HomeMy WebLinkAbout5523 No.5523
GARFIRID COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 Mh Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
Job Address /0(1/ County Road 294, Rifle
NatureofWork Building Permit
Use of Ouildinp Single Family Dwelling Unit
Owner Michael C. Morgan
Contractor Owner
Amount of Permit$ 1,078.28 Date May 18, 1995
Permit: 653.50
Plan : 424.78
Paid $420.23 5 -1 -95
S. Archuleta
Clerk
BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered paces only. PERMIT NO. 552 3 PARCEL/SCHED NO.
\ /
JOB ADDRESS / J , vR a / F/ ,
1 L.EGAL LOT NO. BLOCK SUBDIVISION
DESCR. / //y /1 , r r� / ,�
2 OWNER / / /�CitAT,I e- /' / I1r ,41-/ ADDRESS / / 0 2 r /�� 5 PILE/ 254 WK PI 1‘25—/ 7q3
3 CONTRACTOR Siirndi_ ADDRESS 5'i-,7-1e. PII 5',,9_ a_ LICENSE NO. 54nt t
4 ARCHITECT OR DESIGNER 41 1 � � ADDRESS h i . A e �/ P PTI & ? 2- 24'25•/ LICENSE NO
5 ENGINEER � r F , ADDRESS Nfr • t
/ 1, G r U PH / T LICENSE NO.
6 SF OF BUILDING /y / /rirl.S hQe/ SF OF LOT 2.cci ,,„,.„ IIEIOHT 33 NO OF FLOORS -
7 USE OF BUILDING 7 m •/ I ,. !Y WI Fir & /2
/t9' ern .07 =0,0„5/2 .qt
m r t •u i2I •%rDevitt • X 63. /o r mr 4Go, /0
f/ rt64 1
�" 3 " CS
8 CLASS OF wort: ANEW u ADDITION nALTERATION it REPAIR 11 MOVE BREMOVE _ /b `` '
9 oEsc €w t UOU1 �O✓YL CL Vim' -/'i "ry /• `3"//03 2oc,$+7 —
10 GARAGE IB: INg CARPOI 1 SINGLE 4 , DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT /' LC/CAPE
� �
11 VAwnna OF woRrc:4 AD TED VA 3/6 p, I EC E � PERMIT FE�743 J . ...- 0
• 9 ' a AC G 3 i/ = 9a 99a 51.
SPECIAL CONDITIONS:
/4 / , b '= % SCIIDOL IMPACT F EE.) NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON
Q x •,? Ao sea ea . 90 �J /7 of CU,-- PARCEL PARCEL ,,/
a/ 99�. /0 TOTAL FEE /[ 2Y OCC. GR. / � - 3 CONST. TYPE !"
NOTICE WA1ER St IPPLY DATE PERMIT ISSUED 1t / ry 9 ` ,,--a
SEPARA1E PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, IIEAIING,
VENTILATING OR AIR CONDITIONING. SPECIAL NpgWAls REQUIRED RECEIVED NOT REQUIRED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUT /IORIZED IS ZONING V- ✓
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. I IEALTI I DEPT.
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 WI III WI IETI IER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT
AUI HORIIY TO VIOLATE OR CANCEL 111E PROVISIONS OF ANY 011 -IER STAIE OR ,
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF SETBACKS
CO 5TF 1CT •N. /7
C Dale
y / FLOOD I IAZARD
e Cony^. Ihonaed agent in re / fd understood no / x / 21. - =
1'FV /!J/ s z _2 V ' �' � 5 -1 5/ MANDE.I TOME
Ilding Depadmenl Approva/dale Planning Department Approval /date
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 30.20,201 CRS AS AMENDED. THE SIGNER FURTHER
AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH IN TFIE 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 TI - IE 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 fINITIAL , I
1
v %'X -a3 S - / - ?i• •
CONTRACT TO PROVIDE SERVICES AND PRE- ANNEXATION AGREEMENT
THIS CONTRACT is made and entered into on the day of ,_199_
by and between the City of Rifle, Colorado, a municipal corporation (hereinafter called the "City")
and Michael Morgan , as the owner(s) of the real property described
hereafter (hereinafter called the "Owners ");
WITNESSETH:
WHEREAS, the Owners are desirous of obtaining the municipal service(s) hereinafter described
from the City, and the City is capable of providing such service(s); and
WHEREAS, the Owners' property, hereinafter described, is presently capable of being annexed
to the City of Rifle and the process has been commenced. However, because of time constraints, the
Owner must apply for a building permit through the County and needs to assure the County that he will
be provided with sewer and water in order to obtain the building permit.
