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Home My WebLink AboutApplicationGurfield County ent BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION tr Commercial/Multi-Family tr Demolition Manufactured Home orD fvro tr Residential (SF, Duplex, orTownhome)tr Reroof INVOLVED PARTIES Property Owner: Mailing Address: ptrone: (970 | e4 S-qDZqc"M rf I ¿*Sorf*À ô 2-& ßJ, 2 -q70-71 t-t0,S-?dã Mailing Address: Contrector:Phone: c-øII Architect: Phone: Mailing Address Engineer:Phone: ( ) Mailing Address Phone: (_)Manufactured Home lnstaller: Mailing Address PROJECT NAME AND TOCAT¡ON Assessor's Parcel Number: @b. Owner's Valuation of Work: S- Describe Work: tb{ L Lot a 0to.-o o-t^ lÇr¿t- lls,w,r-.,o n" 14p n^..,0. , I I d Height:IS t R..* .-t\ u{l\i*¡.s . E- Sì\ Sq.Ft of Building:rÌ'{q á Job Address: Block qoProperty Size (5q.Ft or Acres): lbtt #ofFloors: ¡ rn p ruew El Alteration El Rddit¡on E Repair tr Move/RelocationClass of Work: E oetachedGarageE Rttached Septic:lowrs E Community Type of Heat:E NaturalGas I Propane E Electric E other E Exempt E Permit #:Driveway Permit: Þ Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofaurthority,signedbythe 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICAT{ON 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. ln consideration of the issuance of the Building Permit, lagreethat 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. 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 l¡mitation my architect designer, engineer and/ or builder NOTICE I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the is correct and accurate to the best of my knowledge l?"hoao ßu,s e- g - |_ t7 Property Owner Print and Sign Date Wàwøet F4- (portn P¡úviól Special Conditions: f{ør.l rtny+ bnìl);v,2 in êØH inç¡taltafion inÞv vplì c %,txt¿taqo.¿c+ìo¡. / C.d. giania â^A W,iuttl^A,4u*à re¡or'to fìwal Þ¡zv2.oo ' Misc Fees:Perm¡t Fee: 44øtflø Manu home Fee: ¿læ.uo Adiusted Valdation: ' 4ølr4øo.ffi Plan Cheık Fee:øØ.21 s6W-4971 OWTS No:Balance Due:4la,z.zx rtMr-r{gþ BP No:Total Fees: Ô¡,lt z.zz Fees Paid: 4uo .où constType: ßC Zoning: KF/R.= 26,910 Setbacks:OCC Group IRó aþq lzo,tBUILDING / PLANNING DIVISION : Signed Approval Date PD.{uo.æ,r {qil æ5ßl(r+ f :@, ¿¡¡t";;ç: ts uÍtdÍ ng,l 7'otunE_P_IanÄeview Ch echlÍst Perrnit Number:øLI,AP oØl1- 4Ø70 *pT - oØ- t--4Ø71 Bui Planni Toni '/ Property Line Setbacks'/ Engineered Foundation ,/ Driveway Permit X Surveyed Site Plan / Septic Permit and Setbacks '/ Grade/îopography3o% // N/A NA ,/ Building Height '/ Zoning Sign-off / Road lmpact Fees Grade/ Topography 4A% / Planníng lssues N/a 30 ft. Stream Setbacks Flood Plaìn N/¡ Attach Residentíal Plan Review List Subdivisíon Plat Notes N/a Fire Department Revíew Valuation Determination/ Fees '/ Red Líne Plans/stamps/ sticker - Attach Conditions Application Signed Plan Revíewer to Sign Applicatíon '/ Parcel/schedule No. Soíls Report Subdivisíon Plat General Comments: ù¡wl %- = \lnø,t. P¿tho ' Vah'wlton, tJæxOt6.rlo" g4\>oo' 40 xøt2.00.4 1Ø. T\tal " Ø 3l¡q6ô. RØ¿ lnyvÅ F-(t ^ 4 \zz7. (þorrth o,btn'ct ) tt150 4o Gurfield County MANUFACTURED HOME BUILD¡NG PERM¡T APPLICATION CHECKLIST Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 (9701s45-8212 www.garf¡eld-counW.com MANUFACTURED HOME BUILDING PERMIT APPLICATION CHECKLIST ln 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.o Contactor/lnstaller's name, mailing address, phone, fax, or cell. Home lnstallers license #.. ArchitecVEngineer's name, mailing address, phone, fax or cell.. Building size, height, number of stories, lot size.. Use of building (residential). Class of Work (new, addition, alteration, repair, demo, move, other). 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:. lf 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.. lf you anticipate excavating or grading prior to issuance of a building permit, you will be required to obtain a separate grading permit. . lf you belong to a Homeowners Association,, it is your responsibility to obtain written approval, if required.o Provide copies of any Resolutions and/or Land Use Permits associated with this property. . Additional Dwelling Units may require Administrative Review.o Minimum 20 ft wide x20 ft long, 40 psf live roof snow load, 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. BUf LDf NG 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. lf 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. . Propertyaddress/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.o 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 notwithin 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 4 elevations (N,S,E,W) lndicate 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).o Show the location of the mechanical equipment.. Building cross sections with construction details.o 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.o Attic, roof, and crawlspace ventilation details. lndicate size and location of ventilation openings.. Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.o Provide stove and fireplace make, model, EPA or Colorado Phase ll Certification. Masonry fireplaces shall be designed to the lnternational Residential Code (lRC) requirements. MANUFACTURER'S AND/OR ENGINEER'S STRUCTURAL PLANS: Provide the following information.o Design specifications to include roof and deck snow load, wind and seismic design, frost depth.. Foundation plan showing complete footing and foundation dimensions.. Footing and foundation details specifying reinforcement and referenced on plans. e 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: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Officialthat 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 lmpact 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 acknowled ge I have read, understand, and will abide by the requirements of this ch 6 tl Property Owner Print and Sign Date