04933 · FRONT PROPERTY LINE S1'1ll

27
--.,::--\"' __ \--·; GARFIELD COUNTY· BUILDING, SANITATION and PLANNING DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 (303) 945-8212 04933 1293 County Road 117, Glenwood Springs JobAddress _________ _:____: _____ :__ _____ _:___ _ _.:::.. ______________ Nature of work ___ Use of Building __ __llBJie(llptJl.;;au;c:J:eu}'.ll!ol.Jb;z;11..' lwee....JH'1.!0llJm111ee_ ______ c__ ____________________ _ Owner _____ Cc itractor An.cunt of Permit: $ --'l"'O"'O::..:..• Permit: 100, 00 White -Treas. Canary- Office Pink -Applicant Gold-·Duplicate S. Archuleta Clerk

Transcript of 04933 · FRONT PROPERTY LINE S1'1ll

Page 1: 04933 · FRONT PROPERTY LINE S1'1ll

--.,::--\"' __ \--·;

GARFIELD COUNTY· BUILDING, SANITATION and PLANNING DEPARTMENT

109 8th Street Suite 303 Glenwood Springs, Colorado 81601

(303) 945-8212

04933

1293 County Road 117, Glenwood Springs JobAddress _________ _:____: _____ :__ _____ _:___ _ _.:::.. ______________ ~----

Nature of work ___ B!'..'!u=i=l~dc::i:!!n"'-_oP-=e~rc"m~i~t'--------------------------~------Use of Building __ __llBJie(llptJl.;;au;c:J:eu}'.ll!ol.Jb;z;11..' lwee....JH'1.!0llJm111ee_ ______ c__ ____________________ _

Owner _____ ____oTEa~n~b~e~r2g;__,&~B~l~e~v~i~n~s~,-=In~c~.------------------~---;-----

Cc itractor ----~OWn~~e;.=r'---------------~----------------~----

An.cunt of Permit: $ --'l"'O"'O::..:..• 0=-0-~------­Permit: 100, 00

White -Treas. Canary- Office Pink -Applicant Gold-·Duplicate

S. Archuleta

Clerk

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GARFIELD C:OUNTY Af'PLICATION FOR BUILDING PERHIT

P!llti!IT NUMBER 19 33 DAT!l /lJ-jf-93 lJleuse print or type

, TO BE FILLED OUT JIY APPLICANT -· - ADDREss l'ZS3 a:..~o l 17; G . .S.

SUBDIVISION----------------~ F' II.ING II 1;0'.l' II BLOCK II

-----c- ---7'AX SC II EDU r.E I/ LEGAL (SEC/7'1vN/f<NG)

:r: t'>d Nl111E

~ ffi ADDRESS CITY ------"' NAME ~ l!DDRE_S_S ___________________ _

;,! CITY ~ --------0 !'//ONE LIO:NSE: /I u

CLASS OF HORK '/Eli AL1'ERAT.fON llDDI7'ION -~--

IJEMOLISll REPA Ill MOVE: !IOBILE l/0-/l_E___ -c:---- 'f](,.

.'>.F. 01' BU.TLDING fJ.S.l'. 01' L07'

II 01' F'LOORS I /IEIG117' ~1_3~'------1! OF' FAMILY UNITS fl_ OF BED/WONS 3

~=--1N7'ENDED USE OF BUILDING MANAfA?'S Gt11Ag::fEp-S r;ARAGE: SINGLE DBL CAil PORT: SINGLE DlJL

FIREPLl!CE

IJOCutlliNTS ATTACHED rv-,1-1-'E_ll_S_UP_P_L_Y_.:.:.:.:.:1 ... A-~'r-a=.,,~~~L-:~:.:.:;:.:.:~.:·.:.:.:.:.:.:.:_-_-_-_ DRIVEl1AY l'ERM I7' -~E)l._..,..,l_S"-..--'-1 _,_l_,_W""""---------S I7'E l'LAN aJO,,Q?EO DUIT,DLNG l'LANS eNCl.p?£.J> SllNLTllRY SErvEll CLEllRllNCE 6@\\01P SV'@.!Nl:sS ON SITE SElvllGE DISl'OSJIL l'E:RMI'I' ~N-·_1'_. ______ _ OTllE:ll DOCUMEN1'S (specify)

