HomeMy WebLinkAboutApplicationGarfield County
L'tEC E! \ : Community Development Department
108 8th Street, Suite 401
JUL 2 0 2017 Glenwood Springs, CO 81601
(970) 945-8212
GANALD COUNTwww.garfield-county.com
;'M )N `)_Y DFVF L O EN,
TYPE OF CONSTRUCTION
-7t
BUILDING PERMIT
APPLICATION
D Commercial/Multi-Family
1 ❑ Demolition
❑ Manufactured Home (Single or Multi -Level)
_Residential (SF, Duplex or Townhome) r❑ Reroof
INVOLVED PARTIES ` l
Property Owner: 7 Pe
p�, / X+01-J.5#40V Phone: (970 ) ..25-0.,„2134,
Mailing Address: I"!J� pji 7 X ?e ) y/6,5 0
Email Address: Aly/4043— 7X D R..S Ad,/ e eL400 . L'o HI
Contractor: Le K51 ec hat, La R 4/0 5
Mailing Address: JI 20 0
Email Address:
Phone: (970 ) 25.5 -/JJ L
rh.er v e 1C7 k l kr,
Architect: CJ x Y -em
Phone:
)
Mailing Address:
Email Address:
Engineer: 6 t f "r /1.55a1f5
Phone: MD ) .2(o / • /TO
Mailing Address: L0(17 Cp p 1,". l•' 6.6ryt,n a• a".41,/ 7d. a siso ›.
ur
Email Address: da /1 )qoin e to ei 1 rte 1 s eo 1.4,-, .
Manufactured Home Installer: r\ f A Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: pkt, Id 10 nt,Gl,
Job Address: S6 V/ TAO , /2 14 Co g/ . 5 -
Assessor's
Assessor's Parcel Number: 2/ 75;7/6605/
Sub. Lot Block
Owner's Valuation of Work: $ /,\.5t0 Property Size (Sq. Ft. or Acres):
L2 4' 7 Height: .g(f, ' # of Floors:
Sq. Ft. of Building:
Class of Work:
Garage:
I. New ❑ Alteration 0 Addition ❑ Repair
❑Attached ❑ Detached
❑ Move/Relocation
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway 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.
IOWTS
❑ Natural Gas
Exempt
alPropane
1)'i's11109
❑ Community
0 Electric Other
n Permit #:
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 land 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. 1
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.
Property [owner Print and Sign
ux,u,tkovi
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
�j 110.00
Pan Check Fee:
a� 51
Permit Fee:
4 S-74 35
Manu hoRe Fee:
01 I
Misc Fees:
ft qe &.. 00
Total Fees:
GO 1i41S:34
Fees Paid:
Balance Due:
1-70&.42
BP No:
OWTS No:
- 4 q
'E.1.717-48 SO
V0 10 8(0
S tbacks:
fjje�2r110
OCC Group:
12(L
Const Ty e:
honing:
'j'�1
BUILDING / PLANNING
DIVISION : sp4.1.4 ii.....
2/16/201 7
Signed Approval Date
w- 90 - y / S J9 (n.Yo-
?.. Garfield County
Community Development Department
108 8th 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: block, lot, tract, subdivision, filing, or section, township and range.
• Owner's name, mailing address, phone, fax or cell. v
• 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 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 ft. 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 11 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 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 I have read, understand and will abide by the requirements of this
checklist.
t' - aAArk/ co z cr
Propert Owner Priv and Sign Date
Fee
$0.00
$0.00
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant:
Project Address: L-4, q ,QAC 2
:Subdivsion:
Phone:
Lot: Block:
Type of Space
Square Feet
Valuation
Fee
Finished Living Space (N/A for Manufactured Homes)
/Z)4 1
. ��'
$0.00
$74.68
Unfinished Basement
i1 (P
$0.00
Perculation ($150)
$41.00
Crawl Space
/;': 4/
•
$18.00
Garage (Conditioned) (i.e. insulation, sheetrock)
Pi / A-
$32.00
Garage (Unconditioned)
0 ,//1.
$24.00
Covered Patio/Deck
�S' ! 9-
$18.00
Uncovered Patio/Deck
n'V
$12.0C
Misc:
$0.00
Misc:
$0,00
I ry
I
j /� l
[ 11. .
S
Manufactured Home Set -Up
:Single Level (5400)
Multi -Level ($600)
Septic (OWTS)
Fee
New Installation ($123)
1
. ��'
$0.00
Alteration and/or Repair ($75)
$0.00
Perculation ($150)
50.00
•
--
This Section Determined by Garfield County
Plan Review Fee
$0.00
Building Permit Fee
$0.00
Manufactured Home Set -Up Fee
$0.00
Septic Fee (OWTS)
$0.00
Other (Ex: Road Impact Fee
Total Fees Due ,
$0.00
$0.00
***AII fees are estimates until final plan review is completed***
(-1-711;C-,_ Geri:field C"orian,
C� � 6,111i1
Permit Number: i3L1 t 01-17' .462A
Derr- C-7-17- 41330
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Nan Review List
1\144 Subdivision Plat Notes
WA Fire Department Review
Valuation Determination/ Fees
/
/
NAA
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
Soils Report
kio tiOlA --
'i7o X 4711.6420% 72440.
525 x 416.00 23 4 81450
�5u4112.00=4 1tIO20.
Total
Planning/ Zoning_
Property Line Setbacks
NlA
30 ft. Stream Setbacks
NA Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
NJA
Subdivision Plat
General Comments:
hiwry -
•
MAii Ltv1I RC5i CC
LO f 1-60,GI 91' cc
9otb rota 1
/25
245
ria
Gov4/4(52, peck
t cIi (1of -F
fad Ifrc+ rze, - Rg4:00
(90(41-14 di s-fv i e+. )