HomeMy WebLinkAbout5865 BUILDING PERMIT APPLICATION
GARFIELD COUNTY, COLORADO
Applicant to complete o�3
eete numbered spaces only. PERMIT NO. . S' _ PARCEUSCHED NO.
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JOB ADDRESS I { 0/do /
1 LEGAL I LOT NO. �Li, BLOCK IILL� /,� { S *� MSION /1 S pen GI- .fN
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2 OWNER ed L, or .Srrm nne L. .444- AY3agr 9N, 4W: tie P H 4 71,'pc( WK.PH
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3 CONTRACTOR - �rn iv ADDRESS ^'' • • �.� - Of V's. LICENSE NO.
"�fom�6nroa.p _ PH b LICENSE
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4 A G ( � -1 MAJ : YV3 Bon rcJ See / i (DI.IS E . PH9 / fs_c S LICENSE NO.
5 E'Gl A Iea1� th e / � A � ,6 - S i, a1,4,s(08 ,6,,: PH 9 f-/s)a3d LICENSE NO.
6 S.F OF BUILDING
'7 U arct. 3 J 7(, S.F OF LOT on a /1 r7c (,ka HEIGHT NO. OF FLOORS a
7 USE OF BUILDING / S'. I � I G rra
8 CLASS OF WORK' ANEW °ADDITION °ALTERATION is REPAIR °MOVE °REMOVE
9 DESCRIBE WORK: N .t0 00
10 ARAG SINGLE DOUBLE> CARPORT SINGLE DOUBLE
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT
I [ QJ / '- // SITE PLAN if : 774 8 . 73' yq �/f� 2 11 VALUATION of worm: H � ADJUSTED VA S G7 J; I / O VT PLAN CHECK FEES - tF' i lr • I PERMIT Fe,: / /1 g 1 5?
2
SPECIAL CONDITIONS' :3 952 X ( / p 3. / � 0 = p2055 90 f. •LQ SCHOOL IMPACT FEEL. NO. OF BUILDINGS ON USE OF BUILDINGS NOW ON
En Q, /6 ✓ . r /f t. /3. c<54 n PARCEL PARCEL
4 TOTAL FE 4Y, 47..4 / 00C. GR. GONST. TYPE
NOTICE WATER SUPPLY DATE PERMIT ISSUED ci--/996,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMBING, HEATING, -
VENTILATING OR AIR CONDITIONING. SPECIAL APPROVALS REWIRED RECEIVED NOT REQUIRED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS ,.--------
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ZONING
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
C.. STRUCTION. J n SETBACKS
I . - •Alms.! ' v- Dar-, / I _ o • ` i t
Signature of Owner, Contractor oreuMOrkeda agent •. r:. ,o „ FLOOD HAZARD
9 1rstood notice above
-O ' d 6 MANUF. HOME
Building Department Approvaldate ` Planning Department L - - al /d- n - _
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.
Garform.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE /INITIAL /la_. )
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GARFIELD COUNTY BUILDING AND PLANNING
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE FAMILY DWELLING CONSTRUCTION
including
NEW CONSTRUCTION
MANUFACTURED HOMES
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
10. Does the building section drawing or other detail include the method
of positive 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 (u 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
certifipations or phase II EPA certification?
Yes ✓ No (u 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 ✓(1) Not necessary for this project (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 ✓✓ No (1) Not necessary for this project (2)
15. Does the plan include a window schedule or other verification that
windoi r provide natural light and ventilation for all habitable rooms?
Yes ✓✓ No (1) 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 No (u 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 / No („ 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
associate n, if required by that association, prior to submitting an
applic on for a building permit?
Yes No a) Not necessary for this project (2)
3