NOW THEREFORE, for and in consideration of the mutual promises and covenants herein
contained, the parties agree as follows:
1. Service Provided. The City agrees to provide Owners with the following municipal
service(s): Water and Sewer
2. Property Served. The City will provide said service(s) to Owners' property, situate in
the County of Garfield and State of Colorado, and described in Exhibit A, attached hereto and
incorporated herein by this reference. The street address of Owners' property is
1702 East 7th Street .
3. Uses. The services described in Paragraph 1 shall be provided to the property described
in Exhibit A for the following uses: Domestic
4. Costs. The City will provide said service(s) subject to the rules, regulations, and
ordinances of the City of Rifle as are now in effect, or as they may hereafter be amended. The cost
of extending service lines will be borne by the Owner(s), as provided in the Rifle Municipal Code. At
or prior to the delivery of the municipal service(s), the Owners agree to pay all tap and systems
improvement fees and water rights dedication fees required by the ordinances of the City of Rifle.
Owners further agree to reimburse the City for all engineering, legal and associated fees and costs it
incurs in the review and implementation of this Contract. The Owners and their agents, employees,
and tenants, shall be bound by all of the ordinances of the City of Rifle insofar as they may pertain to
the providing of the municipal service(s) herein described.
5. Service Charges. During the terms of this Contract, the Owners agree to pay for the
above - described municipal service(s) at the rate and in the manner which may be provided by the Rifle
Municipal Code for municipal utility consumers residing outside the City limits. The City reserves the
right to modify these charges or regulations.
c: \doc\"nncx \con11"Ct.wll 1 - 12/4/94
6. Interruption of Service. The Owners acknowledge that the municipal service(s) will be
provided to them on an interruptible basis. The City may, in its sole discretion and as provided by City
Charter article 12.11, Municipal Code sections 10.04.390 - .420, and other applicable ordinances,
discontinue or curtail the above - described service(s).
7. Annexation. The parties agree that this Contract, pursuant to C.R.S. § 31 -12 -121,
constitutes an enforceable obligation upon the Owners, their successors and assigns to annex the
property described in Exhibit A as required under the terms hereof. The property is contiguous at this
time and annexation to the City, as prescribed by statute or ordinance, has been commenced. The
Owners may annex their property in conjunction with adjoining property owners provided, however,
that a petition for annexation is filed within 60 days of the time the Owners' property becomes eligible
for annexation. The Owners shall pay all costs for review of the annexation petition, as required by
the Rifle Municipal Code (currently Section 17.02.160). The passage of time between the eligibility
of the property for annexation and the time the City requests the Owners file a petition for annexation
shall not constitute a waiver of the City's right to enforce, or estop the City from enforcing the Owners'
obligations under this Paragraph. As required by Rifle Municipal Code Section 17.02.155, the owners
will be required to submit a radiation hazards report with their petition for annexation or petition for
annexation election.
8. Termination Upon Annexation. This Contract shall terminate automatically on the
effective date of the annexation to the City of the property described in Exhibit A; provided, however,
that nothing in this Paragraph shall limit any other rights of termination provided in this Contract.
Upon termination after annexation, service to the property described in Exhibit A shall be provided
pursuant to the Rifle Municipal Code and all applicable rules and regulations.
