HomeMy WebLinkAboutApplication - VoidedGørfteld County
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'¡".}.'¡unity Development Department
108 8th Street, Suite 401
Springs, CO 81601
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www.ga rf ield-countv.com
BUILDING PERMIT
APPLICATION
WPE OF CONSTNUCNON
E Commercial/Multi-Fami Demolition
! Manufactured Home (Single or Multi-Level)
ffi Residential (SF, Duplex or Townhome)Reroof
IIII'OLVED PARTIES
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Mailing Address:
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Property owner: 5L.ll Phone:I
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contractor: Burl* (r","V Dr.nr'* ,f Br^,lrJ,3rt¿
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Mailing Address:
Email Address:
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Phone:Architect:
Mailing Address:
Email Address:
Phone:Engineer:
Mailing Address:
Email Address:
Mailing Address:
EmailAddress:
Phone:Manufactured Home lnstaller:
PROJECTDETAII.S
Describe wo¡k: Éy¡a^r\ ¿r¡:'l'¡,.t o*'IL^ú!r- 3' /' tt. ,a.o.lu. /llrl
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Assessol's Parcel Number:
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Owne/sValuationofWork: 5 t5,ê ¿2O
Sq. Ft. of Building:ûo s{Height
Class of Work:New _l_ll'::
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Property Size (Sq. Ft. or Acres):"7/g
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Repair Move/Relocation
DetachedGarage:Attached
ratio Addition
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Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.garfield-countv.com
SINGLE FAMILY OR DUPLEX 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.o 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.o 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). Io Driveway permit (please see other items below)Jo 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.o A separate electrical permit must be obtained from the State of Colorado Electrical Board.o 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 bçlong to a Homeowners Association (HOA) it is your responsibility to obtain written
approval, if required.r Provide copies of any Resolutions and/or Land Use Permits associated with this property.
. Additional Dwelling Units may require Administrative Review.¡ A Colorado State Licensed Electrician and Plumber must perfrom 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. 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.
o Proposed and existing structures. lnclude sheds, barns, decks, patios, and any other buildings.
o 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 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). lndicaie 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.
"ó Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
/, Show the location of the mechanical equipment.
'/, Building cross sections with construction details.
l./ Window sizes, types and operation noted on the floor plans or elevations.
J . Specify roof slope/pitch, roof covering and siding materials.
.'. - Stair and guard details specifying rise, run, height and spacing.
fr Attic, roof and crawlspace ventilation details. lndicate size and location of ventilation openings.
J . Minimum insulation shown for walls, floors, roofsiceilings, slabs, basements and crawlspaces.. Provide stove and fireplace make, model, EPA or Colorado Phase ll Certification. Masgnry
fireplaces 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 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: lf any required information is missing, delays in issuing the permit are to be expected. lf
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 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 acknowledge I have read, understand and will abide by the requirements of this
checklist.
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Print and Sign Date
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]NDIVIDUAL SEWAGE
PRgqEË
Owner'e Name
System Locat
DISPOSAL PERMIT
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Stioot Sults 003
Glenwood SPrlngr, Colorado SlBOt
Phone (303) e4s'8ã2
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Legal Deærlptlon ol Asseseor'g Parcel No'
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P = ¿y PttrcelSYsTEii OESIGN
Raqulred Absorptlon Area - See Attach€d
Spgclal Sôtbeck Roqulreñents:
-to lnspoctor
FINAL SYSTEÍII INSPECTION AND APPROVAL (as installsd)
cell lor lnspection (24 hours notice) Before covering lnstâllation
Syetern
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sepric rank c"l"¡rv (sarron) -il-Gry 3'í1'o' a t{ q
Percolation Råte (minut68/inch) Number ol Bedrooms (or other)a
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Septic Tank
Sâpt¡c Tank Manuleoturor or Trade Name
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S€ptlc Tank Acoess wllhln 8" ol surface
Absorptlon
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Absorption Area Type and/or Manulaclurer or Trade Name
Ad€quåt€ compliâncg wllh County ând Stat€ regulations/requ
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Olher
Date lnspsctor
RÉTAIN WITH RECEIPT RECORDS AT SITE
TCONDITIONS:
1. All lnsla¡å¡on must comply ryith ail requirements of tho colorâdo state Board of Heallh lndlvldual sewage Dlsposal syrteme chaptor
25, Att¡cl€ 10 C'R,S. 1973' Revlsed 1984'
2. Th¡e permlt is vål¡d only lor connection to slruclures whlch have lully complied wlth county ¿onlng and buildlng roqulromontÊ' oon'
nectionto or usewlth any dwe¡¡ng orsriiãrüãs nãfapproveo ¡vrlrãau¡loing and Zonlng.offlce shìll eulomatlcally be avlolåtlon ora
roquirement äiiiä'ört"i¡iänà ðãus" tor both legaläbt¡on and r€vocation ol the permlt.
