HomeMy WebLinkAboutApplication- PermitJob Address
No. 5963
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING .DEPARTMENT
109 8th SI owl. Sidle 303
Glenwood Springs, Colorado 81601
(303)945-8212
0176 Winchester, Rifle Village South, Lot 6, Block 1, Rifle
Nature of Work
IJse of Building
Owner
Building Permit
Single Family Dwelling w/Double Garage
Bob Statler
Contractor Owner
Amount ofPermit ._ 1,505.21
Permit: 912.25
Plan : 592.96
Paid $586.46
Dale July 7, 1996
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. 59 6 3 PARCEL/SCHED NO.
JOB ADDRESS 67 �� 4 1/i C/YC.f�.7iC/_ f /e•/''L� • T
/ 64
1
LEGAL
DESGR.
LOT NO.
BLOCK
1
SUBDIVISION n
•! fi LE, `J'ZL L -AG, f_.�a'
$ Z )--12
OWNER ,@,, 'ST A L€12,,
ADDRESS 21 1 5001 H ci
PH.1 s - iliac.
WK. PH, Gi'�'1..g'`1
3 J
�
CONTRACTOR ,. aM
Vw.. +
ADDRESS
PH.
�(inci
LICENSE NO. `3 € _ u' L'-;
4
ARCHITECT OR DESIGNER //
ADDRESS
PH.
LICENSE NO,
5
ENGINEER
ADDRESS
PH.
LICENSE NO.
6
S.F OF BUILDING 1Si3-t4 /``SQ a
OF LOT gO()6
HEIGHT
NO, or FLOORS 1
7
rS.F
C�
USE OF BUILDING S. rl f .I -1f)- \ ly W,}1` ;,, pwreer s- 1,5scT��. ,IO Gf4.2/.
8
CLASS orwoRK: teNEW ❑ADDITION o ALTERATION ❑/REPAIR o MOVE oREMOV il!/// ;,7_ 4/5607d•‘q- f 6/0.t/
9
r77,_.11,J�
1CY �-�'�y
DESCRIBE WORK: L on,s 'f"VL�4 0". (if- is r1 \Q 1 =� • 1 /,-5 J �,�.
�J
C n 2r
'
10
GARAGE SINGLE agriM f`64 CARPORT SINGLE DOUBLE
-iltDRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT /J. r%,SITE PLAN A LinaL ,q g Li `� 0-0.5-.2/
11
VALUATION OF WORE: $ -7S OW ADJUSTED VAL $ 1x'5.32.1 y
PLAN CHECK FE +
PERMIT FEE 7/ • ,7,5
SPECIAL CONDITInNS
/Weigh va0 LTSNl� Li//%/45
6- 5r1'4-ar'4/• 13' / /6.6 9 M 7. 4 /0, 4' '/
V DE.>
SCHOOL litPACT FEE 'a
s/ OO ,0
NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
TOTAL E f Q : 2 I
V`
OCC. GR. I
`'
CONST. TYP t
/ y I / 11f
1 eA.' `-•20 / NOTICE /Ca/ a -4'
G,A L pts 64n,w,T 4/4,�-; u, ---r V2/<‘
MQI
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLLG,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
COMMENCED,
I HEREBY CERTIFY THAT f HAVE READ AND EXAMINED THIS APPLICATION AND
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
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
LOCAL LAW REG EATING CONSTRUCTION OF THE PERFORMANCE
CONSTRUCTION.. d %% 1
6 a HCl Ds.Alr {`�1.
WATER SUPPLY
DATE PERM}T ISSUED 7- - 9 40,
EATING,
SPECIAL APPROVALS
REGUIREO
REcE ED
NOT REQUIRED
IS
ZONING
Y
WORK IS
HEALTH DEPT.
KNOW
FIRE DEPT.
TO GIVE
SOIL REPORT
OR
OF
SETBACKS
FLOOD HAZARD
ISLE i}®
Ci
Signature of Owner, Contractor or authorized agent h.i 'ng
. •
Agri AP
rlment ,ppr...:
MANUF. HOME
9
Bu ding De mentApprovald pi Ing IL.
OTHER
� ,�-y �
I..')/fsuC/1./ex-4
t
`-..--?
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 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
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
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 IINITIAL .0 . 1
GARFIELD COUNTY BUILDING AND PLANNING
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 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
completed check list at time of application for a permit:
1
1, Is a site plan included that indicates the distance of the proposed
building or addition to property lines, other buildings, set back
easemen nd utility easements?
Yes No u} Not necessary for this project (2)
2 Does the site plan include the location of the T.S.D.S_.(ncfi-vidtra1
Sewage-Dtsp at'system) and the distances to property lines, wells --{.an
sabl ct roperty'and-ad acent-properties) , streams or water courses?
Yes _ No (i) Not necessary for this project (2)
3 Does the site plan indicate the location and direction of the County or
private road accessing" the property?
