HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970ls4s-82L2
www. garfield-cou ntv.com
BUILDING PERMIT
APPLICAT¡ON
TYPE OF CONSTRUCTION
Com mercial/M ulti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, DuplexorTownhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Email Address:
Phone: g >ot 15 6 '13áo
(
Phone:
¡
IMailing Address
Email Address:
Contractor:
Property Owner:
Mailing Address:
a
Phone: eZAt366'%1nArchitect:
Mailing Address:
Email Address:
Ê Phone: tïtøt 3cc - 9610Engineer:
Mailing Address:
Email Address
PhoneManufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAI[S
Describe Work:
sr Lr
6t,lZ
Sq. Ft. of Building:9ǡo
Sub.lA,no,"1 ^ Eç I
f of Floors z
Ut,l¿ltc t
Owner's Valuation of Work:
Assessor's Parcel Number:
Height:
Job Address:5lx
lot l'l A Block
q?-Property Size (Sq. Ft. or Acres):
U1q 232 ot Oøt"..¿,
.?,
/ditionClass of Work:New Remodel/Alteration
,/DetachedGarage:itttached
((Community
Electric OtherType of Heat:
!NaturalGas V Propane
pt Permit #:Driveway
Permit:
Authoriw. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
NOTICE
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 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
CERT¡FICATION
designer, engineer and/ or builder
PROJECT DETAITS CONTINUED
Septic:
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.
lO- t4 2t
Property Owner Print and Sign Date
I
ll ,0Ô
OFFICIAL USE ONTY Pá.I t ßZZ.1y qF-øA Cx* tZtt ro/t4 /tøzt Çti')
Special Conditions:
Adiusted Valuation:
ü2ß5 2t¿5.12
Plan Check Fee:
bt.722.1ø
Permit Fee:
42,o3175
Manu, Home Fee:
N/*
Misc. Fees:
RIF-5,8.D,= Q¡.,Í
Total lees:
ê3,3çg.z?
Fees Paid:
I t,szz,l t Balance Due:
ö2,ô.ryí,þ
BP No:
Btne- T lgL
OWTS No:
sepT--?tg
SetË-acks:&OCC Group:
/R<
Const. Type:
,leC
Zoning:
R¿¡aau
C%à-il.1.Øz
Date
BUTTDtNG / PLANNING DIVISION
Signed Approval
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.
a
3)\€,ge ß/ì*G,1 (c) N \
lô- rLl 7
rty Print Date
Gørfield County
BUILDING DEPARTMENT
108 E¡ghth Street, Su¡te 401, Glenwood Spr¡ngs, CO 81607
Tel: (970) 94s-8212
PLA NRE VIE W CHEC KLIST
Permit No: BlnA* Þ2.1-7/? Z
Building lssues
Engineered Foundation
ûriveway Permit
Surveyed Site Plan
6€Pr-þ-z
Septic Permit and Set
(/
^/
Pla nning/Zoning lssues
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
AIrt
Þvq3
backs l./
(-/
t/
t/
Property Line Setbacks
NA 30 ft. Stream Setbacks
Flood Plain
Planning lssues
Descript ion & Summarv:
Buitding Height A,S,Oal¿A
at, affibe
¿onrng 5tgn-Un
Road rmpact Fees
êdf/
Grade/Topography 40%
,,/
t/
Nft
t/
Application Signed
Soils RePort
22v,5q, qz
øá,5gg,oo
d?bb+,oo
(or\22,ú
Fire Department Review
Valuation Determínation/ Fees
Red Line Plans/ StamPs/ Slickern@
Attach conditions pfìrlt
l/ subdivision Plat
recVh'oz g0ó662-)
receFh'on 269g79-l
1
)
l
Plan Reviewer to Sign Application FLS 21?4 X ry' bØ=
oranl tgbô x /g =
parcet/ schedule No. e ,f €,æ, X AZ -
40# Snowload Letter - Manu' Homes "-- rvrarru' ^""''2 p/4 6Z? x /8 =
K+Æ 2o4 44q
2,7-b,zl
aà¿Usied bulldin
valuohon i
3
Þtrsll,oo
oPeh hole ¡9 d
RtF (5,8Þ)
co NDITIONS OF PERMIT
BLRE-1 0 -21 -7 192
Sigifredo Marioni
New S/F Dwelling with attached gurage
TBD Seneca Dr, Silt
Mineota Estates, FLG 1, Lot 17 A
1) ALL WORK SHALL COMply W|TH THE 2015 INTERNATIONAL RESIDENTIAL CODE
(l.R.c.)AND 2009 INTERNATIONAL ENERGY CONSERVATION CODE (l.E,C.C.)
2) PROPOSED IMPROVEMENTS ARE SUBJECT TO ALL APPLICABLE ITEMS CONTAINED
IN THE ATTACHED "GARFIELD COUNTY BUILDING REOUIREMENTS". NUMBER
REFERENCES NOTED ON PLANS REFER TO SPECIFIC ITEMS ON THIS LIST.