9. Districts. The Owners, upon execution of this Contract and at any time thereafter, shall
join in any street, curb, sidewalk, or other improvement district which may be formed by the City and
which affects the property described herein.
10. Park District. Pursuant to Rifle Municipal Code § 17.02.230, the Owners' petition for
annexation shall be accompanied by a petition to include the property described in Exhibit A within the
Rifle Metropolitan Park District.
11. Failure or Refusal to Annex. In the event the Owners fail to annex their property to the
City, as required by this Contract, the City may, at its sole option and without otherwise limiting its
legal rights, bring an action at law or equity, including an action for specific performance, to enforce
the terms of this Contract, discontinue providing municipal service(s) to the property, or treat this
Contract as a petition for annexation and annex the property without consent after 30 days written notice
to Owners. The rights and remedies under this Paragraph shall be cumulative. The Owners hereby
appoint the City Clerk as their attorney -in -fact to execute and deliver all documents necessary to annex
Owners' property described in Exhibit A to the City, should the Owners fail or refuse to annex as
required under this Contract. If the City proceeds to annex the Owners' property as permitted under
this Paragraph, it may advance all fees and costs related to the annexation, and shall be entitled to
recover the same as a personal obligation of the Owner. Such fees and costs shall also constitute a lien
against the Owners' property described in Exhibit A, which may be foreclosed as provided by law.
12. Lien Rights. The City shall be entitled to prepare and record a lien against the Owners'
property described in Exhibit A for the amount of any costs, fees and other expenses which it has
2 1214)94
C: \daclxmex \rminc[.wtr
advanced or which the Owners are required to pay pursuant to this Agreement and the Rifle Municipal
Code. Such costs and fees include, but are not limited to, recording, annexation, and staff review and
document preparation fees and costs; and engineering and attorneys' fees.
13. Time of Connection. The Owners shall, at their expense, connect to the offered City
service(s) pursuant to the Rifle Municipal Code within one year of the date of execution of this
Contract. In the event the Owners do not make such connection within such one -year time period, this
Contract shall be null and void and of no precedential value, and all parties relieved of all obligations
hereunder; provided, however, that if the City physically connects the offered City service(s) to the
Owners' property after one year, the fact of connection shall constitute a waiver of the time limit
contained in this Paragraph, and a bona -fide purchaser of the Owners' property shall be entitled to rely
thereon. If only municipal water service is being extended initially under this Agreement, then pursuant
to Rifle Municipal Code Section 10.08.030, the Owner shall, at Owner's sole expense, connect to the
City's public sewer system at such time as the City's public sewer runs within 400 feet of the property
line of the property described on Exhibit A. At the time of connection, the Owner shall be subject to
all ordinances, rules and regulations concerning City sewer service, and shall be liable for all rates,
fees, tolls, charges and assessments for the same.
14. Miscellaneous. The parties agree time is of the essence in the implementation of this
Contract. All of the terms and conditions of this Contract shall bind the heirs, successors, assigns, or
personal representatives of the parties hereto. This Contract constitutes a covenant which runs with the
real property described in Exhibit A. This Contract sets forth the entire understanding between the
parties, and any previous agreements, promises, or understandings have been included in this Contract.
15. Recording Fee. The City shall record this Contract upon execution. The Owners shall
simultaneously with the execution of this Contract tender to the City the actual amount of recording
fees. (Checks shall be payable to the Garfield County Clerk and Recorder.)
16. Document Fee. The Owners shall also tender to the City simultaneously with the
execution of this Contract a document preparation and staff review fee in the amount of $75, to
reimburse the City for the actual costs of City Staff preparation of this Contract. This fee shall be in
addition to any other fees and costs required under Paragraph 4.
17. Affidavits. Upon completion or satisfaction by the Owners, or their successor in title,
of all of the terms and conditions of this Contract, the City Manager is authorized to prepare an
affidavit to that effect, which the Owners may record with the Garfield County Clerk and Recorder.
If the Owners' do not connect to the offered City services within the time limit in Paragraph 13, the
City shall have the right to record a notice of the termination of this Contract.