Yes No (I) Not necessary for this project (2)
4. Do the plans include a foundation plan indicating the size, location
and spacing of all reinforcing steel in accordance with the uniform
buildingcode or per stamped engineered design?
Yes / No (i) Not necessary for this project (2)
S. 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 (1) Not necessary for this project (2)
6. Do the plans indicate the size an location of ventilation openings for
the attic roof joist spaces and soffits?
Yes _V No (0) Not necessary for this project (2)
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 .M]/- No (i) Not necessary for this project (2)
S. Does the plan include a building section drawing indicating
foundai pn, wall, floor and roof construction?
Yes t No to Not necessary for this project (2)
9. Does the building section drawing include size and spacing of floor
joists,w 11 studs, ceiling joists, roof rafters or joists or trusses?
Yes V No 0, Not necessary for this project (2)
2
1-x NE.,
10. Does the building section drawing or other detail include the method
of positiy connection of all columns and beams?
Yes ✓ No c1, Not necessary for this project (2)
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 be een the ridge and the eave down to existing grade contours?
Yes No , Not necessary for this project (2)
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 1I EPA certification?
Yes No n, Not necessary for this project 1/7271*
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 Not necessary for this project r c2,
;re 11/gCe
14. Does the plan include a window schedule or other verification that
egress/rescue windows from sleeping rooms and/or basements
complyV ith the requirements of the Uniform Building Code?
Yes No m Not necessary for this project (2)
15. Does the plan include a window schedule or other verification that
windows provide natural light and ventilation for all habitable rooms?
Yes No _Ai) Not necessary for this project (2)
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
enclosups and specify safety glazing for these areas?
Yes _ No' n, Not necessary for this project (2)
17. Is the location of all natural and liquid petroleum gas furnaces, boilers
and water heaters indicated on the plan?
Yes .1,7 No c„ Not necessary for this project (2)
18 Do you understand that if you belong to a homeowners association, it
is your responsibility to obtain written permission from that
association, if required by that: association, prior to submitting an
application for a building permit?
Yes No m Not necessary for this project
3
19. Have two (2) complete sets of constructions drawings been submitted
with the application?
Yes No cI> Not necessary for this project (2)
20. Is this an applicationr the placement of 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 No n) Not necessary for this project (2)
21. Have you designed or had this plan designed while considering
buildi.n.and other construction code requirements?
Yes !/ No _____(31
22. Does the plan accurately indicate what you intend to construct and
what will receive a final inspection by the Garfield Building
Departm nt?
Yes v No (3)
23. Do you understand that approval for design and/or construction
changes are required prior to the application of these changes?
Yes _L/ No
24. 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 ci)
25. 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
occupa y of the building?
Yes V No (31
26. 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 implying with the Uniform Codes".
Yes V No (3)
(CONTINUED ON NEXT PAGE)
4
I hereby acknowledge that I have read, understand and answered these
questions accurately to the best of my ability.
--0?if
date
Phone: `LIS- q c) i (days); ILf.?
Project Name: S i ATLF.,
Project Address:
Notes:
(evenings)
(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.
PerApp02.95 Effective August 15, 1995
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community lloodpiain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
O.M.B. NO. 3067-0077
Expires May 31, 1996
SECTION A PROPERTY INFORMATION
BUILDING OWNER'S NAME
Bob and Tobi Statler
STREET ADDRESS (lnclonding Apt, Unit, Suite an /or Bldg. Number) OD P.C- FIOUTE AND BOX NUMBER
•
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIL NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lot 6, Block 1, Rifle Village South Subdivision
STATE ZIP CODE
CITY Colorado glE50
Rifle
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See instructions):
1. COMMUNITY NUMBER
080205
2. PANEL NUMBER
1353
3. SUFFIX
4. DATE OF FIRM INDEX
January.3, 1986
5. FIRM ZONE
AO
6. BASE FLOOD ELEVATION
fin AO Zones, use depth)
1 foot depth
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BEE): ❑ NGVD '29 y 1 Other (describe on back)
B. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE. I I I I LI feet NGVD (or other FIRM datum -see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level 1
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I 151316171 IfLI feet NGVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of 1 I 1 1 1 I .❑ feet NGVD (or other FIRM datum -see Section 9, item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is 1 [ 1.1_i feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I Il I L feet above or below LI (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? 1j Yes 1 No 1❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 1 i Other (describe
under Comments on Page 2). (NOTE: if the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevatiun reference mark used appears on FIRM: XI Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: x actual construction ❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: I P 13161 51 .feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I _ )_-.� _� .IJ feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement ___ -
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A1 -A30, AE, AH, A (with 8FE),V1-V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AC and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features -If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area F.,e,011RfasfAii,n list the Feature(s) not
m
included in the certification under Comments below, The diagram number, Section C, Itev,!, t t e/
red.
:111 L`�� a Q+
1 certify that the information in Sections B and C on this certificate represents my best effrt},1Pr =erpret yailable.
