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HomeMy WebLinkAboutApplicationGarfield County -.17 C kL 'Community Development Department 108 8th Street, Suite 401 SEP 1 3 1017 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com BUILDING PERMIT APPLICATION [TYPE OF CONSTRUCTION O Commercial/Multi-Family I 0 Demolition ❑ Manufactured Home (Single or Multi -Level) if Residential (SF, B 4e4x-orae) 0 Reroof INVOLVED PARTIES Property Owner: f /C. H 4e..TaS/F Phone: ( . ) %y--/ Mailing Address: J2Z 5/1/01.e)i i 4-5.5 R/65174 Contractor: SCE '9-1&) Vc Phone: ( ) Mailing Address: Architect: ,5 G $ Ao do --1 5./4C1 igr%e7._ Phone: ( )5(46-^-0389 Mailing Address: p■i Lpfk& C_[,c hr 34 4Z7 8A0/ Engineer: e- C 4 /,l,T/g Phone: (91'0 )225---7422 Mailing Address: 49 Sneak &Q%le Sze./711 efe11.64;g Sar Manufactured Home Installer: Phone: Mailing Address: PROJECT NAME AND LOCATION Describe Work: 1%I_ Job Address: /S SUi /otab-'Z t arp> Assessor's Parcel Number: (736-30 Sub. 4:72/: -.,c -f- 7)/t/. �C fr Lot 57 Block c5 Owner's Valuation of Work: $ 26D, c C'O Property Size (Sq. Ft. or Acres): 2- 065 - Sq. Ft. of Build 1 3T/4 L Height: /7. 164* # of Floors: b,Vf OK New 0 Alteration 0 Addition Class of Work: Garage: Septic: Attached 0 OWTS Type of Heat: g Natural Gas 0 Propane ❑ Repair 0 Move/Relocation ❑ Detached ❑ Community Driveway Permit: -0 Exempt 0 Electric 0 Other 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 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 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 the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Date OFFICIAL USE ONLY Special Conditions: let I Vlitoi Gi Fee ` CFA* PicNtri cf } Adjusted Valuation: *1111"r900 Plan Check Fee: CP7e2.g2 Permit Fee: 41� 172.1 Manu home Fee: 0 ) A Misc Fees: 43 0-74.00 Total Fees: ` er, Fees Paid: Qsba90 Balance Due: q31)1-14.51 BP No: OWTS No: s yap i empelywo .--1 1i Setbacks: 13141 t/4o�,c OCC Group: Tia., Const Type: 11_721. Zoning: V. BUILDING / PLANNING DIVISION : 10/(42017 Signed Appr• Date 1a R Ca 9a Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-caunty.com BUILDING PERMIT FEE ESTIMATE WORKSHEET Applicant: Project Address: Subdivsion: Phone: Lot: Block: n ($150) Total Septic Fee $0.00 $0.00 $0.00 $a.00 This Section Determined by Garfield County Plan Review Fee Building Permit Fee e Septic—Fee-PALM) Other (Ex: Road Impact Fee) $(100 $0.00 $0.00 $0.00 $0.00 Total Fees Due $0.00 ***All fees are estimates until final plan review is completed*** I07Ayr $74.68 Finished Living Space (N/A for Manufactured Homes) f� f, 0 -- 0 '-- $.9-99 C cam-- I S p -_e Garage _ 0 6 $18.00 Covered Patio/Deck 0 $24.00 Uncovered Patio/Deck .----- 0 $12.00 Misc: 0 0 $0.00 Misc: Total Valuation 0 $0.00 $0.00 n ($150) Total Septic Fee $0.00 $0.00 $0.00 $a.00 This Section Determined by Garfield County Plan Review Fee Building Permit Fee e Septic—Fee-PALM) Other (Ex: Road Impact Fee) $(100 $0.00 $0.00 $0.00 $0.00 Total Fees Due $0.00 ***All fees are estimates until final plan review is completed*** Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com • SINGLE FAMILY OR DUPL BUILDING PERMIT APPLICATION CHECKLIST 4111 v 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: lot, block, filing, subdivision or tract, section, township and range. • Owners name, mailing address, phone, fax or cell. Contactors name, mailing address, phone, fax, or cell. �• - t ctfEngineer's name, mailing address, phone, fax or cell. J• Building size, height, number of stories and lot size. •Use of building (Residential). Class of Work (N�v ^di#on, Win, -Re air, , •14syeF-Releection). �— Detailed description of work. f• Type of heating (natural gas, propane, olccctric, other). _�• Sewer system (Community or OWTS), also see other items below. Garage (Attached e#eFelled). • Driveway permit (please see other items below). ,_--+ Valuation (labor and materials), see attached worksheet. OTHER ITEMS: • If - ..: - _ _ - - - _ - - _.ty of Rifle, please provide a letter indicating that t co R ttuired to & u4 -mit building permit application. le:c2(1 d 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 his may include proof of right_to use a private easement, County Road & /I 7 B _■_ - :-rrrl , or olorado Department of Highway permit, including a Notice torroceecd the 7 dO 'oad & Bridge Department can be reached at 970-625-8601. a building permit, you will be required it. • 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. 'ew. Mier :: :-et_ing 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. �• Proposedng structures. Include mss, iris, claalfis, patios, gs. �■ Existing and proposed grade, positive drainage around structure (to be contained on site). • St • s and other systems (if applicable). alts 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. 1 - 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. • P, roof a 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. AA6.1 z. 2.9J(c, Netetz- STRUCTURAL PLAN�Please provide the follow! information on th tructural 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. r�r 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- �- Framing /connection details, braced wall lines, shear wall schedule, location and hold downs. I ■ .40 ■ 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, ara d Inapast-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 Owner Print an ig e//g/teoG A--/Z2.7)4er (V `/7 Date Gar�fd Cain;ty 1 Buildin Flan Review Checklist Permit Number: 131,12-e-041- 17- 413I Building Engineered Foundation xpt Driveway Permit Surveyed Site Plan NSA 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 Plan Reviewer to Sign Application N/A Parcel/ Schedule No. 40# Snowload Letter— Manu. Homes Soils 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 N/A N/A ./ //General Comments: `7UW4KJV.i/ — MaiIA (l. utif 12/9ieau cc Gav (MInc o"w - Pe -f3 )<od 700 405 \1ett''0�_ 1, 3e42 x 4.74. (, , _ 1 ) 5(5 . 700 452.00 = e9 221400 4015x4I6.00 ='D 7)24(0: Ibtoti = $ 131)2 Rost (vh jGt F,a = cB 14 74 . ( L9f Pi 9tv'i 4