_Cc$[ or ~ ~KlDN $ 2i.'S""t:D'

X:-11-s,o.epadr jl--Cav1/lff2/ /-o?C[Jt.oc r<t~~-r­S-Krri nro

PLOT PLAN NO'l'E: Shah' easen1ents, property line dimensio1 al.l other structures, specify nortl1, and stre(

n~1111e. For otid shaped Jots, or if space is too srrtcJl_Z, l'rov_idc se}Jarate plot J'lan. ,II OF BUILDINGS rvorv ON PllRCE[, USE Of' BUlI.lJINGS NOW ON PllllCEL

---------------------~~--oJ i

FRONT PROPERTY LINE

S1'1ll<:ET Nlll!E/flOllD NUMBER Cl/ECK If' CORNEil L07'

DESCRIPTION OF rvORK l'LllNNED ~1'L~t1EWI" o,: H0/!3//,. !-MMC.

I he.reby acknowledge that I 11ave read this al]Plicatio11 and the al)Qve is correct and I il.gree to co111pJy l'li th all county ordinances

st te laws regulating building constructir

FOil OFFICE USE ON!,Y ·---~&"'--~--------------

\!llLUllTION ~-------------------/'EllNIT FEE $ l'LllN Cll/i'CK f'E:E $ T01'JIL f'EE $/CJ().- SCllOOL 1/11'AC1' f'EE $ 1Jll1'E l'EllMIT ISSUED ----------------ZONING DISTRICT

.,.---,-,-;o,-----------· TYPE OF OCCUl'llNCY _,_,_,-_,"3'--------~--· TYl'E OF CONS1'1lUC1'ION ~lf~C/~/~?-~;v,_1_o_v_··_u_~_-/J~·-/1_( ______ _ S. F •. OF' lJUILDING /_,SJ"'J. 2 5 S. F. OF L01'

NAX. llEIGl/7' ( 3 ' ROJID CDJISS, --------5E7' BACKS FROM 1'1WPE!l7'Y J;INE: f'IWN1'

llE"llR RIGl/T LEFT ----OFF STllEET !'/IRKING SPACES REQUlRED

F' LOOD llllZlllllJ CEll7'.fFIED DLDG ELEVA7'ION

Sl'ECillI. CONDITIONS

PRODI,E:MS NI1'1/ PEll/U1' --------------------------------------llDDI TIONJIL INFOllMllT ION NEEDED

CEln'If' IED Dl' COLORADO REGISTERED LlND SURVEYOI

OR ENGINEER

/

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:1~"3~c4.c,~,~,-,t7h_e_ri-,.~•'-<~~,~,. 'l ~ i··-w----:-.r6 ~or;----:

. thence S. 45°23' W. 73.58 1 ; thence N. 27°. ·13' W. 457.84';thence N. 44°19' E. 92.37'" ·;thence· N. 51°59' E. 1S0.87';thence N. '41°32' E. 144.39';thence N. 36°50' E.

:Iii"~ = '2 s ~~ CARD OF CARDS

;I.~7 __ ._4;}~ _ _'._Jthence N._ 29°40' E. 73~09'1 thence N. 22°09' E. 183.98';· thence N. 03°26' E, 106.62' 'to the P.O.B.

Total: .---9:"99.Ac."

---Convenient yel. secluded location, this RV Park with cabins is graced by the meandering Three Mlle Creek. • Heavily '\.VOoded 9+ acres includes 59 campsites, most with water, sewer and elcctrkal hook-ups, and 12 rental units. A beautiful utmos/Jhere fur o. career whkh i']- really a lfestyle, $975,000. '1t9'0. ..

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-· ',

1.0 F.RAME

1.1 Main Beams:

'·'-·

SPECIFICI\TIONS fOR Clll\MPION HOME BUILDEHS CO.

DOUBLE SECTION Ml\NUFI\CTURED HOUSING J"l\NUI\RY 19 9 0

rr11e fran1e v1ill l)e cons trt1cted in- accord­ance with third party approved structural drawings from the following 1naterials:

'l'J1ere a.re th'O n1ain steel I l1ea1ns, sized i11 accordance witl1 the lengtl1 and weight of the home. Beams shall run the full length of the home, unless the optional foundation installation is ordered, which shortens tl1e frame 8" to 16" on each end to allow for a block foundation. Beams shall be spaced at either 80" or 96" o/c. Steel shall meet the requirements of l\STM/A-36.

