HomeMy WebLinkAboutApplicationRÉGÉIVÉD
RECEryED
ÁPtu ä 2fi$
Community Development Department
rñftnllrED gÁftTrËis
Demolition
Reroof
Property Owner:
Mailing Address:
Email Address:
Kr....'b>¿r- \u Rauur-, o-n phone:1Qro ¡ ar{.- ut4âû>--------.-------
\Onr
Kìvnrr'ìp ô fte,isv¡p,{'{a. r ô".,*Ët(rot
BUILDING PERMIT
APPLICATION
Contractor:
Fr3 u-'-rc-\cr .tsi g ,r-, ?.e-p c. ì .. c, I
Phone: (91Ô ¡aq: - aOt^t-\d<-L ..^ Cı\ÕJ-aJ-c\Õ
Mailing Address:
Email Address:
51s u û 5'o t
C{L
Architect:Phone:
Maíling Address
Email Addressr
Engineer:fv\ìc Baccr Phone:(qr0)3tpb- 8ØçO
Mailing Address:
Email Address:
Manufactured Home lnstallen
F+8r o\
Phone:
Mailing Address:
Email Address:
PNO'ECT
Describe Work:{'
Job Address r-.1
Assessotrs Parcel Number' â 31 l aãð. "i aD L+
Sub. \
CO 8i
r-ot àO{ Btock-
Property Size (Sq. Ft. or Acres):
yì
Ownefs Valuation of Work:45l)oo
Sq. Ft. of Building ã, ãA L{Height:* of Floors 'ã
Class of Work , l Ñ"* , ffÀtt"ration i fl¡¿¿¡tion ' [!þepati ; fl uove/Retocation
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
Driveway Permit:
Iowrs
, flNãtural eas , I rropane
f] e*"rpt
I Community
f¡Electric j flourer
flPermit #:
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
. the Owner, must be provided with this Application.
Lesal 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 perm¡ts 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.
C€RTIFICANON
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, 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 Perm¡t may be suspended or revoked, upon notice from the County, if the location, construction or use
Õf 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 ¡nspect 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
designe¡, qngiqeer anclf or bL¡ilder.
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.
Kr.q\)" n\t v Èr*r.rrv\trf\
Property owner-pHnt "ìu sic@ Þate
lobt t/
OFFICIAT USE ONI.Y
Soecial Conditions:
àuÅ+aùtg l;q+ ô( éonàíhovq.
Adiusted Valuation:
4412,ôöÒ.ôô
Plan Çheck Fee:q%ç.¿,1 P¡rmit Fee:Em33f2 Manu home Fee:
NU\
Misc Fees:
l.tÁ.
Total Fées:Øqzø.øto 3Rl (pl
Fees Paid lance Due:?42Ø4 åü¿E'nß OWTS No:
Tnr\^[\^t¡ tv tiY
Setbacks:occGrounr ¡Rr.consr ïyper Re Zoning:
BUILDING / PLANNING DIVISION :
Signed Approval Date
rp ZဠVI tE
Garfield Coanty
BUILDING DEPARTMENT
108 E¡ghth Strcet, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: A.?Ê' 0E+- 14- n?.ø
Building lssues Planning/Zoning lssues
Engineered Foundation
/ Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
x
NA
Nl\
N/^
tV/A
N/A
v/¡
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plaín
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssuesFire 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
x Soils Report
'/ subdivision Plat
General Comments:
V4\rrwfi'out , 41Dt 00ô.
(dn su,hntllA)
tuù vtvry+F¿ø=VA
(W ,rr^ ûv,bìtadt arile)
Gørfield Coanty
€ommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970le4s-8212
www.sarfi eld-countv.com
SINGLE FAMILY OR DUPLEX BU¡LDING PERMITAPPLICATION 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: 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 storles and lot size.
Use of building (Residential).
Class of Work (New, Addition, Alteration, Repair, Demo, Move/ Relocation).
Detailed description.of work.
Type of heating (naturalgas, 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 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 (HOA) it is your responsibility to obtain written
approval, if required.. Provide copies of any Resolutions and/or Land Use Permíts associated with this property.. Additional Dwelling Units may require Administrative Review.. A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
SINGLE FAMILY OR DUPLEX
BUILDING PERMIT
APPLICATION CHECKLIST
BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" rninimum size, complete,identical, leglble and to scale, All plans will be checked at the counter for completeness. lf any of thärequired informalion is missing, the building permit application cannot be accepted.
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 s'hall be prepared, stamped and signed by a'licenseäsurveyor' For structures to be built within a building envelope, provide a cópy of the recorded subdivisionfinal plat with the proposed structure located in the building'envelope
SITE PLAN: Please make sure the following information is provided on the site plan.
Property addressilegal description.
North Arrow and Scale on each page.
show all property lines, building envelopes, flood plain and easements,
Provide setback dístances 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. lnclude sheds, barns, decks, patios, anolny other búildings.
Existing and proposed grade, positive drainage around structure (to be contained on site).
Streams, rivers, creeks, springs, ponds and ditches.
Existing and proposed wells, septíc tanks, leach fields and oiher systems (if applicable).
Retaining walls (engineer stamped detail required for walls over 4 ft., measur"d ftor bottom offooting to top of wall).
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.r Minimum of four (4) elevations (N,S,E,W). lndicate height of building measured from existinggrade to the midpoint between the ridge and eave of a gable or sheð roof or to the top of a flätroof.¡ Floor plans for each level, including dimensions and scale noted.. clearly label each room or space (bedroom, bath, kítchen, ctoset, 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 detairs specifying rise, run, height and spacing.¡ Attic, roof and crawlspace ventilation details. lndicate size and location of ventilation openings.¡ Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspace-s.¡ Provide stove and fireplace make, nrodel, EPA or Coloiado Phase ll Certification. tvtasonry
fíreplaces shall be designed to the lnternational Residential Code (lRC) 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 frostdepth.. Foundation plan showing complete footing and foundation dímensions.
' Footing and foundation details specifying reinforcement and referenced on plans.
' Framing plans for each floor level and roof. All beams, columns, joists, ratters and trussesspecified' Pre-manufactured structures require the engineers stamp, signature and date.r Framing lconnection details, bracecl wall lines, shear wall schedule, locãtion and hold downs.
NOTE: lf any required information is missing, delays in issuing the permit are to be expected, lfdetermined by the Building Official that additional information iı 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 a* åny Ro¡rd .lmpact fcçs will be collected when the permit is issued.
The permit application must be signed hy the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied untíl a Certificate of Occupancy (CO) is issued. Using the building without a
GO will be considered an illegaloccupancy 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.
Owner a n Date