HomeMy WebLinkAboutApplicationMAR 1 12016
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-county.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (Single or Multi -Level)
434, Residential (SF, Duplex or Townhome)
BUILDING PERMIT
APPLICATION
0 Demolition
0 Reroof
INVOLVED PARTIES
Property Owner: Si� H [\I 1( Phone: (_t) 'j ' s"
Mailing Address: "2i3(DO e 4 7)!moi-Pt- (7n q.1
Contractor: (k J PAP 4 Phone: (
Mailing Address:
Architect: (LAI c))" (# ct-r ( Phone: ( 970)
Mailing Address: 15t, Er15 i `i7 -1;,c o STzEQ -r ' �\(„' c
Engineer: VV i= ST L 1 -.A(-i.'Ai k 1-,s1 Phone: (SA) (#/77.3 77 14
Mailing Address:
A-LIrE ---R f k r C Ik v)1
Manufactured Home Installer: _ Phone: (
Mailing Address:
PROJECT NAME AND LOCATION /�
Describe Work: 1 ftT c -(' c- \ A+ - 4 -to Q r fl r7 rwk.^A.S 6/1f
Job Address: .3(,--, (r Q d-2,3 -;fl{ rt, `K c •J C)
Assessor's Parcel Number: 1`5'5 R9 Z,W Sub. AttrL, _.en Ci>4r<o Lot 63y Block
ae
Owner's Valuation of Work: $•••45*; 3OJ Property Size (Sq. Ft. or Acres): 9. Cf r tca
/
Sq. Ft. of Building: ( r6°1 Height: 12. 2. # of Floors: 1
Class of Work: 0 New 0 Alteration l)Addition 0 Repair 0 Move/Relocation
Garage: 0 Attached ii Detached
Septic: ■ OWTS 0 Community
Type of Heat: 0 Natural Gas Ili Propane 0 Electric 0 Other
Driveway Permit: 0 Exempt 0 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.
Legal 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.
Void 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
I 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 (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, 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 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,
have provided the required information which is correct and accurate to the best of my knowledge.
Crt4 ( te�Qy
Property Owner Print land Sign
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
1G 5{0
Plan Check Fee:
451. gi
Permit Fee:
671.75-
Manu home Fee:
Misc Fees:
Total'Fees:
) / 4, 1
Fees Paid:
3(16-41
Balance Due:
76 6 .9'S
BP No:
B144-401
OWTS No: str —
eillhin oti-"i-3
Setbacks:
OCC Group:
Ai
Const Type:P
Zoni
-gc__
BUILDING / PLANNING
�� '3 2 2b4
DIVISION : [ _�
Iii Approval Date
v15h, 3II1�1�
Garfield County
Community Development Department
108 8`h 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 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 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).
• 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
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.)
hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
1 LN1 1'kei3
Property Owner Print and -E
Date
1
Garfrcld &Pauly 1
Builtlira Review hee st
Permit Number:
Building
Engineered Foundation
Ji
'A- Driveway Permit
S Irveyed Site Plan
�f1-0041(4 Permit and Setbacks M W't
Grad opography 30%
Attar esidential Plan Review List
Subdivision Plat Notes
ill •k Fire Department Review
Valuation Determination/ Fees
Red klrfe Plans/ Stamps/ Sticker
.11 Conditions
App ' • tion Signed
jprikeviewer to Sign Application
PPcel/ Schedule No.
40# Snowload Letter— Manu. Homes
Soils Report
Planning/ Zoning
r A Property Line Setbacks
IX R - 30 ft. Stream Setbacks
r it Flood Plain
Building Height
Zoning Sign -Off
d Impact Fees
Grade/ Topography 40%
Al 'A' Planning Issues
_ Subdivision Plat
General Comments:
7yst
gq
$'5-
D/
Project Address
1 3360 CR 233
RIFLE, CO 81650 -
Garfield County
Community Development Department
108 8th Streel Suite 401
Glenwood Springs, CO 81601-
Phon:9 (970)945.8212 Fax (970)384-3470
Parcel No.