3) ELECTRICAL PERMtTTtNG AND TNSPECTTONS BY COLORADO STATE ELECTRIC
BOARD. ELECTRICAL ROUGH-IN APPROVAL IS REOUIRED AT FRAME INSPECTION
ELECTRICAL FINAL APPROVAL IS REOUIRED FOR FINAL INSPECTION &
CERTI FICATE OF OCCUPANCY.
4) WILDFIRE MITIGATION REOUIREMENTS: COMPLY WITH WILDFIRE MITIGATION
AND DEFENSIBLE SPACE REOUIREMENTS PER COLORADO STATE FOREST SERVICE
AND LOCAL FIRE DISTRICT.
5) PRE-FABRTCATED ROOF TRUSSES. HAVE ENGINEERING FOR INSPECTOR AT TIME
OF FRAME INSPECTION.
ó) opEN HOLE SOTLS REPORT tS REOUTRED AT FOOTING INSPECTION AND PRIOR TO
ANY CONCRETE POUR, PROVIDE COPY OF GEOTECHNICAL ENGINEERS REPORT
TO THE BUILDING INSPECTOR (2,000 PSF).
7) ENGINEERED SEPTIC SYSTEM: ON-SITE WASTEWATER TREATMENTS SYSTEM
(OWTS)TO BE INSPECTED BY A PROFESSIONAL ENGINEER LICENSED IN THE
STATE OF COLORADO, PROVIDE ENGINEER'S FINAL REPORT PRIOR TO FINAL
BUILDING INSPECTION & CERTIFICATE OF OCCUPANCY.
8) COURTESY NOTIFICATION FOR BUILDING CONTRACTOR'.S AWARENESS:
RECENTLY RETIRED BUILDING OFFICIAL, ANDY SCHWALLER, INCLUDED NOTES
Gørfield County
19s w. 14th street
Rífle, CO 81650
(e70) 62s-s200
Public Heølth
OWTS PERMIT APPLICATION
TYPE OF SYSTEM CONSTRUCÍION
I -ii R
2014 Blake Avenue
Glenwood Springs, CO 81601
(970) 945-6614
É* New lnstallation E Alteration ir
BUILDING USAGE TYPEtr oùèrrine j n 1¡àisie;i Úaè I
E Comm./lndustrial tr Non-Domestic
fl Other Describe
¡NVOLVED PARTIES
Maillng Address:
Email Address:
Mailing Address:
Email Address:
Property
Malllng
Email Address:ß-þ)3 -
e
PROIECÍ I.OCATION AND DESCRIPTION
Job Address:-f eD Êatt tDp -
Assessor's Parcel N
Building or Service
& Type
ool L Disposal(Y/N)-Z-
D¡stance to Nearest Communlty SewerSystem:ñ/
Was an effort made to connect to the Community Se!ì,er System *h
Potable Water Source tr Well tr Sprlnt E Stream or Creek tl Clstern
E Community Water System Name
r1
Garfield County Public Health Department - working to promote health and prevent disease
Aoolicant acknowledges that the completeness of the application isconditional.upon such further
;iJ#i;d|liä-åäãit"ioñrilãlil'ãnu rdports as may be rbi¡uired by the local health department to be
ffiffi.iåT;äirI;îË'iläãi,îlËåñi ói ov ttre loèál irèaitir aeparfment for.purpo.se of the evaluation of
i'iä;"äË;t¡;;;ñd itíe iüuiticãóf ltre pärmit is subject to stich terms and'cond¡tions as deemed
;å:;ËË*iäjüiüiä.äiñptíJñiãwittr rutéianO regulaiions made, information and.reports submitted
il;;ñii¡'il'd'ä;ìrËt'iı Ë,j!ï¡mäteã uv ihe ap-pticant are or will be rep,resentqd tg bç true and
correct to the beit of my knowledge and belief and are designed to be relied on by the^local
ããärtäili ;ffrïåntr in'evaluatìnã the same for purposes oi issuing the.permit lPnlie.a lor herein. I
further understand that any falsification or misrepresentation may result in tne denlal 01 tne -
;;;iË;t¡dóiiäuócäiidn ıf ånv pèim¡t eianted based upon said a'pplication and legal action for perjury
ai þrovided by law.
CERTIFICATION
I hereby acknowledge that I have read and understand the Notice and Certification above as
well as have provided the required information whlch is correct and accurate to the best of
my knowledge.
0
Print Date
ll?.'s oK¡t ,?31 tè ¿lOFFICIAI USE ONLY ?¿
Speclal Conditions:
Fees Pald:g lzz.o"Total Fees:
* rz3.oaPermlt Fee:
60
Balance Due:
+lssue Date:
111212021
OWTS Permit:Bullding Permit
't1t2t2021
Garfield County Publ¡c Health Department:
Signed Approval Date