HomeMy WebLinkAboutApplicationti=1i(i r 1J
JUN 0.8 2011
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Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
❑ Manufactured Home (Single or Multi -Level)
Residential (SF, Duplex or Townhome) ❑ Reroof
BUILDING PERMIT
APPLICATION
❑ Demolition
INVOLVED PARTIES
Property Owner: 41140W 4010/04r J Phone:
Mailing Address: 41-.6
Email Address:
Contractor: tIMPS -IMPS04 )hf \1 Lphone:i (0) 6i fi 4 2.4
Mailing Address: /49 A' fIr6 fir, J t• Mae)/
Email Address: tff33 S r MI41-.0) 4
ArchitectfechetzfrA��47 i VC e'-+ /fita: f SIO) . 1 s''
Mailing Address: P. a, K eutt"1/4-emoeN of 61 -2 -
Em a i I
1 -2 -
Email Address:P*1Q MS. APerl I
Engineer: At &al J
Mailing Address:
Email Address:
phone: OP) s, .416&03
Arele. mogul firtoroode, .
Manufactured Home Installer:
Mailing Address:
Email Address:
Phone:(
)
PROJECT DETAILS
Describe Work: etikvfmg Appvn cm Toc7.2fi ofewce
Job Address: OU7 NG WANS
Assessor's Parcel Number: 2144 0.9,121
Sub. roi m �y� rLLot� << Block
Owner's Valuation of Work: $ 1244 —# Property Size (Sq. Ft. or Acres): I11:1 tAN1c.
Sq. Ft. of Building: *14 S Height: 14 1 # of Floors: g
Class of Work:
Garage:
❑ New ❑ Alteration
Itached
IJ Addition
❑ Repair
0 -Detached
lUiove/Reiocation
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway Permit:
OWTS
Natural Gas,
Exempt lograt
Propane
Community
Electric
Permit #:
Other
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 structures) 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.
hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required inforsna 'on which is correct and accurate to the best of my knowledge.
P • perty Owner Print and Sign
- !
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
5 131 ) 520.00
Total Fees:
11) 435.37
Plan Check Fee:
$7e02, 412
Permit Fee:
IJ 172 .q5
Manu home Fee:
Misc Fees:, /,
Fees Paid:
'No.
Balance Due:
g3I)I01.1.7r1BLROTijr
BP No:
OWTS No:
Setbacks:
1R=25;9=10
OCC Group:I RG
Const Type: 1 R
Zoning: f
BUILDING / PLANNING DIVISION :
Signed Approval
7/t/c17
Date
P,D • fo' d_*-S?2 ) y151 II-
BUILDING PLANS: 2 ets of plans must be submitted. Plans must be 18"x24" minimum size, complete,
identical, legible and o 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 P AN: Please make sure the following information is provided on the site plan.
Property address/legal description.
ve North Arrow and Scale on each page.
\/'Show all property lines, building envelopes, flood plain and easements.
l►'`Provide setback distances from boundaries, buildings, septic, well and waterways.
V Location and direction of the comity or private road and driveway accessing the property.
yes;Proposed and existing structures. Include sheds, barns, decks, patios, and any other buildings.
ire Existing and proposed grade, positive drainage around structure (to be contained on site).
146101 • Streams, rivers, creeks, springs, ponds and ditches.
1 - Existing and proposed wells, septic tanks, leach fields and other systems (if applicable).
-''"' o 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.
W./Floor plans for each level, including dimensions and scale noted.
V Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
Or • A, 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.
tood,pecify roof slope/pitch, roof covering and siding materials.
Stair and guard details specifying rise, run, height and spacing.
IN/ •_Attic, roof and crawlspace ventilation details. Indicate size and location of ventilation openings.
+r Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.
,,i.44 • Provide stove and fireplace make, model, EPA or Colorado Phase II Certification. Masonry
fireplaces shall be designed to the International Residential Code (IRC) requirements.
STI2CTURAL 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.
4' Framing plans for each floor level and roof. AU beams, columns, joists, rafters and trusses
r 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 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.
shy, l zv? ?
Profferty Owner Print and Sign / Date
C.Garfield Cauire:r
Building/ Zoning Pian Review Checklist
Permit Number: 1Q -Q 0-17- 4/75
Building
z
N/A
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
/ Attach Residential Plan Review List
Subdivision Plat Notes
N/A Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
N/A
N/A
40# Snowload Letter — Manu. Homes
Soils Report
Ilial
`;1 2.03 =
250 x 16.00 = 4)500.
IO)g 12.0Og 12&0.
TOTAL _ 131 20.
Planning/ Zoning
N/A
WA
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
N/A
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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1)640
21040
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250
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