1.2 Cross1nembers: Crossmembers shall b" \qeldecl to the bottom flange of the I-Beam, as required by loads. Cross1ne1nbers shall be a 1nini1nu1n of 1-1/2 11 x 1-1/2'' x 11 gauge steel angle. Tube out­riggers (if required) align with cross­members per approved structural drawings.

1.3 Front C~1nen1ber:

1.4 llitch:

1.5 Finish:

1.6 Axles:

2.0 FLOOR

2.1 Floor Joists:

2.2 Bottom Board:

HUD

Front crossme1nber shall be tl1e sa1ne 1naterial as 111ain steel I- bea1n.

llitches will be made of steel I-beam, sized for the applied load, and welded to the main beam and front crossmember. Detachable hitches are avail.able as an opt.ion.

l\ll exposed steel shall be finished to resist rusting.

Axles shall be as required for transportation from the manufacturing facility to the site.

The floor will be constructed in accordance with third party approved structural draw­ings from the following materials:

Joists sl-iall be norninal 2 11 x 6 11 at 16" o/c. Joist grade and species sl1all be as required for roof load, floor load and frame spacing. Rim joist will be the same as floor joist.

The bottom side of the floor shall be covered with a continuous roll bottom board, which

1

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2.4 Floor

2.5 Floor Coverinq:

3.0 EXTERIOR WALLS

HUD

3.1 Interior Finish:

3.2 Wall Heicht:

3.3 Studs:

3.4 Top Plate:

3.5 Bottom Plate:

3.6 Insulation:

3.7 Exterior Finish:

r'J<::;c_,r sl1ull be insulat.e:~d \·l.i 1-.l: a D.Lar1k:~t of fiberglass insulation having an uncompressed R-value of 11. An optional upgrade to R-22 is available at some locations.

Floor joists shall be cove>cccd wi.th 5/3" thick by full width particleboard or wafer board subfloor, exceeding the structural require­ments of 2B-2 decking. Some locations in the south offer 5/8" T&G plywood subfloor, applied perpendicular to the joists as an option.

Decking shall be covered with a finish floor of either vinyl roll goods or wall-to-wall carpet with pad. Upgrade carpet and pad are available options.

Exterior walls will be constructed in accord­ance with third party approved structural drawings from the following materials:

Walls shall be finished with 5/16'' prefinished gypswn, glued and fastenc=d to wall studs.

All extc=rior walls will have a minimum height of 7 '-0 11

• In son1e locations, I' -6·,. v.,;all height is standard.

E;{terior \·Jalls are const:::::-ucted of 2"~.,:4 11 stc.ds at 16'' o/c, and shall be from a material having a minimum Fb rating of GOO PSI. Ileaders shall be as required for the roof load. In SOine locations, 2 11 x6 11 r,valls are available as an option.

Top plate shall be a single l"x4" 'having a Fb rating of 400 PSI.

Bottom plate shall be a single l"x4" having a Fb rating of 400 PSI.

Walls shall be insulated with fiberglass insulation having an R-valuc= of 7. Avail­able options are R-11 insulation and R-19 insulation with 6'' walls.

Exterior walls will be finished with pre­finished metal siding or 7/16'' wood-type siding, applied direct to studs or over optional Fome-Cor or Dowboard. Other exterior finishes are available as options in certain areas ..

2

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.. \ . 0 \•/T,LLS, - IN'l'E'RI OR · Interior walls will be constructed in accord­ance with third party approved structural drawings from the following materials:

·1.1 Finishes:

~. 2 \</all Eeiqht_:_

4.3 Studs:

;·/all.r, shall be finished with 5/lG" orefinished 9y}Jc;um, glued iU1cl fastened to wC<ll s'L·.:,is.

All walls will have a minimum height of 7'-0''. In some locations, 7'-6" wall height is standard.

Studs shall be of a material havin9 a Fb rating of 600 PSI, or ripped from a material having a minimum Fb of 550 PSI. Stud size and spacing will be determined by loading requirements as specified by the structural package.