3. AnyporsonwhOcOnetruCts,altOrs,orlnstallsanlndividualsewåg.€dlsposalsyelemlnámannofwhlchinvolvesaknowlnoandmdteflsl
var¡Nrion trom rhe ierme or specrrrcatioîä'äîd;¡;;ä'ñihili,¡Ì¡äiiñãì'påiñti c;mm¡is a class l, Peltv orlense (t500'00llne - 0
monthe ln Jsll or both)'
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T¡VhIIê - APPLICANT YEIIOW - DEPAFÏMENT
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OWNER
TNDIVIDUAL SEWAGE DI SPO S AL SYSTEM ANFLICATION
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ADDRESS e o t? ta il ,l t*'c , "{ L^^..PHONE ç'>J' c296P
CONTRACTOR tú th,
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PERMIT REQUEST FOR ( )ALTERATTON ( )REPATR
Attach $eparate sheets or report showing entire area with respect to surrounding areas, topography of area; habitable
building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4).
LQCATION OF PROPOSEp Fâ,CILrIL.
Near what City of ¡,'rt{
Legal Description or Address
WASTES TYPE:fi) DWSLLTNG ( ) TRANSIENT USE
( ) CoMMERCTAL OR TNDUSTRTAL ( ) NON-DOMESTIC \ryASTES
( ) oTT{ER - DESCRTBE _.. _.
BUILDING OR SERVTCE TYPE:r,vtlt'n' Ll lrL
Number of Bedrooms . ? -. Number of Persons ]
( ) Garbage C¡rinder (r\) Automatio Washer (r) Dishwasher
SOURCE AllD TYPE OF WATER,SUPPI-Y: ( ) WELL ( ) SPRING (X) STREAM OR CREEK
If supplied by Community Water, give name of supplier:N¿lV,^nn (,ropL LJ^'/ru Ju ,fo,'u
DISTANCE TO NEAREST COMMLINITY SEWER SYSTEM (h- ^to'*J
Was an effort made to connect to the Community System ?i raarr r-lt,'b/¿,/ o Á)q-¡.a
A-site olfln is required to be su!-mitted tÞat indicates the fqflowing MINIMUM.distance,ç:
Le¡ch Fleld to Well: 100 feet
Septic Tenk to lVell: 50 feet
Leach Fleld to lrrigation Ditches, Stream or \ilater Course: 50 feet
Septic System to Property Lines: l0 feet
yoIIR rNprvrpu.ê! sElyêcp.prspq$Al, sysTEM pERMrr lvrl,r Nor,pE rssuBq )ryrLH9uT
A SITE PIJAN.
QROUTT.P CONpTTTONS:
Depth to first Ground Water T
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(¡) New INSTALLATION
J
7
Percent Ground
'7
2
TYPE OF ÍNDIVIDUAL SEïVAGE, DISPOSAL SYSTEM PROPOSED:
( ) vALJLT PRI\ry
O PITPRI\ry
( ) AERATION PLAI',¡T
( ) coMPoSTING TOILET
( ) INCINERATION TOILET
VAULT
RECYCLING, POTABLE USE
RECYCLINO, OTI{ER USE
EVAPOTRA}.ISPIRATION
SAII{D FILTER
WASTEWATER POND
()
()
()
()
()
()
( ) CHEMICAL TOILET ( ) orrIER -
FINAL DISPOSAL BY:
( {) ABSORPTION TRENCH, BBD OR PIT
( ) LTNDERGROUI.¡D DISPERSAL
( ) ABOÍÆ GROUND DISPERSAL
( ) orlIER - DESCRIBF .. -, ,, - . .-. - , '
WNL EFFLUENT BE DISCHARGED DIRECTLY INTO \ryATERS OF THE STATE?¡0
PERCOLATION TEST BFSIJLIS: (To be complAed by Registered Professional Engineer, if the Engineer does the
Percolation Test)
Minutes_per inch in hole No. I Minutes per inch in hole NO. 3
Minutes per inch in hole No. 2 Minutes - - per inch in hole NO. -
Name, address and telephone of RPE who made soil absorption
Name,addressandtelephoneofRPEresponsiblefordesignofthesystem:'
Appticant acknowledges that the completeness of the application is conditional upon such fr¡rther mandatory and
additional tests and reports as rnay be required by the local health department to be made and furnished by the applicant
or by the local health department for purposed of the evaluation of the application; and the issuance of thc pennit is
subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made,
information and reports zubmiued herewith and required to be submitted by the applicant are or will be represented to
be true and conect to the best of my knowledge and belief and are designed to be relied on by the local department of
health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any
frlsiñcation or misrepresentation may result in the denial of the application or revocation of any permit granted based
upon said application and in legal action for perjury as provided by law.
Signed -f'
PLEASE DRAW AN ACC{.JRATE MAP TO YOUR PROPERTY!!
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Designate l.Iorth A¡rowYourNeighbot'sNarne & Address,"uz¡t^uoDcd0zal,Erutl))Your Plot - Shape to Fit(No Scale),s^,þl\\;vrR-r¡! {LocateallandwaterDraw in your house,septic tank & systen¡garages,drivewayIf a change of location is necessary, you must submit a corrected drawing before aCertificate of Occupation will be issued.Your Neighbor'sName & AddressbnqtD+*lìrI€-ı$Al\sÑ1"+s'5ôô3CountyRoad (Note the Road Number and Name), abcls¡rinó0\¡?ilo.¡\Cc-loct3a)
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