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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 S /r -' foe X6 3, VC //- 299 - / b I df ' /S1 .11 777 77 n 3. 0 6 x v i / "/ / �.: < !►'7��. . h� I r¢, ti 1" -- sautet ._ z o o 0 0 —S_ d 15 o 0 n 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) 3 • 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 5