
SITE PLAN
11
VALUATION OF WORK: 5 '-`- -ADJUSTED VAL. f -y06
PLAN CHECK FEE r� 7 .
PERMIT FEE
SPECIAL. (re, �lrq , y5,6 # 0,1 .3 - "f �1 f t , 0 V
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 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
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 REGULAT NG CONSTRUCTION OR THE PERFORMANCE OF
CO
• N.
SCHOOL IMPACT FEEI/A NO. OF BUILDINGS ON
PARCEL
TOTAL F!
OCC. GR, J r
USE OF BUILDINGS NOW ON
PARCEL
CONST. TYPE.
ct,P1
Building Department App
limning Department A
WATER SUPPLY
DATE PERMIT ISSUED
SPECIAL APPROVALS
RECK: RED
.RECEIVED
NOT REOUIREO
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
SETBACKS
FLOOD HAZARD
MANUF. HOME
OTHER
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 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 R,.QUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIr:IS 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
JURISDICTION.
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
RESPONSII1ILITY 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 ACKNOWLEDG THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE f1NITIAL
•• 7 q& s � �l d/ax)l curet
1
GARFIELD COUNTY BUILDING AND PLANNING
MINIMUM APPLICATION REQUIREMENTS
for
CONSTRUCTION OF
COMMERCIAL OR MULTI -FAMILY RESIDENTIAL BUILDINGS
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.
1
Applicants are required to indicate appropriately and to submit completed
check list at time of application for a permit:
1. Is a site plan included that indicates the distance of the proposed
building or addition W property lines, other buildings, set back
easements and utility easements?
Yes No ,u Not necessary for this project ✓(2,
2. Are the plans submitted for application construction drawings and not
drawings that are stamped or marked identifying them as "Not for
construction, for permit issuance only", "Approval drawings only", "For
permit i,suance only" or similar language?
Yes ✓ No (1) Not necessary for this project (Z)
3. Does the site plan include the location, including the distances to
property lines, wells (on subject property and adjacent properties) ,
streams or water courses of the I.S.D.S. (Individual Sewage Disposal
System) and has the system been designed, stamped and signed by a
Colorado registered engineer?
Yes No (1) Not necessary for this project ✓ (7)
4. Does the site plan indicate the location and direction of the State, County
or private road accessing the property?
Yes No („ Not necessary for this project
5. 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 ✓ No („ Not necessary for this project (2)
6. If the building is a pre-engineered structure, is there a stamped, signed
engineered foundation plan for this building?
Yes No (L) Not necessary for this project _s'(2)
7. 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 No u> Not necessary for this project v7(2)
8. Do the plans indicate the size an location of ventilation openings for the
attic, roof joist spaces and soffits?
Yes No (u Not necessary for this project V. (2)
2
9. 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)?
Yes No (l) Not necessary for this project v-<27
10. Do the plans include design loads as required for floor loads under
Uniform Building Code Section 2304 and Tables 23-A and 23-B?
Yes No ()) Not necessary for this project
11. Does the plan include a building section drawing indicating foundation,
wall, floor and roof construction?
Yes _ ,% No (1) Not necessary for this project (2)
12. Is the wind speed and exposure design included in the plan?
Yes No (l) Not necessary for this project (2)
13. Does the building section drawing include size and spacing of floor
joists, wall studs, ceiling joists, roof rafters or joists or trusses?
Yes No (i) Not necessary for this project ✓,z)
14. Does the building section drawing or other detail include the method of
positive connection of all columns and beams?
Yes No (L) Not necessary for this project ✓)
15. 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 ✓ No (I) Not necessary for this project (2)
16. 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 ' (1) Not necessary for this project ✓cz)
17. Does the plan include a masonry fireplace including a fireplace section
indicating design to comply with the Uniform Building Code Chagter 37?
Yes No ()) Not necessary for this project (z)
18. 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 to Not necessary for this project
19. Does the plan include a window schedule or other verification that
3
windows provide natural light and ventilation for all habitable rooms?
Yes No 0) Not necessary for this project _ (2)
20. 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 spec- fy safety glazing for these areas?
Yes _ No u, Not necessary for this project (2)
21. Do the plans include a complete design for all mechanical systems
planned for installation in this building?
Yes ✓ No 0> Not necessary for this project (2)
22. Have all areas in the building been accurately identified for the intended
use? (Occupancy as identified in the Uniform Building Code Table 5-A)
Yes ✓ No m Not necessary for this project (2)
23. Does the plan indicate the quantity, form, use and storage of any
hazardous materials that may be in use in this building?
Yes No 0) Not necessary for this project _1,Z2)
24. Is the location of all natural and liquid petroleum gas furnaces, boilers
and water heaters indicated on the plan?
Yes ✓ No u) Not necessary for this project (2)
25. Do the plans indicate the location and dimension of restroom facilities
and if more that four employees and both sexes are employed, facilities
for both sexes?
Yes No n, Not necessary for this project ✓ (2)
26. Do the plans indicate that restrooms and access to the building are
handicapped accessible?
