HomeMy WebLinkAboutApplication- PermitJob Address
No. 5501
GAR FIELD COUNTY
BUILDING, SANITATION -and PLANNING DEPARTMENT
109 8th Street Suitt 303
Glenwood Springs, Colorado 81601
(303) 945-8212
3427 County Road 226, Rifle
Nature of Work Building Permit
1J -scot -Building S/F Dwelling
Owner Mark Wagstrom
Contractor Owner
Amount of Permit 1,08403
P an u; 65/.00
422.05
Paid $284.05 4-12-95
Date May 3, 1995
S. Archuleta
Ck rk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
plicant to complete numbered spaces only. PERMIT NO, 5522/ PARCEUSCHED NO,
.
Joe ADDRESS J1-1,9.--1
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1
LEGAL
DESCR.
LOT NO,
I
BLOCK
SUBDMSION
2
OWNER V ; LO �` .X e N
ADDRESS `� u 'a`l _ "a "Z f
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PH.
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WK. PH 47 pt 5- /(�jz
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CONTRACTOR frV,'�,� %I -Tom
ADDRESS "� �r — pALY-R A
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LICENSE NO,
4
ARCHITECT OR DESIGNER
ADDRESS
PH.
LICENSE NO.
5
ENGINEER
ADDRESS
PH.
LICENSE NO.
6
S.F OF BUILDING ci9i 3( y vLt.[
S.F OF LOT
HEIGHT
NO. OF FLOORS
7
USE OF BUILDING Ib� 41 4 11 q�
8
CLASS OF WORK: ❑ NEW 'ADDITION 'ADDITIIONJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
9
DESCRIBE WORK: fa�f) c\ .$ 1J.3 SIZ: �j
VJ d -k- t n ,R rl.o 1 W UXL!/J n �. %A)J
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10
GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
11d
VALUATION OF WORK $ IC) �7� ADJUSTED VAL.� PLAN fa�Y
W p?iy, 6 5
PERMIT FEE c
SPECIAL CONDITIONS: g x, 1,2'. -.of - '7', -Jv-4,,-4,,f)SCHOOL
Oi r # I r•:2' '= /4 ii'Yi• or
01#141. cfgr+r � 6; .ta 7. G2,4 yl.fed
IF, 65.'0 r31 r' e
IMPACT FEE
NO. OF BUILDINGS ON
PARCEL
USE OF BUILDINGS NOW ON
PARCEL
/ c�I
TOTAL FEE 4 osiedd
A
OCC, GRA -3
CONST. TYPE
.41947/q
J�r� NOTICE /O4 90...2r
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
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 I 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 NAOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE
UC Qi. il' '
(Date)
LS �Y�` /21
HEATING,
WATERS 'PLYs�f
DATE PERMIT ISSUED ....5-3-,95—
3-9S—SEPARATE
SPECIAL APPROVALS
REQUIRED
RECEIVED
NOT REawREo
IS
ZONING
WORK 18
HEALTH DEPT.
KNOW
FIRE DEPT.
TO GIVE
SOIL REPORT
OR
OF
SETBACKS
r 99
FLOOD HAZARD
Signat - of , ortt tor ora ttrized age, =vin. .4,,,lunderstood notice
5.11 / ,��
a v
s--,
MANUF. HOME
' . ng I p= mentApprovaldate Planning cep.' mentApprovaldate
1
OTHER l
AGREEMENT
PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR ANDJOR 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 (INITIALI f� 1
7,4
(7/- i 5
.GARFIELD COUNTY BUILDING AND PLANNING
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE FAMILY DWELLING CONSTRUCTION
including
NEW CONSTRUCTION
J\1DI)ITIONS
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 I)e 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 tl)e 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 ih line for review may be given attention
before the new information may be reviewed after it has been provided to
the Building DepaEiinent.
Please review this document to determine if you have enough information
to design your project and provide adequate information to facilitate a plass
review. If you do not, it may be helpful to obtain a book titled 'Dwelling
construction lender the Uniform Building Code. This book is available to
you though tll.is department at our cost. Also, please consider using a
design professional for assistance hi 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
Is a site plan included that indicates llie distance of the proposed
building or addition to property lines, other buildings, set back
easenre Is and utility easements?
Yes Nc) (0 Not necessary for this project (2)
2. Does the site plan include the location of the 1.S.D.S. (Incliviclual
Sewage Disposal System) and the distances to property lines, wells
(on subject properly and adjacent properties) , streams or water
course$'?
Yes L/ No Jo Not necessary for this project _____(2)
3. Does the site plan indicale the Location and direction of the Count or
privat f road accessing the property? Y
Yes ,/ No co Not necessary for this project (2)
11. Do the plans include a foundation plan indicating the size, location
and spacing of all reinforcing steel in accordance with the uniform
hunch/ g code or per stamped engineered design?
Yes Nt) co Not
necessary for this project `____(2)
5. 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 Nn / ,,, Not necessary for this project 2
6. Do the plans indicate the size an location of ventilation openings for
the at/ft, roof joist spaces and soffits?