5.0 ROOF The roofs will be constructed in accordance with third party approved structural drawings from the following materials:

5.1 Trusses: Roofs shall be constructed using pre­engineered tested wood trusses, designed ~or the roof land required.

5.2 Ccilina ~inisl1: Ceilings shall be finished with 5/16'' ~r~­

finished gypsum ceiling panels, or l/2" gypsum ceiling panels, fastened to t~e wood framing with an approved structural ~oarn

adhesive system.

5.3 Insulation:

5.4 Sheathina:

5.5 Roofina:

Roofs shall be insulated with material having an uncompressed R-value of 11. Optional additional insulation is available. Insulation shall be either blown-in mineral wool or fiberglass batts.

Roofs shall be sheathed with minimwn 5/16" CDX plywood sheathing or equivalent ~or shin9led roofs. Sheathing shall be srapled to roof framin9. Homes with galvanized roofs do not get CDX plywood sheathing.

Roofs shall be covered with a continuous galvanized steel roof. Or, if shingled, either organic self-sealing shingles or fiberglass shingles shall be applied over a one-piece approved shingle underlayment.

6.0 DESIGN-LIVE LOAD All structural components shall be designed to withstand the following loads, as required by Federal Standards:

llUD 3

.......

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6. 2 \•/alls:

G.3 Hoofs:

7.0 HEATING SYSTEM

7.1 Ecuioment:

7 . 2 Ducts:

8.0 PLUMBING SYSTEM

8.1 Drain Lines:

8.2 Water Lines:

8.3 Water Closet:

8. 4 Lava tori,r:

HUD

Floors shall be designed to meet a 40 PSF live load. In addition, the floor shall support a 200 lb. concentrated load on a l" dia. disc at any poi11t on the floor.

Exterior walls sl1all withstand a 15 PSF wind load. Homes designated as hurricane zone construction shall withstand a 25 PSF wind load. Interior walls shall withstand a 5 PSF horizontal load.

Hoofs shall be designed to withstand the prescribed roof load for the area where the home is located, usually either 20, 30 or 40 PSF live load.

The home's heating system shall conform to the applicable Federal Standards in effect at the time of manufacture.

The furnace shall be sized to heat the home to 70.F when the outdoor temperatu=e reaches the temperature shown on the compliance certificate. Stan~~rd equipment is gas f~~ed forced air, with oil fired forced air, or elect=ic forced ~ir available as option.

Eu.ch fleer shall Lo.ve a metal l'eat cuct instnll~d below the floor joists, ~~ith duct connectors thru the floor for adj~stable floor registers. Duct will te S 1':{l2' 1 and sized for air conditioning as s~ecified on the data plate.

The plumbing system shall be designed and installed in accordance with the applicable Federal Standards in effect at the time of manufacture.

All drain piping and fittings shall be schedule 40 ABS, installed in accordance with approved illethods.

All water lines shall be polybutyl pipe with clamp ring insert fittings, installed in accordance with approved methods.

Water closets shall be floor mounted viterous china with close coupled tank, complete with seat and cover.

Lavatories shall be plastic oval mounted in a countertop with a 4'' centerset faucet and standard stopper.

4

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8 .. 5 .Tubs:·

8.7 Kitchen Sink:

8.8 Water Heater:

Tubs shall bte 27"x5•l" plastic with filucet ilnd shower rnixing Villve. Garden tubs shall bC> 42 11 -44 1

' :-.: 54 11 plastic witl1 sa1ne t:{pe of faucet.

Sl1c\.;ers sl1dll 11e 32":-:.3 11n •.v.i t 11 µl.=.i.st._~_.:: t=' !.:1 ~1.1~cl wall mounted mixing valve and shower head.

Kitchen sink shall be 32"x21" stainless steel with bac·k ledge for mounting of an 8" center­set faucet.

Standard water heaters can be 20 or 30 gal. electric. Optional water heaters are 30 gal. sealed combustion gas and 30, 40 or 50 gal. electric.

9.0 DOORS & WINDOWS

9 .1 E;{terior Doors: E~{terior cloors shall be 32 11 :<76' 1 met~l or fiberglass clacl ioan1 filled doors cc:nFlet~ with a keyed entry locksec. Opt~o11a~ combination storm/screen doors or insulated steel doors are available in many ~reas.

9.2 Interior Doors: Interior doors shall be prefi11ished hollcwcore doors with a honeycomb fill. Doors shall l1ave passage locksets, with a privacy lockset in the bath:::-com.