I understand that any false statement may be punishable by fine or imprisonment undl� d JOS. Code, Sec 1,
Stephen L. Ehlers `�'° gel
e'er 0 2U133 ; c�a
CERTIFIER'S NAME r'- i�
LICENSE NUMBER .(or`Attix Seal) ' :I
Tent: Schniueser `Cords -:.1., Inc_
COMPANY NAME
118 West 6th Street, Suite 200 Glenwood 5 rim s c~T�
ADDRESS CITYP 9 lorar10 81h fl l
STATE ZIF
SIGNATURE October 3, 1996 '970/945-1004
DATE PHONE
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON
SLAB
A
ZONES
V
ZONES
EASE
FLOOD
ELEVATION
ADJACENT
GRADE
WITH
BASEMENT
ON PILES,
PIERS, OR COLUMNS
A A
ZONES ZONES
BASE
FLOOD
ELEVATION
ADJACENT
GRADE "
!REFERENCE
LEVEL
V
ZONES
.<EFERENCE
LEVEL
BASE
FLOOD
ELEVATION
:! ADJACENT:.
GRACE '.
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
O.M.B. NO. 3067.0077
Expires May 31, 1996
SECTION A PROPERTY INFORMATION
BUILDING OWNER'S NAME
Bob and Tobi Statler
STREET ADDRESS (Including Apt„ Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NALC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lot 6, Block 1, Rifle Village South Subdivision
CITY STATE -
Rifle Colorado
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
81650
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
080205
2. PANEL NUMBER
1353
3. SUFFIX
4. DATE OF FIRM INDEX
January 3, 1986
5. FIRM ZONE
AO
6, BASE FLOOD ELEVATION
(in AO Zones, use depth)
1 foot depth
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BEE): NGVD '29 Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I L 1 I I H feet NGVD (or other FIRM datum—see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1, Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level l..__ .
2(a). FIRM Zones A1 -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I5131L71 LQj feet NGVD (or other FIRM datum—see Section 8, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I IJP . J feet NGVD (or other FIRM datum—see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is I I 1 H feet above I-1 or
below (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I 1 I L51feet above or below LI (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? fl Yes I No L Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 L Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section El, item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: C Yes 1 No (See Instructions on Page 4)
5. The reference level elevation is based on: Sactual construction construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: L- 1316n 151.feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: Lb_ i 1 1 H feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 93
REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
TOif
r S CARD IS POSTED ON THE JOB
24 (OURS NOTICE REQUIRED FOR INSPECTIONS
UILDING PERMIT
GARFIELD COUNTY, COLORA
._ _ __
Date Issued �' Zoned Area Permit No.DO
403
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 e.-ection 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, ,rection and
constructio of the above descr'bed structure, the permit may then be revok 3d by notice
from t/u g I s e t r and I ME LY B C ME LL AND VOID,
Use �. 1 fI� �: ..
Add ess or Legal Descri ti n C." 441746 e•
Owner b "urf&+ ire ` Contractor D P
Setbacks
Front
Side
Side
Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning
Roof Covering
Footing 7./7_70 j— ,
Electric -Final (by STATE inspector)
Foundation x' .2) y6.�«( ,-'
Plumbing -Underground `7-1,z9.% c, -;-.4..e
Gas Piping -. ,-:y -c;:. lam: 4
Heating Ventilation
Frame "y - -A _ y,
Insulation 2- ;7 - ( tiL'i k_ -
Plumbing -Rough
Plumbing -Rou h -.=;, -J,Z-Drywall
g g
Dr wall ' -
Electric -Rough w
(by STATE inspector)
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 1119 8th Street, County Courthouse, Glenwood Springs, Cola.
APPROVED DO NOT DESTROY THIS CARD
Date 1 By14,7 4$41,50‘k
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A1—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification, In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feats ; dltli?p list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item, f;,.n1us tffl4 red.
L.
I certify that the information in Sections B and C on this certificate represents my best efforts7rp_ riterprel � : j; vailable.
I understand that any false statement may be punishable by fine or imprisonment und& ?J&TIE'S". Code, Se • Pi.
Stephen L. Ehlers
CERTIFIER'S NAME
LICENSE NUMBER (or'Affix Seal)
Schrtiueser `'GoTdo l.
tn'rrado
TITLE COMPANY NAME
118 West 6th Street, Suite 200 Glenwood Springs
ADDRESS _ ) CITY
_•Ai.�.�� �•_. October 3, 1996 970/945-1004
SIGNATURE
STATE
Inc
81601
ZIP
DATE PHONE
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
REFERENCE
LEVEL
ON
SLAB
A
ZONES
V
ZONES
BASE
FLOOD
ELEVATION
REFERENCE
LEVEL
ADJACENT
GRADE
WITH
BASEMENT
BASE
FLOOD
ELEVATION
ADJACENT :'
GRADE
REFERENCE
LEVEL
ON PILES,
PIERS, OR COLUMNS
A V
ZONES ZONES
REFERENCE
LEVEL
BASE
FLOOD
ELEVATION
'.a ADJACENT (i
GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2