Yes No (I) Not necessary for this project _____ (2)
1 Do the plans include design loads as required uncle!. the Ur
Building code for roof snow loadsuin aiform
of 40 poun
square fool in Garfield County) floor loadsandwind loads?ds per
Yes No `___r (,) Not necessary y for this project f2,
8. Does re plan include a building section drawing indicating
found tion, wall, floor said roof construction?
Yes - _-- No „0 Not necessary for this project (2)
9. Does tie 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 (2)
10. Does the building section drawing or other detail include the net
of positive connection of all columns and beams? riot!
2
Yes No " c0 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 between the rijlge and the cave down to existing grade contours?
Yes No u, 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 11
certifications or pliye 11 EPA certification?
Yes No _0( Not necessary for this project
J (2) •
13. Docs the plan include a masonry fireplace including a fireplace
section indicating design to comply with the Uniform Building Code
Chapter 37?
Yes No _c�, 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
coni p1 witlh the requirements of the Uniform Building Code?
Yes No ��r Not necessary for this project (Z)
15. Does t.be plan include a whitlow schedule or other verification that
windows provide natural light and ventilation for all habitable rooms?
Yes No (,, Not necessary for this project (2)
16. Do the plans indicate the location of glazing subject to human im pact
such as plass doors glazing imincdiatel I
f y acljaceiat to such doors;
glazin t adjacent to any surface normally used as a walking surface;
sliclin glass doors; fixed glass panels; shower doors and tub
codas ries and specify safety glazing for these areas?
Yes No ci, 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 ,,, Not necessary for this project
18. Have two (2) complete sets of constructions drawings been submitted
with tare application?
Yes No {t, Not necessary for this project (2)
19. 1lav you designed or had this plan designed while considering
buil( ing and other construction code requirements?
Yes _____ No
3
20. Does the plan accurately indicate what you intend to co
what will receive a final inspection by the Garfield construct ane!
De.par lment? Itcicl I3ttilclin�T
Yes _ -- No
of
21. Do you understand that approval for design and/or construction
chane es are required prior_lo the application of these changes?
Yes No
22. Do you understand that the Building Department will colIect a "Plan Y r
Review" fee from you at the line of application and that ou w'lI be
required to pay the "Permit Fee" as well as any "School impact" or
"Septi : system " fees required, at the time you pick up our b
perm' ? Y uilciinl,
Yes_ _-- No
uo
23. Are you aware that you are required to cal for all ins
required Under the Uniform Building
r including . inspections
final inspection_m1or to receiving aCertificate]LoflOccupan y anon a,
occuncy of the building? Occupancy anti
ka
Yes _____ No
Go
24, Are you aware that the person sir
Permit
the "Owner", "Agent of the Owner", " -, ]ninglegal Contractor", "Coll] tr'Iac
Mier
or of 1e'1'wlse, signing the application is the party responsiblefor the
I)ro.je 't complying
with the Uniform Codes".
Yes - No
thereby acknowledge that 1 have read, understand and answe '
gtIestions accurately to the best of trey ability, ecce these
signature
Phone: r ,�, �
(days); (c. ,
venings)
Project Name:c
Project Address: 3
/z /!i5
4
Notes:
(1) If you have answered "No' on any of these dluestinrts 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 he expected. Work may not proceed without the Issuance of the penal!.
(2)
if you have answered "Not necessary for Nils project' on ally of the questions rind It Is determined by
the Building [!!ficial Ihal 1115 information Is rteceasary to review the application and plans to determine
minimum compliance with the adopted codes, please expect the following:
A. The application may he placed behind more recent applications for building hermits In the
review ptocess and not reviewed until required Infonnatlon has been provided and the
application rotates again to first position for review.
Il.
Delay In Issuance of the permit.
C. 1)clay In proceeding with construction.
(3) if yadt answered "No" la 11tis question the cIrcunislances described in the question could result Ina "Stop
Work Order' being issued or n "Ccrllllcale of Occupancy' not being issued.
PerAppO1.94
5
Lffective May 1, 1994
iJ
*--
•
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
FIELD COUNTY, COLORADO
d/1 ..
Date Issue Zoned Area Permit Na.
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 ab v described str ture, the permit ay then be revoked by notice
from the �n ect r nA AT Y E OM SND VOID,
Use �� (� permit
�,�
Address g1 legal Deiption
dier
OwnerContractor
,r; Setbacks Front Side Side Rear
IThis_cargMat Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning
' Roof Covering
Footing i1 vq< ,;,,i,,4
Electric -Final (by STATE inspector)
ie—res) -1-7 C'I''—
Foundation i i _g i — .e,,
Plumbing -Underground j
Gas Piping
Heating Ventilation
Frame 4i U + .7,r , r;-- -
Insulation -z_' -f; ,'
Plumbing-Roug1i r/>-27 _,., V
Drywall /a -ate ' ' ,s} 1_
Electric -Rough ,i / , t
,
(by STATE inspector) ' I (�'t / f () I
Final. -27x- 7.. /;;;s/5
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 109 8th Street, County Courthouse, Glenwood Springs, Colo.
V E D DO NOT DEST OY THIS CARD00101
3 By/h, at)
IF PLACED OUTS12, - C OVER WITH CLEAR PLASTIC