9. 3 \'iindows: Windows shall be aluminum frame vertical or hcri=ontal sliding weatherstripped windows, glazed with SSE glass. Clip-on storms or self-storing inside storms available. All bedrooms shall have an egrass window.

10.0 ELECTRICAL

HUD

10.1 Service Entrance:

10.2 Wirino Devices:

....... ,.., .. ~·-···· .,.. ...

All homes shall be equipped with main circuit breaker panelboards with all required branch breakers installed. All breakers shall have a 1nini1nuw 10, 0 0 0 amp interupti11g capa.c :!__ t·i. Service entrance conduit shall terminate below the floor. The main breaker capacity shall be sized for the equipment in the heme.

Receptacles and switches shall be self-contained UL listed devices installed directly to the wall finish. These devices allow fer a continuous loop of wire from the breaker panel to the last receptacle in the circuit.

5

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11.0 CABINETS

11.l Countertops:

11.2 Cabinets:

l:'..O CODES

HUD

,. ......

All 115V/230V wiring shall be done with copper Romex with ground. Minimum wire size will be #14 AWG. Wires shall be sized in accordance with the National Electric Code. (1984)

Countertops shall be made from 5/8'' particleboard, laminated with high pressure plastic laminate on tops and edges.

Cabinets shall be constructed using 3/8'' prefinished wood fiberboard approved for use as cabinet material. Cabi11et doors shall have self-closing hinges. Drawers shall have a metal track with nylon guides.

All homes shall be built in accordance with the design reauirements as found in the Federal Manufactured Housing Construction & Safety Standards and third party approved structural design package. Quality control ~rog~21n shall be followed at t!1e plant level, and independen~ third party iDspectc=s will monito= tl1e entire program.

6

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"THESE , , ES TO 8E~~1 \ \ "10VED WITH SHORTER ~

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MAX OVERHANG~ 16", OVERHANG MAY 13E CUT FLUSH WITH EXTERIOR WALL OP, ANY 0 IM ENS I 0 N BETWEEN FLUSH AND 16"

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C) ~~;., ·~~:~:~~~~ 8 < s,Mlll ~TM;O~.,l :::>

'-" 0 O ALIG ~ \9SS o::

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FOR TEST REPOR. .o.202.A

THIS DRAWING TO BE USED WITH DRAWING NO. R-___ _

LIVE LOAD=~_:3Cl_ P.SF. ~ DEAD LOAD=~ P.SF. 7'­TOTAL LOAD= 2 8 I 3 8 P.S.F.

WIND LOAD=~ P.S.F.

SPACING =~"o.c. CLEAR SPAN= !'54 inches

OVERHANG TO= 3flSTANDARD)

OVERHANG= UP TO 16' inches

FRAME MEMBERS :

SIZE SPECIES ________ _

GRADE --------­TRUSS MEMBERS:

11 ' t " TOP CHORD SIZE I '2 :r: I I c..

BOTTOM CHCRIJ SIZE I 112 ·• l I V 4 '

WEBSIZES 11lz1

x l 1tti' END UPRIGHT SIZE 2 .::.

LUMBER IS RIPPED FROM 2" X 6" NO.:;; S.i:i-.

-875 P.S.I. SGL. M8118ER USE

ALTERNATE MATER!AL:

tlQID, I) FRAMES (CAT>iEDRAL"""" ~)

MUST BE AS DETAILED.

2) ALL TRUSS PLATE-S ARE 20 GA. GANG NAIL

OR EQUIVALENT. SEE R-24.99

3) ALL PLA.TES SHOWN AF..E 80nt SIDES UNLESS OntERWlSE NOTED.

4) ALL WMBER TO BE SQUARE CUT UNLESS OTHERWISE NOTED.

5) SEE R-24.94, R-24.95, R-24.96 FDR

CHAMPION TRUSS AND FR.AME PROO.RAM

AND CROSS REFERENCES.

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I· [IB_~ j ~ TITLE; 1 11 1, 4 Q/ PRAWIN(l No ..