Yes No u, Not necessary for this project t,''(2)
27. Have two (2) complete sets of constructions drawings been submitted
withth application?
Yes V_ No ((, Not necessary for this project (2)
28. Have you designed or had this plan designed while considering building
and of r construction code requirements?
Yes No (3)
29. Does the plan accurately indicate what you intend to construct and
4
what will receive a final inspection by the Garfield County Building
Department?
Yes V No (3)
30. Do you understand that approval for design and/or construction
changes are required prior to the implementation of these changes?
Yes _. No (3)
31. 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 "Septic system " fees
required, at the time you pick up your building permit?
Yes ✓ No (3)
32. 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 ✓ No (3)
33. Are you aware that the person signing the Permit Application whether the
"Owner", "Agent of the Owner", "General Contractor", "Contractor" or
otherwise, signing the application is the party responsible for the
project pmiplying with the Uniform Codes".
Yes _ No (3)
I hereby acknowledge that I have read, understand and answered these
questions accurately to the best of my ability.
415196
date
Phone: 17O/434- t 3(days); (evenings)
Project Name:
5T M PIE`S T Jt(A 1 F l s N- (3A-Tic.eneNir 1 ESR
Project Address: 1- S' MPP4.ELLE yow,Jsuipl ZAA ,e Gy SECTIon[ 1-7
(Refer to notes on next page)
5
Notes:
(1) if you have answered "No" on any of these 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 the
permit.
(2) If you have answered "Not necessary for this project" on any of the
questions and it is determined by the Building Official that the
information is necessary to review the application and plans to
determine minimum compliance with the adopted codes, please expect
the following:
A. 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.
B. Delay in issuance of the permit.
C. Delay in proceeding with construction.
(3) if you answered "No" to this question the circumstances described in the
question could result in a "Stop Work Order" being issued or a
"Certificate of Occupancy" not being issued.
PerApp01.94 Effective - January 1, 1995
6
ROBERT D. JENKINS/AIA/ARCHITECT
1000 N. 9th Street, Suite 35
Grand Junction, Colorado 81501
(970) 256-1980
Fax (970) 256-1953
TO: Garfield County Building Dept.
109 8th Street, Suite 303
Glenwood Springs, Colorado 81601
LETTER OF TRANSMITTAL
Date:
05/21/96 Job No.: 9601
Attn:
Mr. Don Owens, Chief Building Inspector
RE:
Grand Valley Family Practice - 2
WE ARE SENDING YOU THE FOLLOWING ITEMS: ■ Attached ❑ Under seperate cover via
O Shop drawings ■ Drawings 0 Submittals 0 Samples
O Copy of letter 0 Change order 0 Pay Request ❑
Bid documents for Grand Valley Family Practice.
• Specifications
THESE ARE TRANSMITTED as checked below:
❑ For approval
■ For your use
❑ As requested
❑ For review and comment
REMARKS
❑ No Exceptions Taken ❑ Resubmit
❑ Exceptions as Noted 0 Submit
❑ Revise and Resubmit 0 Return
❑ Reviewed ❑
copies for approval
copies for distribution
correct prints
COPY TO: SIGNED: Robert D. Jenkins
FRANCIS CONSTRUCTORS, INC.
P.O. Box - 1767
Grand Junction, CO 81502
(970) 434-9093
FAX (970) 434-7583
TO' a."( \ Y- .g
WE ARE SENDING YOU 0 Attached
Shop drawings ❑ Prints
❑ Copy of letter
@l 'TEL:\H, E
DATE
JOB NO.
ATTENTION
RE:
❑ Under separate cover via the following items:
❑ Change order
❑ Plans
0 Samples
/Specifications
COPIES
1�
1
DATE
NO.
DESCRIPTION
THESE ARE TRANSMITTED as checked below:
O For approval . 0 Approved as submitted 0 Resubmit copies for approval
❑ For your use ❑ Approved as noted 0 Submit copies for distribution
O As requested ❑ Returned for corrections 0 Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED• C
if enclosures are not as noted, kindly notify
at once.
et)Ir�119�,
THIS CARD IS OSTED ON THE JOU
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued .7-1/:; 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 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, locaticn, erection and
construction of the above described structure, the permit may then be revoked by notice
from e aunty Buil 'ng Inspector and IMM DIATELY BECOME NULL AND VOID,
Use r. 'r} -i,�
Address or Legal seri lion
_I..,
Owner,—.; r ►,='J)
f
Setbacks Front
Side
(
I
'.
Contractor :t
Side Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning
Roof Covering
Footing
Foundation
Electric -Final (by STATE inspector
Plumbing -Underground • _ eiG l �, .
Gas Piping (.c / 1:�•..
Frame h �. , : - --
Plumbing-Rough ' -
Electric -Rough S�J-c�4. _,.,,.._
(by STATE inspector)
Heating Ventilation
Insulation " -1' 5
Drywall 7 i -
Final ' - ). G /s
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
Phone 945-8212
THIS PERMIT IS NOT TRANSFERABLE
10 9 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DO NOT DESTROY THIS CARD
Date '�Y, y By a 4)(ki " / i
1