HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
X416 (970) 945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
_ Manufactured Home (Single or Multi -Level)
0 Residential (SF, Duplex or Townhome)
BUILDING
PERMIT
APPLICATION
I 0 Demolition
I ❑ Reroof
INVOLVED PARTIES_
Property Owner:
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Phone:
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Mailing Address: C)I-2- e.g.- 7. -('(Q i (,0l ny-act e) g 1 USD
Contractor: 0 ,l cu_ii-on -1 br ....S
1 ba..k 1 a)
Phone:
( 0110 )
Mailing Address: YR h A -11,l nc 15n (61. bY0.0..b
1
Architect: 41
Phone:
( )
Mailing Address:
Engineer:
1 4
Phone: (
)
Mailing Address:
Manufactured Home Installer:
Mailing Address:
Phone:
( )
PROJECT NAME AND LOCATION
Describe Work: Ds-51its neo 1 ktOTIA-0-- 1 ns -1-0,1:1.o
,tn I Welk 1 S'Ui'c-i
Wki 141,A U y'I -} 2 u tr.uet -► cm , AN tvk wcu
Job Address: +IA 'J Lft1t ral d 2,51 1D+ a 3
Assessor's Parcel Number:
Owner's Valuation
Sq. Ft. of Building:
21 21 ibl aolSub.'"Ai 1k htl' idS Lot Block 1
of Work: $
/A Ici,
(4 0 Property
Size (Sq. Ft. or Acres):
# of Floors: i
• ns
`oISO
Height: l I..?
Class of Work:
181 New
0 Alteration
0 Addition
0 Repair
0 Move/Relocation
Garage:
• Attached
0 Detached
� OWTS
Septic:
•
Community
Type of Heat:
• Natural
Gas
INE Propane
0 Electric
0 Other
Driveway Permit:
x 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 1 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 th - required information which is correct and accurate to the best of my knowledge.
Property Owne
/P ' and Sign
fto
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
19, 234.'
Plan Check Fee:
149,7 I
Permit Fee:
30'7.Z.,5"
Manu home Fee:
1100.OD
Misc Fees: k o88 05
�a _Tinp t
Total Fees:
90 , 96
Fee Paid:
u, av
Balance Due:
5o6.960
BP No:
OWTS No:
LAP -4 01.%
[ 4103
Setbacks:
F25, et.? 5r o
OCC Group:
Z�c.—
Const Type:
..i QC_.R.
Zoning:
BUILDING / PLANNING
DIVISION : 0 -06
Signed Approval Date
.$ io.vD, vrsA-, 64
Garfield County
Community Development Department
108 8`h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
MANUFACTURED HOME
BUILDING PERMIT
APPLICATION CHECKLIST
MANUFACTURED HOME 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.
• Contactor/Installer's name, mailing address, phone, fax or cell. Home Installers license #.
• 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 a 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„ 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 20 ft wide x 20 ft long, 40 psf live roof snow Toad, 90 mph -3 sec wind speed design.
• Colorado Division of Housing insignia must be affixed prior to Certificate of Occupancy.
• 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.
MANUFACTURER'S AND/OR ARCHITECTURAL PLANS: Provide the following information.
• Minimum of 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.
MANUFACTURER'S AND/OR ENGINEER'S STRUCTURAL PLANS: Provide the following
inforrmtion.
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.
Property Ow - P nt and Sign Date
Ga iiar Cattria.,
eview CheeklEst
Permit Number: AWA --f-/6 -¢z011
S1pr-,s-/6 -¢Z'
Building
Engineered Foundation
n
/A Driveway Permit
Surveyed Site Pian
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Pian Reviewer to Sign Application
Parcel/ Schedule No.
. 40lt5nowlnad Letter—Manu. Homes
Solis Report
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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