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HomeMy WebLinkAbout5463 P No. 5463 GARFIELD COUNTY BUI DING, SANITA TIONandPLANNINGDlPARTMMNT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 (303) 945-8212 Job Address .305 Highway 13, Rifle Nature of Work Building Permit Use of Building Single Family Dwelling w /Double Garage Ow= Francis Black Contractor Owner Amount ofPcrmitS 1, 343.93 Date April. 3, 1995 Permit: 814.50 Plan : 529.43 Paid $529.43 2 -28 -95 S. Archuleta Clerk BUILDING PERMIT APPLICATION • GARFIELD COUNTY, COLORADO A .licantto corn fete numbered s.aces onl . PERMIT NO. ci _ 3 PARCEUSCHED NO. Joe /tomes G ore) - ({ /3 J A/C 1 LEGAL LOT NO. V /' // O CK SUBDIVISION DESCR. �//�� ///��q///// 2 OWNER �ry J Ll'OtL;J 7 5' /f$Z«c- A0DRESS4 Jr/ SS/t / Pi I. WK PH O �t0 --- 55:57) 3 CONTRACTOR ADDRESS "�Q(' + PH LICENSE NO- 4 ARCHITECT OR DESIGNER VVay c ✓/ : ADDRESS P11 LICENSE NO , 5 ENGINEER ,,L,0,,,,,, ADDRESS PH LICENSE NO. 6 S.F OF BUILDING x00 S.F OF LOT 3 0 ��'/1• A. 1 /'� HEIGHT NO. OF FLOORS e.,/, 7 USE OF BUILDING n d I e 4 Mt( Q / ,o0 af CC / M.t-0 8 Cuss or WORK: NEW oADDITION DALTERATION in REPAIR r,MOVE r,REMOVE /moo v y 9 DESCRIBE WORK ( 1•t„ziji_ 1 . GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE DRIVEWAY PERMIT '/I N SITE SEWAGE DISPOSALPERMIT SITE PION �+ 11 VALUATION OF WORK. s /2/9 q��M AD JUSTED VAL.S /5 6 7 P LA N CI IECK FEE y- 3 I PERMIT FEE O � �- , 0 7. SPECIAL CONDITIONS r ( / f/1� '• SCHOOL IMPACT FE NO. OF BUILDINGS ON USE OF BUILDINGS NO ON /3. BOO.' NOW ON �j T PARCEL % TOTAL FEE / 5 n OCC. GR/` JJ " COW. TYPE../- - - NOTICE W �/ WATER SUPPLY DATE PERMIT ISSUED p' -3- %' _S� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. SPECIAL APPROVALS REQUIRED RECEIVED NOT REQUIRED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ZONING Y OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK IS COMMENCED. - IIEALTIIDF.PT I 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 FIRE DEPT. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETFIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT AUTHORITY TO VIOLATE OR CANCEL 1HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. J SETBACKS -e777 l «- L (Dale) 2 '_1 • � FLOOD I IAZARD Sig of factor of authorized agent . ' g read any ielslood notice above. r f Ateal ea, MANUF.1 TOME • - ding Department Approva/dale Planning De . rtment ApprovaUdale I - 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. ,� 4 Garform.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE JINITIAL, ,,,,,� ) wR�•s Rp�. �e • COLORADO DIVISION OF WATER 'RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 n V- 1 ` a� 'a PERMIT APPLICATION FORM 4 ' Application must t , ' � f ' be complete where (� IT TO USE GROUND WATER � 69 s I applicable. Type or ( ERMIT TO CONSTRUCT A WELL — print in BLACK FOR: ( A PERMIT TO INSTALL A PUMP ` % INK. No overstrikes 7 ti ` • ' or erasures unless ( ) REPLACEMENT FOR NO. �L % •; initialed. ( ) OTHER �� /��f%�"r WATER COURT CASE NO. (1) APPLICANT - mailing address / FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME _ A -Ne-XS p er - �`/p ekir 'C Receipt No. / STREET /go( 36� - Basin Dist. CITY S ? Jf t o 10 �1 e7.5 p) CONDITIONS OF APPROVAL TELEPHONE NO. F'7(0 STS This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water county C(PR.fi'CAP right from seeking relief in a civil court action. X lrc/ Y. of the ` %, Section 3 P.M. / e v c S c c y y S Twp. J ,Rn ` Q 2 k/ P I N,SI (E.WI e0 k-' - j (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) /5 - - PRELIMINARY Average annual amount of ground water 3 Subject Revision to be appropriated (acre - feet): Subject } LO Revision Number of acres to be irrigated: 6 c-- - Proposed total depth (feet): /r((7C Aquifer ground water is to be obtained from: it/ �4 7 d fo tree7 G•e ,k.._ • Owner's well designation 100^ is 7-` GROUND WATER TO BE USED FOR: . I ) HO HOLD USE ONLY - no irrigation (0) I OMESTIC (1) ( ) INDUSTRIAL (5) I I LIVESTOCK (21 ( ) IRRIGATION (6) I I COMMERCIAL (41 ( ) MUNICIPAL (8) 1 I OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) PERMIT NUMBER (4) DRILLER DATE ISSUED Name 1,4 ,S1D oh/ a 4 EXPIRATION DATE Street # 75' / S5 ?) : 9 ?/t1 City &lC' ( Of p til C% (STATE ENGINEER) (State) (Zip) �., S / 9 L/ 7 BY Telephone No. Lic N o. ,r— 3 / I.D. -] COUNTY 3 l (5) THE LOCATION OF THE PROPOSED WELL and the area on (6).THE WELL MUST BE LOCATED BELOW: - which the .water will be used must be. indicated on the diagram below. ,by.distances from section lines. Use the CENTER SECTION (1 section, 640 acres) for the well location. -+ — ± — ± — + — _i_ _ 4_ __ -+ — + _ :� B p ft. fro �OzcY'h� sec. line (north or soutn) I i4- -- 1 MILE, 5280 FEET --). 1 a-0 ft. from �./'L�S sec. line P ✓ce / (east or west � ' c,�- Sc - + + t6'T BLOCK FILING x ma�y)) --I _ NORTH SECTION LINE + SUBDIVISION 6 y;-- t /3 1- (7) TRACT ON WHICH WELL WILL BE 6 cD I LOCATED NORTH w _ _ + � Owner: fi�f'L� /X�t L� + z T — t — — T No. of ac res 7-- 361,30 . Will this be J —I L o m the only well on this tract? I Ce f �+ + t ta ( °z PO y : r Plain (8) CasinROPSED CASING PROGRAM g w - r + _ _ + _ Z .