HomeMy WebLinkAboutApplicationGarfield County
) 1il' c· lw' h "\1~ £.'..Ii v \, Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
MAR 111 1015
Gt,PJ lt:L D CUl!\'.1,;
· ·;· 'uh'ff" 0 ·
TYPE OF CONSTRUCTION
D Commercial/Multi-Famil y
D Manufactured Home (SF or Duplex)
tit Resident ial (SF, Duplex, or Townhome)
I D Demolition
I D Reroof
Property Owner: -t::io-<--.,..............._-+----t'--=__._-"--...___._ ........... =----
Malllng Address: -.:.UL..l.E.1.l...i.r:...JJ.W:!.!i'~L..-/..L.C:.....---'-..21~?..f.l!.~~~~~T/-Ll.Jl.....!2.
Contractor: ;5."e_ { C
j
Phon e: ( ___ _. ..... S;..o.cA""'Atd'. ........... .l. __
MalllngAddress:_S-.....C!.At-==..."""-"U"""------------------------
Architect: 111e Li. "; s:: Phon e: ( 170 ) 3 ZC/""' t./3 i [?
Malling Address : ___________________________ _
Engineer: _____ _._/) ......... u ..... t .......... iJ .... z:. ... ________ Phone: (. __ -------
Malling Address : ___________________________ _
Manufactured Home Installer: __._N..;;...._o_n;...:oc.=---------Phone: ( __ -------
Mailing Address : ___________________________ _
PROJECT NAME AND LOCATION
Descr ibe Work: cJ-e lV l.fr:rtµ,,g...,
Job Address: _.:;;L..L!:::.~----i~'*-1"-....L.:::!.,,;.:L. __ ...1..,;!:L.:!::::?!.~~~2.A'.L.l...JJ.f.l.:...L---~
Assessor's Parcel Number: '13<iW~ub. Lot Z, Block
Owner's Valuation of Work: $•_.;~m~~~~==----Property Size (Sq.Ft or Acres): ____ _
Sq.Ft of Building: Height: 7 #of Floors:. __ 2-___ _
Class of Work: BNew D Alteration D Add ition D Repa ir D Move/Relocation
Garage: 12!1 Attached D Detached
Septic: lifowrs D Community
Type of Heat: lil Natural Gas D Propane D Electric D Other
Driveway Permit: 8 Exempt D Permit#:
·NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with this Application.
Lecal Access. A Building Permit cannot be Issued without proof of legal and adequate access to the property for
purposes of Inspections by the Building Division.
Other Permits. Multiple separate permits may be required : (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Vold Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
J hereby certify that J have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy . Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
Building Division. In consideration of the issuance of the Building Permit, J agree that I and my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s)
and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and Inspections of the work by the Building Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations
rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
<11 ormatlon which is correct and accurate to the best of my knowledge.
?-!?
Date
QFFJCIA~tUSE ONLY
Special Conditions:
Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee:
471{ 57h,~~ 31/b . /5 zoz..5".so -Misc Fees:
Total Fees: Fees Paid: Balance Due: OWTSNo :
5141 . ~§ tt~S-. '2.y '5'55b. 39
Setba;ks: t I DCC Group:
f?5 tzzs s10
Zoning: f-~ Const Type:
.r~t--
BUILDING I PLANNING DIVISION :_.../12-==...,~,,,,.._ ___ c_~_"'1!. __ c~..,.?-~----·--_f __ _
Signed Approval ~ate I
ce Garfield Co11nty I
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
Applicant: ~ • Petersen Residence
Job location: 5107 CR 154 GWS
Sub-Lot/Block: Ice Minor Amended, Lot# 2
I
ll
BUILDING PERMIT
FEE ES1ilM~TE
WORKSHEEiT
Fill ONLY in t he yellow areas
Type of Space
Finished Living Space
(NIA for Mt11111fac111red Homes)
Unfinished Basement
Crawl Space
Garage
Covered Patio/Deck
Uncovered Patio/Deck
Misc: Unfinished Future Liv. Sp. above garage
Misc:
Misc:
Total Valuation
Manufactured Home SetMUp
Single level ($400.00)
Multi-Level ($600.00)
Total Set-Up Fee
Septic
Permit ($123.002
Percolation ($150.00)
Total Se tic Fee
Square Feet
3666 sq.ft X
2976 sq ft X
690 5q ft x
1185 sq ft X
396 sq ft X
665 sq It X
920 sq ft X
sq.ft X
sq.It X
I
Value
per s~ ft.
$74.68
$41 .00,
$9 .001 $18.00
$24.00
$12.00
$41.00
$0.00
This section will be determi11ed by Garfield Coullty.
Total fees
Plan Review Fee
Building Permit Fee
Pay separately 11·ith Cas h or Ch eck 011/y (Road impacrfces )·Othe r
Due at time of Application Submittal
Due at time of Permit Pick-Up
Valuation
$273,776.88
$122,016.00
$6,210.00
$21,330.00
$9,504.00
$7,980.00
$37,720.001
$0.00
Valuation
$0.00
Valuation
$0.00
..
