HomeMy WebLinkAboutApplicationc:G Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
---TYPE OF CONSTRUCTION
D Commercial/Multi-Family
D Manufactured Home (Single or Multi-Level)
...f!. Res idential (SF, Duplex or Townhome)
INVOLVED PARTIES
Property Owner: C
I CJ
I D
Malling Addr ess: 'd Co d WQO D{SU ff f?. ()
Contractor: c ~ . J
Demolition
Re roof
Phone: ( <170 ) "374 -44'[.5
\f\JW !)WO(IL ZNC
Malling Address : I SI 0 4 !L cren tcN ~Lu s
Architect: 1h e y r ~\A.) \l\J l "\20 A-fl 0
Malllng Address : Jo Wf I 'Z:l 1 bw S C0
Engineer: c harl es 1-e,k r=>O c-I
0
Phone: ( CfzD ) °1'15 ->62§'
~ locJ \
Phone:( __ _, ______ _
Malling Address: _________________________ _
Manufactured Home Installer:-----------Phone: (.__. ------
Malling Address: _________________________ _
PROJECT NAME AND LOCATION
Describe Work: Re M (')u t:: ± J2P plqr~ 1),oc l(_ ::IDtsf:-t--J2?c k f A.f i"?)
~Ce f\1( 0vt \XJ'Jfl L\'1~'1 i '3 f AC-e -
Job Address: W 11 0l)e V f' .D
Assessor's Parcel Number: lo "tuO Sub .£1 t=-5-r rt "SS " Lot Block
Owner's Valuation of Work: $ 2 ¥, e ee -t--Property Size (Sq . Ft. o r Acres): -----1
Sq. Ft. of Building: 11)' Height: #of Floors: ____ _
Class of Work: D New Alteration I D Addition CJ Repair D Move/Relocation
Garage: 0 Attached D De t ach ed
Septic: D OWTS D Community
Type of Heat: D Natural Ga s 0 Pro pa ne D Electric 0 Other
Driveway Permit: D Exempt 0 Permit#: -------
NOTICE ------Authority. This application for a Building Permit must be signed by the Owner of the property, descrlbed 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.
Legal Access. A Build Ing Permit cannot be Issued without proof of legal and adequate access to the property for
purposes of Inspections by the Bull ding 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
P-----------~~-1 hereby certify that I 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 (submlttals), 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, I 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 Regulatlon(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 facillty(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 facillty(les) If such Is In vlolatlon of County Regulatlon(s) or any other applicable law.
Review of this Application, Including submlttals, and inspections of the work by the Build Ing 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,
hav ~ided t equlred information which Is correct and accurate to the best of my knowledge.
1tlae/1 -;
date I Property Owner Print and Sign
OFFICIAL USE ONLY
-
Special Conditions:
Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: MlscFees:
J '.?., B9G .gp.. I 54. Z./ Z77. Z5 --
Total Fees: Fees Paid: Balance Due: ~: OWTSNo:
391. 4b 12.fe.~I 2.b4.55 B~e--!\t:J1-~
Setbacks: OCCGroup: Const Type: Zoning:
61.-tit:t e~v, J;f!_C-J:.J2.C PUD
4~.r~~~~ /,2~L!-> BUILDING /PLANNING DIVISION :
Signed Approval Date
-~ t24 .4\ I v'#(tioo l\ ltlf I t7 I
-.. ------Gat:Jield Co1111f)•
Buil<\iJ!g/ Zoning Plan Review Checklist
Permit Number: ~L-,.e!E-11-15-39f 7
. Building
/ Eng ineered Foundation
;V(A Driveway Perm it
/ Surveyed Site Plan
/V/ A Septic Permit and Setbacks .7 Grade/Topography 30%
--.....---Attach Residential Plan Review List
__ / __ Subdivision Plat Notes
11~ Fire Department Review
__ / __ Valuation Determination/ Fees
__ / __ Red line Plans/ Stamps/ Sticker
7
----Attach Conditions
/ ----Application Signed
Planning/ Zoning
/ Property Line Setbacks
/ 30 ft . Stream Setbacks
/ Flood Pla in '/ Building He ight
/ Zon ing Sign-Off
ff//)
I Road Impact Fees
/ Grade/ Topography 40%
/,
l
Planning Issues
Subdivision Plat
General Comments:
__ / __ Plan Reviewer to Sign Application
/
----Parcel/ Schedule No.
__ M .... f_1A___,, 40# Snowload Letter-Manu . Homes
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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.
The Building Division 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 acknowledge that I have read and understand the Notice and Certification above, as well as,
hav p~lded t equired information which is correct and accurate to the best of my knowledge.
p/rre /r s=
d ate I Property Owner Print and Sign
t
ce Garfield County
Community Development Department
1~ ff' Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.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 cell.
• Architect/Engineer's name, mailing address, phone, fax or cell.
• Building size, height, number of stories and lot size.
• Use of building (Residential).
• Class of Work (New, Addition, Alteration, Repair, Demo, Move/ Relocation).
• Detailed 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.
• OWTS 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 required
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 addressnegal 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).
• Retaining 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 of 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 siding 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 following information on the structural plans .
• Design specifications to include roof and deck snow load, wind and seismic design and frost
depth .
• Foundation plan showing complete footing and foundation dimensions .
• Footing and foundation details specifying reinforcement 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