Permit NO. SEPT -9-14-3369
Permit Type: Septic Permit
Work Classification: Repair
Permit Status: Active
Issue Date: 91912014
Expires: 09109/2015
Subdivision
Section Township Range
212732400239
Owner Information
Address
Phone
Call
Dustin Cheney
(970)379-5258
3360 CR 233
Rifle CO 81650-
Contractor(s)
Phone
Primary Contractor
Avalanche Excavation, LLC (970)876.2619
Yes
Proposed Construction 1 Details
repair existing ISDS
FEES DUE
Fee
Amount
Septic Fee - Alteration or Repair 575 00
Total: $75.00
FEES PA113
Inv Total Paytype Amt Paid Amt Due
Inv # SEPT -9-14-23150
$75.00 Check # 1547
S75 00
50.00
Required Inspections:
For Inspections [MI :
1(970)945-1377
ext 1621
Inspection
IVR
See Permit Record
Building Department
Copy
Tuesday, September 9, 2014 2
February 12, 2015
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberq(omail.com
Dustin Cheney
dustin@avalancheexcavation.net
Onsite Wastewater Treatment System (OWTS) Installation Observations
3360 CR 233
Garfield County, Colorado
OWTS Construction Permit Number SEPT -9-14-3369
Dustin,
Project No. C1093
CBO Inc. observed the installation of the onsite wastewater treatment system (OWTS) on December 15,
2014 for the subject property. The OWTS was sized to accommodate a 5 -bedroom residence. Avalanche
Excavation installed the system.
The existing OWTS was properly abandoned. A new 1250 -gallon, two-compartment Roth® septic tank,
followed by a new 500 -gallon, Roth® pump vault with an Orenco® Biotube pump vault and PF3005 pump
was installed. Both the residence and shop are plumbed into the 1250 -gallon septic tank. Effluent is
dosed through a 1.5 -inch diameter pump line to a new distribution box, accessible from grade. From the
distribution box, effluent gravity flows to four new gravelless chamber beds, each with 2 rows of 11 'Quick
4' Infiltrator® chambers for a total of 88 chambers and 1056 square feet of infiltrative area. Inspection
ports were installed at the beginning and end of each bed.
Chambers were installed at native grade in order to obtain a 4 -foot separation to high
groundwater. Backfill over the chambers was a minimum of 1 -foot over the chambers, graded to deflect
precipitation.
Native vegetation over the STA must be established to prevent erosion. The STA must be
protected from any traffic from the gravel drive.
The OWTS was generally installed according to specifications. This observation is not a guarantee of
workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are
made to the OWTS in the future. Any additional OWTS construction must be according to the county
regulations.
LIMITS:
Observations are limited to components that are visible at the time of the inspection. The installer must
have documented and demonstrated knowledge of the requirements and regulations of the county in
which they are working. The quality of the installation is dependent of the expertise of the installer, soil
type, and weather conditions.
GPS Coordinates:
Tank inlet
Tank outlet
Pump Chamber
Distribution Box
Field Corner 1
Field Corner 2
Field Corner 3
Field Corner 4
N39.33.931' W107'43.992'
N39.33.928' W107k43.987'
N39.33.928' W107.43.988'
N39 33.913' W107443.975'
N39.33.921' W107:43.977'
N39.33.908' W107 43.964'
N39. 33.905' W107:43.969'
N39' 33.917' W107'43..982'
Please call with questions.
Sincerely,
L'ak(a Os-fbcAg
Carla Ostberg, MPH, REHS
Photographs provided by the installer during system installation
4 -inch line from house View of primary septic tank
From shop
From
house
4 -inch sewer pipe from shop and electrical conduit
inlet of primary septic tank
Pump vault plumbed
Biotube pump vault installation Quick disconnect
Pump line to distribution box
Distribution box
chamber bed at grade
Chamber beds
• • :c ti. +. 7
;•
re
Plumbing from D -box into beds
`4,
111
Photographs from our installation observation on December 15, 2014
Backfill around tanks — lids at grade
View of tanks and cleanouts looking toward house
Distribution box and flow levelers Observation ports
' T.t7--",..-1 •
View of field area — backfilled