MOClfl·:ATIONS

CHAMPION HOME BUILDERS CO. ~ ~

MUNU ~Al H~DRAL TRUSS

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1' APPROVEDBY· 1~ 1 21-a, 2s-r15+1s x /18 ~ R75.23A

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TYPICAL CRAWL SPACE FOUi'ICIATION i'"OR L0CA1"10NS CF Pl£fi$ :;ES: CHAMPION -5 S~f-· UP 1;15TP.U~Tl OHS.

GENERAL 1'~C.TES;

).l..L DES1C:-.N. DETAILS -"-.ND '.·!CrT~'"" A~E 5UbGE5TlVE CNLY AND Ahe.·, $U6JC:CT i0 THE ..;;JR15Ci(TION OF 5TATE ANO Oh L·:·C.AL C'.:':DES.

(i1ANGES ~EE i1t-'.l-.DE ACCC'!?.Clf\GLY.

CONTACT YCUR LOCAL EUILDir.;,_; DE PAR TM ENT FOR FRQ;,7u NE AND SOIL h.EQIJIREMENT~-

CHAMP10N HOME 6l!1LDERS CG WARRANTS H~ME ONLY ;:~GM MAIN 13EAM UF.

FOR. '/EN7iLATION RE':U1Rt:.'.1ENT5 SEE STATE CF.. LOCAL COCE::.

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SUGGESTIVE . .;.NCHOR ::·ETAIL TO 6E CHECKED CY OTHERS 1"0 (Qi.FORM ro LA"TEfiAL c:,:;::.1.::. ....

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'U' su:LT:Jp BEAM (H:::l~H T 7"0 EE OETER~INED 6Y C~C~SEEAM A ANO size. TO E;E CHEC!<EU) IS FOR H!DEE6r::AMSUPPC'hT. lT MUST 13E GLUED AND NAILED· SEE SPECIAL LAYOUT SKE r-CH FOR LOO:ATION ANO LENGTH.

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Tanberg & Blevins Inc. 1293 C.R. 117 Glenwood Springs, CO. 81601

Attn: Jeff Blevins

GARFIELD COUNTY BUILDING AND PLANNING

This letter is an attempt to formalize our discussion on March 12, 1994 when I visited 1293 C.R. 117 to update an outstanding building permit for the installation of a mobile home. At that time I spoke with you while you showed me the installation in question. I noticed only on item missing which prohibited me from granting a Final Inspection. That item was the absence of steps out the back door of the unit. At that time I told that I would return on April;( 1994 and you assured me that the steps would in place. pY ff j//tZJ

Michael E. Watts

71/~/f/j/d?

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109 8TH STREET, SUITE 303 945-8212/625-55711285-7972 GLENWOOD SPRINGS, COLORADO 81601

Page 27: 04933 · FRONT PROPERTY LINE S1'1ll

. INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB

24 HOURS NOTICE REQUIRED FOR INSPECTIONS

BUILDING PERMIT GARFIEL,D COUNTY, COLO,RA9,Pq.3

3 Date lssuedU>f J.l.P3 ... Zm\~d Area ...................................... Perm1t No, ................................... .

1··• AGREEMENT In consideration of the issuance o[ this per1nit, the applicant hereby agrees l.o con1ply v.·ith all laws and regulations related to 1he zoning, location; construction and erection of the proposed structure for "\\'hich .this pcrntit is granted, and further agrees that if the above said regulations are not fully co1nplied with in the zoning, location, erection and const~·µ'<p~th. e above described· str. ucture, the pern t 111ay then he revoked by notice from e oun ~Jluilding In. r a.'.d :fl\ EDI , . BEC 1E NULL AND VOID, Use . l{(' Vt · iJ'J

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Setbacks 'rout Sidl'. Side Hear

This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.

INSPECTION RECORD Zoning Roof Coveting

Electric-Final (b S'f1\'IE ins Jector ,/ Footing

,/ Foundation/;- )-'1.3

Plun1bing-U ndergronnd

Gas Piping Heating Ventilation

Frame

Plnmbing-Rongh

Electric-Hough (by STATE inspector)

Insulation

Drywall

Final

ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.

TllIS PERMIT IS NOT TRANSFERABLE

Phone 945-8212 I 0 9 8th Street, County Courthouse, Glen\vood Springs, Colo. AP; ~:0 DO NOT DFBTROY THIS CARD

oate ti!· ·· . evt!Z,&d~ IF PLACED OUTSIDE - COVER WITH CI,EAR Pl~ASTIC