HomeMy WebLinkAbout5745 BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO. 6 P NO.
JOB ADDRESS 6 P" / / 1 41/(4-.(l-a d
1 LEGAL LOT NO. BLOCK SUBDIVISION
DESCR,
Ifo14f ,f & R JC Al V Kays ��
2
OWNER � ADDRESS /�� �QV / a�/s co PH. ��9og� WK. PH. S ��E
3 CONTRACTOR O G(.. ) EC ADDRESS o, FFFe0,+ 6 e �eV� LICENSE NO.
neg, 4 ARCHITECT OR DESIGNER 0 CR)lo C• L A L O ADDRESS 5 4, 4 PIT.sN! K LICENSE NO.
5 ENGINEER ADDRESS ' %"' 4..
PH. '- LICENSE NO.
6 SF OF BUILDING a .5 7! S.F OF LOT / 6 0 ,ekee.5 HEIGHT „eV NO. OF FLOORS
7 USE OF BUILDING ck. J
8 CLASS Or WORE: `/ / o NEW oADDITION oALLTERATION °REPAIR o MOVE in REMOVE
9 DESCRIBE WORK: 0 /' - Cfe ao < n �L
6? 4'JQF -r
10 GARAGE SINGLE DOUBLE CARPORT SINGLE (DOUBLE)
_____ DRIVEWAY PERMIT /4/ N TESE
SIWAGEDISPOSALPER SITE PLAN di T A •
11 VALUATION or WORN: $ !7 4c/ 34 ADJUSTED VAL $ .1 PLAN CHECK FEE 4/6 3. Vs I PERMIT Mb/ ? 6 0
SPECIAL CONDITIONS: SCHOOL IAA e t E 0 O N OF EL BUILDINGS ON USE OF BUILDINGS NOW ON
TOTAL FEE I /`tJ OCC.GR, f CON5r. TYPE y A
NOTICE WATER SUPP , DATE PERMIT ISSUED �.2
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 I5 ZONING Lam -
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. HEALTH 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 WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE SOIL REPORT
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
COCA `C W N REG LATE / aNSTRUOTION OR THE PERFORMANCE OF SETBACKS •
/ „ . / / 4 / _ / LET . Date. 1- 2- " "" ' Sr- -
/ // FLOOD HAZARD
.Ignature or Own Contractor or amhadzed agent h. 1r: . I e; 1.1 notice above.
Z , / MANUF. HOME
wilding apartment Approve/date Pl8g • Departure. —p. 5 / ,5 D
66 OTHEW r
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 3028.201 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 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE LI I • — sir
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10. Does the building section drawing or other detail include the method
of p sitive connection of all columns and beams?
Yes _ No (0 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 (0 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)O_ No ( n 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 NoY"_ Not necessary for this project (2)
14. Does the plan include a window schedule or other verification that
I, egress /rescue windows from sleeping rooms and /or basements
comply with the r uirements of the Uniform Building Code?
Yes No n) Not necessary for this project (2)
15. Does the plan inc ude a window schedule or other verification that
• windows provide nat al light and ventilation for all habitable rooms?
Yes No (n 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 sp 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 r heaters indicated on the plan?
Yes No n) 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 (u Not necessary for this project _ ___(2)
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I hereby acknowledge that I have read, understand and answered these
questions accurately to the best of my ability.
sign r • date
•
Phone: g days); 5447E (evenings)
Project Name: f� i/ r'XTlN /Q' X1» 09 ;i s�
Project Address: I . / : 442 rr. c// .g
—
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 he 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 lo 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
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