HomeMy WebLinkAboutApplication- PermitSob Address
No. 5886
GARFIELII) COUNTY
BUILDING, SANITA7TONmitt PLANNING I)I5PAR771EENT
109 81.$ Street Suitt: 3113
Glenwood Springi, Colorado 81601
(303) 945-82I2
0162 Miller Lane, Rifle
Nature of Work Building Permit
Use aIBuild ing Addition
Owner Herbert & Ada Wagstrom
Conlruclor Own p r
Amount °I -Permit $ 556.46 Dale
Permit: 337.25
Plain : 219.21
paid $219.21 4-25-96
May 7, 1996
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. SST -6 PARCELJSCHED NO.
Jae ADDRESS O/ 6 2 /224-1-42) C/j/ Qj e i
lEON
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LEGAL
DESCR,
LOT NO.
BLOCK
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DWNER iSN/V'�GY`I C. OALLL4• /i�.% RNG,N'jADDRESSe/�
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WK. PI&Z541.80Z
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CONTRACTOR counter /V!
ADDRESS
PFI.
LICENSE NO.
4
ARCHITECT OR DESIGNER
ADDRESS
PH.
LICENSE NO.
5
ENGINEER
ADDRESS
PFI.
LICENSE NO.
6
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S.F OF BUILDING 3(7 r se F.r
S.F OF LOT
HEIGHT
NO. F FLOORS
7
USE OF BUILDING Jdatem c/a In/[t� .
8
CLASS OFWORK: °NEW jm.DDITION o ALTERATION REPAIR °MOVE °REMOVE
9
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DESCRIBEWORK: 4Q.4ttem of ! „'f/. .J.Nz�. p / CASE ril,,, mi east sae eP' resrdewc..c
JUU�
4SI%NYGLE
10
GARAGE SINGLE DOUBLE CARPORT DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11
VALUATION OF WORK' $ ADJUSTED VAL$q
PLAN CHECK FEE /V. gQ /
33 r,r�y
PERMIT FErSE
SPECIAL CONDITIONS: 3' tp 7a '/ 4. 3.r0$ 073/ 1
S/,7c
SCI -TOOL IMPACT FEEgfr
NO OF BUILDINGS ON OF BUILDINGS NOW ON
PARCEL ARCEL
ddA
TOTAL FEE j i.. dr4.
OCC. GR. ONNJST. TYPE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,
VENTILATING INC OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
NOT COMMENCED WITHIN 160 DAYS, OR IF CONSTRUCTION OR
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME
COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
THE SAME TO BE TRUE_ AND CORRECT. ALL PROVISIONS OF LAWS
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH
HEREIN OR NOT. THE 'GRANTING OF A PERMIT DOES NOT
AUTHO TY T VIOLA E OR CANCEL THE PROVISIONS OF ANY
LO LA EATING r •,-TRUCTION O- TFIE
n
WATER SUPPLY
DATE PERMIT ISSUED / -94 `
PLUMBING, HEATING,
SPECIAL APPROVALS
REQUIRED
RECEIVED
Nor REQUIRED
AUTHORIZED 15
WORK 15 SUSPENDED
ZONING
✓
`---
AFTER WORK IS
HEALTH DEPT.
AND KNOW
AND ORDINANCES
FIRE DEPT.
WHETHER SPECIFIED
PRESUME TO GIVE
OTHER STATE OR
PERFORMANCE OF
-769
SOIL REPORT
SETBACKS
FLOOD HAZARD
nature at er, Con/tor or eulenre. prized agt a . -ige notice .. .
.ing `/y(/ /.� n�/� �/'�
MANUF. HOME
Building pegment Approval e�' •Iannln. •-partrnenl Ih: -
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 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 I ITIA 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:
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 e ve down to existing grade contours?
Yes V No (1) 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 II EPA
certification? /
Yes No (,) Not necessary for this project ✓ (2)
13. Does the plan include a masonry fireplace including a fireplace section indicating
design to comply with the Uniform Building Code Chapter 37?
Yes No (1) Not necessary for this project ✓ (2)
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 (1) Not necessary for this project ✓ (2)
Does the plan include a window schedule or other verification that windows provide
natural light and ventilation for all habitable rooms?
Yes ✓ No (n Not necessary for this project (2)
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 (u 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 No (1) 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 n) Not necessary for this project tv (2)
19. Will this be the only resi ential structure on the parcel?
Yes No If No -Explain
3
20. Have two (2) complete sets of constructions drawings been submitted with the
applicatio
Yes No (,) Not necessary for this project (2)
21. Is this an application f�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 Ib. wind load); foundation
design; method of anchoring?
Yes No (,) Not necessary for this project (2)
22. Have you designed or had this plan designed while considering building and other
construe'on code requirements?
Yes No (3)
23. Does the plan accurately indicate what you intend to construct and what will receive
a final inspection by the Garfield Building Department?
Yes 1% No (3)
24. Do you understand that approval for design and/or construction changes are
required prior to the application of these changes?
Yes V No (3)
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 u2Your building permit?
Yes V 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 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 24
hour notice for inspections will delay your inspection one (1) day.
Yes 17 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 budding?
Yes ✓ No (3)
4
28. 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 complying with the Uniform
Codes". j
Yes ✓ No ()
I hereby acknowledge that I have read, understand and answered these questions
accurately to the best of my ability.
Phone: .5 pL. (days); (Pzs rf(ooL (evenings)
Project Name: i'trtled row add (,(b / on i'o rt. IhCM reside -vice,
JJ
Project Address: f((Pz Mrjfe11. i„ • fit •
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:
(3)
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.
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.
PerAppO2.95 Effective August 15, 1995
5
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
ifpARFIELD COUNTY, COLORADO f
Date Issuell.}F.'*�' Zoned Area Permit No 22
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 13uilding
Inspector • d I}MMED ATELY BECOME NULL AND VOID.
Use yF°4 '*•'(L4 ,:i; ,_,!J tit a7
Address r .egal )escril ion iG Z / t t v e
� ►'f r th Contractor 044'7v 4•%
Owner C7
Setbacks Front ' Si c Sitte
Rear
This Card Must Be Posted So It is Plainly Visible From The Slreet Until Final Inspections.
INSPECTION RECORD
Footing
Foundation „7--, 9-�(,:i
Underground Plumbing
Insulation 1 _(7_ t'( 1(41
Rough Plumbing
Drywall 7 .,,2,i. --`7C tly,
Chimney & Vent
�p
Electric Final (by State Inspector)ro 7'C,-,, —
Gas Piping
Final ca _ '
9 -Electric Rough (By Slate InspectorX(I t
Septic Final
Framing E -S -%l ..j ,c-zs
(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.
THIS PERMIT 1S NOT TRANSFERABLE
Phone 945-8212 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPI�OVEDri NOT DESTROY THIS CARD
Dat13�J� By+t 1. 4)
IF PLACED OUTSIDE - COVER WITH CLEAR PLASTIC