18. Regulatory Jurisdiction. The City shall have the right to terminate this Contract in its
sole discretion in the event the Colordo Public Utility Commission, the Garfield County Commissioners,
or any other governmental entity or body asserts regulatory jurisdiction over the rates, fees, or charges
the City imposes pursuant to this Contract.
C:1dackanncx1cantract.wtr 3 12/4/94
IN WITNESS WHEREOF, the parties have executed this Contract on the day and year first
written above.
CITY OF RIFLE, COLORADO
By
ATTEST: Mayor
City Clerk
OWNERS
i
By
STATE OF COLORADO )
) ss.
COUNTY OF GARFIELD )
Acknowledged, subscribed, and sworn to before me this _ day of ,_199_
, by David M. Ling, Mayor and Ellen A. Berggren, City Clerk, on behalf of the City of Rifle,
Colorado.
WITNESS my hand and official seal.
My Commission expires:
Notary Public
STATE OF COLORADO )
) ss.
COUNTY OF GARFIELD )
Acknowledged, subscribed, and sworn to before me this ? ay of at / , 199,1` -
by Michael Morgan .
WITNESS my hand and official seal.
My Commission expires: 1 — 98
Notary Public
C ;\doc\enocx\contract.wlr 4 12/4/94
GARFIELD COUNTY BUILDING INSPECTION DEPARTMENT
109 8th Street
Glenwood Springs, Co. 81601
(303) 945 -8212
Plan Review Correction List
Morgan Residence Permit #
CR 294, Rifle April 20, 1995
The following comments based on the 1988 edition of the
Uniform Building Code shall be resolved prior to the
issuance of the building permit. The purpose of this review
is to provide for minimum protection of life, limb, health,
property, environment and for the safety and welfare of the
consumer and general public as regul ed by the UBC.
1. Specify size, grade, cie and location ofthe
NO /dpi porch roof beams and exterior e er over 4 feet. OK
2. The 3 1/2 x 1 1/ VL ' ge beam appears
undersized. Provide ustif i g calculations, eng g,
or a revised plan o approva . �((//
3. An Y CM 11 is still hown on t endum
Pr Ver" y if h MU wall s to be u If so,
Oh provide a r•inf.rc ment and r ing sch or approval.
4. lan sp cify th
on b 12" above r
finish gr..e. Plans sh h e 1 �J_s ruc re. It I J
i g appears t o ower 1 e ma of m t e c 'ia fo
basements .s defiry€d in Sec. 40 . f the +•-- levoes
not qualify as a a me t, di io e i f m upper
level will be equir per 3303. 1 -:se ify finish
grade as it re to to nish 1 or abojp� Provide
plans for an ad it it thi Y 1 as
I
necessary. / 1 dr
5. Speciflgr d andJspec f all horizontal
framig n lumbe clans en c Yfl for DL Verify
I'Ysec. 302, xIk. // V
6. S c�f.fy s, ;rode, nd species t/ log -
S d r ec.
0 .
r
Pia do` not spe the stud "z �nd spaci "4 r 1
" peer f lo f r n mi bracing, s ation, an.
I�f weatresi i e ar i r Tipecify f apo 1. Sec.
ro id n 4ls for th oven vered deck fl4
approv Engin i may be r wired by the Building?
OK offici as n � nthe plans b licensed engineer =
architect. .r 302.
9. door joists on the ower level app_- to
5 , K � a � OK exceed the r a lowable spans for 2x8 DFL #2 at 16" oc. Max
it span allow d is 13'1 ". Provide justifying calculations,
engineering, or a revised plan for approval. Sec. 302,
,/ 2517.
r 10. Plans show a mechanical room in the basement.
a pt Specify the fuel source for the appliances in the mechanical
room. If propane provide a plan for the removal of unburned
gas for approval. Sec. 505 UMC.
Lee 11. Specify a central heating system that will meet or
exceed the minimum re quirements of Sec. 1212.
