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Home My WebLink About5786 BUILDING PERMIT APPLICATION • GARFIELD COUNTY, ` COLORADO Applicant to complete numbered ` spaces only. PERMIT NO. 5 , PARCEUSCHED NO. JOB ADDRESS �V 3 JS. F'�'�4H�� 6 a 0 yr �� SS 1 LEGAL I LOT NO. BLOCK ` SUBDIVISION 7 U DESCR. . � 2 OWNER F2FA t cs s —` ) Mr ADDRESS X�•+ 4� z3 \S. otv,. ?A . PHOIS n rsc WK. PH. 3 CONTRACTOR fir ADDRESS J PH. 1'f AA LICENSE NO. 4 ARCHITECT OR DESIGNER KYO ADDRESS PH. LICENSE NO, 5 ENGINEER N-bN e. ADDRESS PH. LICENSE NO. 8 SF OF BUILDING R S.F OE LOT HEIGHT NQ OF FLOORS 7 USE OF BUILDING dcrr_Cc-S t Sli 8 CLASS OF WORK: :NEW oA *ALTERATION ERATI oR o MOVE :REMOVE 9 DESCRIBE WORK: q�md - � �P" 6•S 10 GARAGE SINGLE DOUBLE CARPORT SINGLE DOUBLE DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN oo 11 VALUATION or WORK: $ 1 bo° ADJUSTEDVAL.S PLAN CHECK FEE 1 %7 PLAN P ERMIT FEE / / AI SPECIAL CONDITIONS: ^ SCHOOL IMPACT FEE, „ NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON A PARCEL PARCEL ET / TOTAL FE 7/ 4 / 2 OCC, GR, CONST. TYPE NOTICE WATER SUPPLY DATE PERMIT ISSUED p — SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMBING, HEATING, SPECIAL APPROVALS REQUIRED RECEIVED NOT REWIRED VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS ZONING ✓ `_ 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 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF SETBACKS V •� �� v . • ✓1�• ��•` Date , Z FLOOD HAZARD Signature or Owner, Cone* or or authorized agent havi ur stood • • ' • :hove Teal - _ , MANUE HOME Building Department Approva /d. e Planning Deparlme ." .I/d e OTHER AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR ANIJ /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. CQMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. .- Gar(orm,003 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE IINITIAL ir a t e .. : - .6Pd '7o?q.4 2s -7 9. 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)? Yes No (,) Not necessary for this project ■ (2) 10. Do the plans include design loads as required for floor loads under Uniform Building Code Section 2304 and Tables 23 -A and 23 -B? Yes No (I) Not necessary for this project ✓(2) 11. Does the plan include a building section drawing indicating foundation, wall, floor and roof construction? Yes No ( 1 ) Not necessary for this project V (2) 12. Is the wind speed and exposure design included in the plan? Yes No (u Not necessary for this project ✓ (2) 13. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes ✓ No (,) Not necessary for this project (2) 14. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes ✓ No ()) Not necessary for this project " ( 2 ) 15. 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 ()) Not necessary for this project ✓ (2) 16. 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 (I) Not necessary for this project ✓ (2) 17. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the Uniform Building Code Chapter 37? Yes No (1) Not necessary for this project V__(2) 18. 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 ()) Not necessary for this project ✓(2) 19. Does the plan include a window schedule or other verification that 3 windows provide natural light and ventilation for all habitable rooms? Yes No ( L ) Not necessary for this project ✓ (2) 20. 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 No (l) Not necessary for this project _ ' _(2) 21. Do the plans include a complete design for all mechanical systems planned for installation in this building? Yes No (I) Not necessary for this project ✓ (2) 22. Have all areas in the building been accurately identified for the intended use? (Occupancy as identified in the Uniform Building Code Table 5 -A) Yes ✓ No (1) Not necessary for this project (2) 23. Does the plan indicate the quantity, form, use and storage of any hazardous materials that may be in use in this building? Yes No (u Not necessary for this project ✓ (z) 24. 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) 25. Do the plans indicate the location and dimension of restroom facilities and if more that four employees and both sexes are employed, facilities for both sexes? Yes ✓ No (1) Not necessary for this project (2) 26. Do the plans indicate that restrooms and access to the building are handicapped accessible? Yes _,(_ No (1) Not necessary for this project (2) 27. Have two (2) complete sets of constructions drawings been submitted with the application? Yes ✓ No (L) Not necessary for this project (2) 28. Have you designed or had this plan designed while considering building and othex construction code requirements? Yes ✓ No (3) 29. Does the plan accurately indicate what you intend to construct and 4 what will receive a final inspection by the Garfield County Building Depargpent? Yes ✓✓ No (3) 30. Do you understand that approval for design and /or construction changes are required prior to the implementation of these changes? Yes ✓ No (3) 31. 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 "Septic system " fees required, at the time you pick up your building permit? Yes ✓ No (3) 32. 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 ✓ No (3) 33. 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 ✓ No (3) I hereby acknowledge that I have read, understand and answered these questions accurately to the best of my ability. signature dat Phone: a -tayS (days); (evenings) Project Name: k. r• Cam. _ L Project Address: St*,"?.; u.%. k-wo \.0 (Refer to notes on next page) 5 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 - January 1, 1995 6