[
I
$0.00
$0.00
$0.00
Building Plan Review
1 Descri ption of Work: New S/F residence on u nfin ished basement w/ attached garage
Bin#: db
Location Address: 5107 C R I 54
GL ENW OOD SPRINGS , CO 8 I 60 I
Cnse Manager: David Barth olomew
Phm Cnse Number: BLDG-3-15-8 256
Parcel: 23950 1 IOI002
Application Date: Ol'l 6/201 5
Building
/ Engineered Foundation
tJ/A Driveway Permit
/ Surveyed Site Plan
/ Septic Permit and Setbacks
/ Grade/Topography 30%
f Attach Residential Plan Review List
I
Minimum Application Questionnare
/ Subdivision Plat Notes
~/It Fire Department Review
/ Valuation Determination/Fees
/ Red Line Plans/Stamps/Sticker
/ Attach Conditions
/ Application Signed
/ I Plan Reviewer To Sign Application
/ Parcel/Schedule No.
w;rt 40# Snowload Letter -Manu. Homes "/ Soils Report
Thursday, April 16, 2015
Contacts
Owner: Craig Pete rse n
A ppl icant: Craig Peterse n
Applicant Phone: (970)379-7022 Email:
/
Planning/Zoning
Property Line Setbacks
/ 30ft Stream Setbacks
/ Flood Plain
/ B uilding height
!__ Zoning Sign-off
H A Road Impact Fees
µ/A-HOA/DRC Approval
/ Grade/Topography 40%
I Planning Issues
/
Subdivision Plat
General Comments:
-The Build ing Divis ion will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued . Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowle ~ I ,ave read, understand, and will abide by the requirements of this
che 1st. /J
I
~ 3 -f& -(S
I
Date
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
In order to understand the scope of work intended and to expedite the issuance of a permit, it is
important that complete information be provided. Please review this document to determine if you have
adequate information to design your project and to facilitate a plan review.
APPLICATION FORM: Please make sure the following information is provided on the application.
• Parcel number obtained from the County Assessor's Office.
• Job address (assigned physical address)
• Legal Description: lot, block, filing , subdivision or tract, section, township and range.
• Owners name, mailing address, phone, fax, or cell.
• Contactors name, mailing address, phone, fax, or c~ll.
• Architect/Engineer's name, mailing address, phone, fax or cell.
• Building size, height, number of stories , lot size.
• Use of building (residential)
• Class of Work (new, addition, alteration, repair, demo, move, other)
• Description of work.
• Type of heating (natural gas, propane, electric, other).
• Sewer system (Community or OWTS), also see other items below.
• Garage (attached or detached).
• Driveway permit (please see other items below)
• Valuation (labor and materials) see attached worksheet.
OTHER ITEMS:
• If you anticipate obtaining a water-tap from the City of Rifle, please provide a letter indicating that
the City will provide water service. (Required to submit building permit application).
• ISDS requires a septic permit application to be submitted with the building permit application.
• A separate electrical permit must be obtained from the State of Colorado Electrical Board.
• At the time of building permit submittal , you are required to show proof of legal and adequate
access to the site. This may include proof of right to use a private easement, County Road &
Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed . The
County Road & Bridge Department can be reached at 970-625-8601.
• If you anticipate excavating or grading prior to issuance of a building permit, you will be requ i red
to obtain a separate grading permit.
• If you belong to a Homeowners Association (HOA}, it is your responsibility to obtain written
approval, if required .
• Provide copies of any Resolutions and/or Land Use Permits associated with this property.
• Additional Dwelling Units may require Administrative Review.
• Minimum dwelling dimension is 20 ft wide x 20 feet long.
• A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" minimum size, complete,
identical , legible, and to scale. All plans will be checked at the counter for completeness. If any of the
required information is missing, the building permit application cannot be accepted.
SITE PLAN: Please make sure the following information is provided on the site plan.
• Property address/legal description.
• North Arrow and Scale on each page.
• Show all property lines, building envelopes, flood plain, and easements.
• Provide setback distances from boundaries, buildings, septic, well, and waterways.
• Location and direction of the county or private road and driveway accessing the property.
• Proposed and existing structures include sheds, barns, decks, patios, and any other buildings.
• Existing and proposed grade, positive drainage around structure (to be contained on site).
• Streams, rivers, creeks, springs, ponds and ditches.
• Existing and proposed wells, septic tanks, leach fields, and other systems. (if applicable)
• Reta ini ng walls (engineer stamped detail required for walls over 4 ft, measured from bottom of
footing to top of wall).
NOTE: Any site plan depicting the placement of any portion of the structure within 50 feet of a property
line or not within an established building envelope shall be prepared, stamped, and signed by a licensed
surveyor. For structures to be built within a building envelope, provide a copy of the recorded subdivision
final plat with the proposed structure located in the building envelope.
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.
• Minimum four (4) elevations (N,S,E,W) Indicate height of building measured from existing grade
to the midpoint between the ridge and eave of a gable or shed roof or to the top of a flat roof.
• Floor plans for each level including dimensions and scale noted.
• Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
• Show the location of the mechanical equipment.
• Building cross sections with construction details.
• Window sizes, types, and operation noted on the floor plans or elevations.
• Specify roof slope/pitch, roof covering, and s iding materials.
• Stair and guard details specifying rise, run, height and spacing.
• Attic, roof, and crawlspace ventilation details. Indicate size and location of ventilation openings.
• Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.
• Provide stove and fireplace make, model, EPA or Colorado Phase II Certification. Masonry
fireplaces shall be designed to the International Residential Code (IRC) requirements .
STRUCTURAL PLANS: Please provide the follow ing information on the structural plans.
• Design specifications to include roof and deck snow load, wind and seismic design, frost depth.
• Foundation plan showing comp lete footing and foundation dimensions.
• Footing and foundation details specifying rei nforcement and referenced on plans.
• Framing plans for each floor level and roof. All beams, columns, joists, rafters, and trusses
specified. Pre-manufactured structures require the engineers stamp, signature, and date.
• Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.