01` 12. Refer to the conditions of permit and redlined
plans for other code requirements.
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 inay 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 Uniforin 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
I.. 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 _ No (1) 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? Y
Yes '� Not necessary for this project __(2) S ti le,'
3. Does the site plan indicate the location and direction of the County or
private road accessing the property?
Yes X No (I) Not necessary for this project ( z )
4. Do the plans include a foundation plan indicating the size, location
and spacing of all reinforcing steel in accordance with the uniform
bunging code or per stamped engineered design?
Yes No (u 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 (n 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 .., _ No u) 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?
Y76 _ 0 _2&__ No u) Not necessary for this project (2)
3 r 2)
8. Does the plan include a building section drawing indicating
foundation, wall, floor and roof construction?
Yes -ci.__ No w Not necessary for this project (2)
9. Does the building section drawing include size and spacing of floor
joists, wall studs, ceiling joists, roof rafters or joists or trusses?
Yes _._ `' n
No , Not necessary for this project (2)
/G J
10. Does the building section drawing or other detail include the method
of positive connection of all columns and beams?
2
Yes No (U 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 ridge and the eave down to existing grade contours?
Yes 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 pli_as 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 - (i) Not necessary for this project >C
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 w 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?
Yes1__ No (,) Not necessary for this project (2)
Al Sze � a bz dzkr.,lined ( hr f w iI rr+ecf cz2 ° ss 16. Do the plans indicate the location of glazing subject to human impact
such as glass doors, glazing imtnediately 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 ()) Not necessary for this protect (2)
17. 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)
18. Have two (2) complete sets of constructions drawings been submitted
with the application?
Yes _ No (I) Not necessary for this project (2)
19. Have you designed or had this plan designed while considering
building and other construction code requirements?
Yes X__ 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
Dep rtment?
Yes _ No
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 >C__ 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 .X__ 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 X No (3)
I hereby acknowledge that I have read, understand and answered these
questions accurately to the best of my ability.
si: ature / date
Phone:27e 1 2S - 72 «"(days); 9 76 - 625 - 552? (evenings)
Project Name:
Project Address: /5i/'/ 257V / /7 Z C 7/ � 7 + � /� 1
4 l , !C J
Notes:
(1) If you have answered 'No' on any of These questions you tray 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 penult.
(2) If you have answered 'Not necessary for this project' on any of the questions and It Is delennlned 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.
13. Delay In Issuance of the permit.
C. Delay In proceeding wlttt construction.
(3) 1f you answered No to this question the circumstances described In Ilse question could result In "Stop
Work Order being Issued or a 'Certificate of Occupancy' not being Issued.
•
PerApp01.94 Effective May 1, 1994
5
.......... _
Ylilila 41 a.ad i nisi dJiirLYL SUS Mi. 1'Ydriiiiii filiiiishimYii
THIS CARD IS `ITED ON THE JOB
j 24 HOURS NOTICE ,,_.,'V`;RED FOR INSPECTIONS
BUILDING PERMIT
A FIELD COUNTY, COLORADO
Date Issued ' - Zoned Area Permit No a
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 bove descfb d structure, the ermit may then be revoked by notice
from :C if i IND r and MM L ��rBe, NULL AND VOID,
Use I/ / /
it /IC/
Address F Legal Des riptio • C. 1 4 Owne s 3 tf . ^ r 14 // ! ntractor W7 !
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
. Electric -Final (by STATE inspector)
Footing
Foundation
Plumbing - Underground ,
Gas Piping 9/5 -' , TAre Heating Ventilation /.1. - Z/ ys 4
Frame 8 /I( /tS 2 7 2 k#{ Insulation
Plumbing - Roughs n ' Tom, Drywall /o _2 _ s ,',,,
Electric -Rough 1 / -L' L "
(by STATE inspector) Final . 42 . ..14 _As „Th
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.
APP E D DO NOT DESTROY THIS CARD
Date
51/ A k - By in:8„fli1/24;44
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