HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th street, SJite 401
FEB 11011 Genwood firings, OD 81601
(970) 945-8212
www.barfield-ccountv.com
TYPE OF CONSTRUCTION
y Commercial/ M ulti-Family
E Manufactured Home (Engle or Multi -Level)
Residential (S=, Duplex or Townhome)
I1
BUILDING PERMIT
APPLJ CATI ON
-mg!
Demolition
Reroof
INVOLVED PARl1 ES
Property Owner: ASerat4 OQV 1ry ege..uo Phone: ('rick ) 4:1,
Mailing Address: ' n ei,X 1t°1 C4c§egibt-10461 Cc $ IcZ3
EmaiI Address: -6:iS %0S- 61 rlzP1Alt.Cov i
Contractor: 14 pi Phone: ( )
Mailing Address:
EmaiI Address:
Architect: NA
Phone:[
Mailing Address:
EmaiI Address:
Engineer: N 14
Phone: (
Mailing Address:
EmaiI Address:
Manufactured Home Installer:
Phone:( )
Mailing Address:
Email Address:
FRaECT NAM EAND LOCATION
Describe Work: 4001714.8 -6(11.4er .4d►`7-G . VSQ.
e.pgs: Ce f4v.. kiit,A 4A j 4 Ana ki*Vt cs.
.bb Address: oO81 Covorr0.0040 ll3 tC.AMitarsaktak Co 8I646
Assessor's Parcel Number:Z1$.0 76100;5 78ub. Lot Block
Owner's Valuation of WorkE,_,` 141ocx , ' Property Sze (Sq. R. or Acres): 11,0614G ,
Sq. R. of Building: 4414 tit Height: :i"1014 #of Floors: 1
aass of Work: R1New nAlteration PAckiition IT1 Repair 7 Move/Relocation
Garage:
Septic:
Type of Heat:
Driveway Kermit:
tached
VaArrs
11
Natural Gas
Exempt
11
Propane
Pi
Detached
`°Community
VtBectric DOther
t4 Ftrmit #
NOT CE
Authority. Misapplication for a Building Fbrmit 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 thisApplication.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate aocessto the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) Sate Bectrical Fbrmit, (2) County OWTSFbrmit,
(3) another permit required for use on the property identified above, e.g. Sate or County Highway/ Rad Access or
a Sate Wastewater Discharge Fbrmit.
Void Permit. A Building Fbrmit 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.
CHURCAT ON
I hereby certify that I have read this Application and that the information contained above is true and correct.
understand that the Building Dvision accepts the Application, along with the plans and spedficationsand 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 thisApplication, a Building Fbrmit 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 Cbde, OWTS
regulations and applicable land use regulations (County Fbgulation(s)). I acknowledge that the Building Fbrmit
may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s)
and fadlity(ies), described above, are not in compliance with County Iegulation(s) or any other applicable law.
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 Fbrmit 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 fadlity(ies) if such is in violation of County Fbgulation(s) or any other applicable law.
Ibview of this Application, induding 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, induding 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.
Property Owner Print and Sgn #,q,
esit CI 11
Date
OFFICIAL UH=ONLY
B3edal Conditions: ROA sd Ihspac4 F..a
Ai t614d- -to No `.f Fac 5+ bi5lric%
Adjusted Valuation:an
`�i60I2.0a
Check Fee:
9Iq,t.si
Permit Fee:
%211.25
Manu home Fee:
$400.00
MiscFees:
072lo.06 •
_Total Fees:
P'440. We
Fees
Paid:
I (b, . 3 I
ante Due:
(017.415
BP No:
OVVTSNo:
klo t
c-
-04.,(51-10-
backs:
rig= 261"3-fo
OCCC7oup: R� „.1
Const Type 5
Zoning:
BUILDING/ RANNINGDIVISpN:
, 3/2212017
Sgned Appr. a) Date
loo; 3-1111--
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
COMMERCIAL OR
MULTI -FAMILY
BUILDING PERMIT
APPLICATION CHECKLIST
COMMERCIAL OR MULTI -FAMILY 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. All applications are required to
be submitted in person.
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: block, lot, tract, subdivision, filing, or section, township and range.
• Owner's name, mailing address, phone, fax or cell.
• Contactors name, mailing address, phone, fax or cell.
• Architect and/or Engineer's name, mailing address, phone, fax or cell.