� in. from �r ft. to T ft. I I 1 /Rai in. from ice, ft. to 8 O ft. 4- _ + _ 1 I I _ _ + _ i Perforated casing SOUTH SECTION LINE 1 1 1 1 r A in. from ®° ft. to / 0 ft. + - I - + + I- 4- + -k + in. from ft. to ,rt. I I I (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging — -4. — - — T — + — _ + — _, — 4_ it: The scale of the diagram is 2 inches = 1 mile / 4 " - / - 29 ----. Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre -foot covers 1 acre of land 1 foot deep 1 cubic foot per second Icfs) ... 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre -foot of water per year. - 1 acre -foot ... 43.560 cubic feet - .. 325.900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre -feet. - (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): tf4m* %"" " ! d No. of acres: 3 6 • 3 O S- Legal description: S ''' A?`6t � L`?C' 9— �� Ar (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Tx_ ,,..,, c _ . ‘,.......>„ It d'^ -� - y awe {Kr'', S l 2 ..-.- - ° s e / 17 -t o -F 0 s . - ,4 - f_. L ' c t --V 4 ".r •=/c 1 s � a- 7 . `1 t7 i frc ac ,( a � 1 -e Ie^ y ,i -1- 7'C`.'°+- S CA-> 4 S r if . 'r / 4a fir w- 'l/ Se, 'c /'c 2. c- 4. AG- ® (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO TI-( BEST OF HIS KNOWLEDGE. % . I z8 s SIGNATURE OF APPL IGANT(SI 1 . i Use additional sheets of paper if more space is required. GARFIELD COUNTY BUILDING AND PLANNING MINIMUM APPLICATION REQUIREMENTS for SINGLE FAMILY DWELLING CONSTRUCTION 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. Applicants are required to indicate appropriately and to submit completed check list at time of application for a permit: 1 V i c 1. Is a site plan included that indicates the distance of the proposed building or addition to property lines, other buildings, set back easements and utility easements? Yes _2S__ No w Not necessary for this project (2) 2. 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 .,2c_ No ____w 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 d_\..1_ No w 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 building code or per stamped engineered design? Yes _ __ No w 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 No (1) Not necessary for this project t ._(2 ) 6. Do the plans indicate the size an location of ventilation openings for the attic, roof joist spaces and soffits? Yes --- No ( i ) Not necessary for this project 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 _ No � a> Not necessary for this project (2) 8. Does the plan include a building section drawing indicating foundation, wall, floor and roof construction? Yes No (i Not necessary for this project 9. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes No (1) Not necessary for this project (2) 10. Does the building section drawing or other detail include the method of positive connection of all columns and beams? 2 Yes i No ( 1 ) 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 ge and the eave down to existing grade contours? Yes _X___ 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 (1) 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 (i) Not necessary for this project _4__(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 _y__ _ No .. (1) Not necessary for this project _ ____ 15, Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes _X__ No w 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 enclosures and specify safety glazing for these areas? Yes . X__ No (i) 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 _4_ No (u Not necessary for this project (2) 18. Have two (2) complete sets of constructions drawings been submitted with the application? Yes 4_ No (u Not necessary for this project _____(2) 19. Have you designed or had this plan designed while considering building and other construction code requirements? Yes ..4__ No (3) - 3 20. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield Building Department? Yes _.2C_ No (3) 21. Do you understand that approval for design and /or construction changes are required prior to the application of these changes? Yes __ No (3) 22. 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 (3) 23. 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 _44_ No (3) 24. 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 ". Yes _ 4 _ No (3) I hereby acknowledge that I have read, understand and answered these questions accurately to the best of my ability. signature date Phone: /l> S3 ?days); (evenings) Project Name: 4 f Project Address: 7 / 3 4 ' . 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 May 1, 1994 • 5 liC� i lY Yl dtti'1 i in' iL itikiiing. OragyAll HIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT FIELD COUNTY, COLORADO one Date Issued 9 Zoned 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, location, erection and constructio of the above described structure, the permit ay then be revoked by notice from t in for nd I l T tOM AND VOID,, Addres or ;egalDescription Owne L w E L,. + S Contractor 4 - -, I%F 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 ->•, -i; - Electric -Final (by STATE inspector)) Footing . f Foundation ; Plumbing- Underground 4//9 yi- Gas Piping // - - j , , Heating Ventilation Frame %' ') 3 `` Insulation Plumbing -Rough -i.3- ;c. Drywall Electric -Rough 5 -L5- (Y (by STATE inspector) Final i Z -i . -q 6 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 10 9 8th Street, County Courthouse, Glenwood Springs, Colo. 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