• Building size, height, number of stories, lot size.
• Use of building (Commercial).
• 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 it is your responsibility to obtain written approval, if
required.
• Provide copies of any Resolutions and/or Land Use Permits associated with this property.
• Projects with more than 10 occupants require plans sealed by a Colorado Licensed Design
Professional. Occupant load shall be calculated by IBC Table 1004.1.
■ A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups.
BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" minimum size, complete,
identical, legible and to scale. Certain projects may also require a third copy of the plans be submitted to
the local Fire District for review prior to permit issuance. 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.
COVER SHEET:
• Project identification.
• Project address and/or legal description.
• Design specifications to include building use and occupancy classification, type of construction,
building height and area calculations, occupant Toad, and fire sprinkler systems.
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.
• Per C.R.S. 12-4-112; Structures designed with an occupant Toad exceeding 10 require Colorado
State Licensed Design Professional stamped plans.
• Minimum of 4 elevations (N,S,E,W).
• Floor plans for each level, including dimensions and scale noted.
• Clearly label each room or space (office, storage, mechanical, elevator, etc).
• Wall types; clearly labeled and referenced. Identify all fire resistive wall construction.
• Construction details for all fire resistive elements referenced on floor plans and cross sections.
Include wall, floor/ceiling, roof/ceiling, shaft wall assemblies and structural frame. Provide the fire
resistive listing number referenced on each assembly detail. (ex. UL P123)
• Window and door sizes, types and operation and direction of swing noted on the floor plan.
• Specify roof slope/pitch, roof covering and siding materials.
• Energy design specifications/details for R -values, U -factors and SHGC's per IECC.
• Stair and guard details specifying rise, run, height and spacing.
• Accessibility; show compliance with accessibility requirements for all elements of the building per
IBC, Chapter 11 and ICC/ANSI A 117.1, ADA, FHA, and UFAS.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
• Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.
• Engineered foundation design per soils report. Geotechnical report referenced.
• 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 referenced on plans.
• Framing plans for each floor level and roof. All beams, columns, joists, rafters, trusses and all
live/dead loads specified.
• Framing /connection details referenced on plans.
• Pre -manufactured structures require an engineer's stamp, signature and date.
MECHANICAL PLANS: Please provide the following information on the mechanical plans.
• Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.
• Energy design calculations and details verifying compliance with the 2009 IECC.
■ Floor plans for each level showing size, location and materials of all ductwork, plenums, return
and outside air intake registers.
■ Size and location of all combustion air ductwork and openings.
• Size, type and termination of all gas appliance flues and vents.
• Location of all fire and combination smoke/fire dampers.
• Equipment schedule for all mechanical equipment (boiler, furnace, exhaust fans, etc.).
• Commercial kitchen hood location, hood and duct sizes, CFM calculations.
PLUMBING PLANS: Please provide the following information on the plumbing plans.
• Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.
• Floor plans for each level showing DWV layout and sizing, materials, slope and sewer location.
• Water piping materials, length and size of pipe, water meter location, fixture unit demands,
location and type of backflow prevention devices.
• Gas piping materials, length and size of pipe, gas meter location and BTU/hour demands.
• Additional piping plans for roof/deck drains, condensate, medical gas, etc.
• Plumbing fixture schedule for all plumbing equipment.
• Commercial kitchen plumbing fixtures, food preparation equipment, grease interceptors, etc.
ELECTRICAL PLANS: Please provide the following information on the electrical plans.
• Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.
■ Floor plans for each level showing location of lighting fixtures, switches, receptacles, emergency
exit signs and lighting and panel location.
• Diagram showing service entrance, conduit/wire size, main disconnect size, grounding
electrode/conductor size, feeder conduit/wire size, transformers and generators.
• Panel schedule showing bus/breaker sizes, circuit description, voltage, phase, amperage, etc.
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 Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
Property Owner Print and Sign
17bVISTeel
Property r oo.
zJ'i 1 h 7
Date
Gurficlrl County
Building/ Zoning Plan Review Checklist
Permit Number: $i-ce- 02-17-4566
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topograph 30% M
CO WOMAN' c;,c� l
Attach 1 To:
,�UiI Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter— Manu. Homes
Soils Report
Planning/ Zoning
N/A
N/A
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Res.<gob 9e
i✓ 5.Lf,'4
Di9tvict
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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