HomeMy WebLinkAboutApplicationGørfteld County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.garfi eld-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/M u lti-Familv Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Du or Townho Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Phone: t41O I 301'SØX1
t108 c3 lel
rulr; +{A t^rt t ¿o lo ra,[î- ( ô h
Contractor:Phone:
Mailing Address:Co lwc
Email Address:,+. Co rv,
Architect:Phone: ûit fiUø"VryLA
Mailing Address:D 4
Email Address:
Engineer:Phone: rr2O, ql¿;r' 44i-1
St".Mailing Address:()
Email Address:a*ø ur+il@ i ivp ,('Ãw4
Manufactured Home lnstaller:Phone: I )
Mailing Address:
Email Address:
PROJECT DETAITS
Describe Work:Ne- f^ ø.rúh'¿ swirmmìrv P"ol
Job Address:tÌô6 LR lf,r l,- ( o ïtri,7'ir
Assessor's Parcel Number:
Sub l-ot Block
Owner's Valuation
Sq. Ft. of Building:
of Work:
8s)
Property Size (Sq. Ft. or Acres):
Height:# of Floors:_
Class of Work:K New Remodel/Alteration Addition
Garage Attached Detached
PROJECT DETAILS CONTINUED
Septic:OWTS Community
Type of Heat:Natural Gas Propane E lectric Other
Driveway
Permit:
Permit #:
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf 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 Bu¡lding 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 regulationsand applicable land use regulations (County Regulation(s)). lacknowledgethatthe
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 ln 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 const¡tute 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, enqineer 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.
X/ Property owner Print andlÍgn Date
oFFrcrAL usE oNtY RlÀ r r I tr lCe \l^iSn $ ¡q^t -
tol
see attaohed ØND \TVC/\/6Special Conditions:
'Wäzç Manu. Home Fee:
N\l ù Misc. Feesl-N/frAdiusted Valuation:^,'t-7
- ln4f) q Plan Check Eee:
lqô. bl
8bTotal FÉesI493.Fees Paid: , 'Sûc), u\Balance Du
2q3,''zs BP Nb:
PI-AE 18Qb
OWTS No:
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Setbacks:.De-occ Group: lK¿Const. Type:IRÔ t'dr
0ú1"W.BUtTDTNG / PTANNtNG DTVTSTON
Signed Approval
tz-ß"zL
Date
Septle
Twc HˡI:6As Propane Electrlc Other
Drlvcwey üt
Permlt must be signed by the Owner of the property, descrlbed above,
or an authorl¿ed agent. lf the slgnature below ls not that of the Owner, a seperate letter of authorlty, signed by
the Orvner, must be provlded wlth thls Appllcation.
lc¡al Acce¡¡. A Euilding Permlt cannot be issued wlthor¡t proof of legal and adeguate access to the property for
purposes of lnspections by the Buildlng Divl¡lon.
Othe¡ Perrrtlt¡. Multiple separate permltt rnay be requfred: {1) State Electrlcal Permlt, 12) County OWTS PermlL
(3f another permÍt regufred for use on the property ldentifled abovg e.g. State or County Highway/ ßoad Access
or I State Wasteurater D¡scherge Permlt.
Vold Permlt A Building Permlt becomes null and vold lf the worft authorízed is not commenced with¡n 180 days
of the date of ¡ssuance and if work ls suspended or abandoned for a perlod of 180 days after comm€ncement.
This appllcatlon for a Building
I hereby certify that I have read tfils Application and thåt the lnformat¡on contalned above is true and correct. I
undêctãnd thet the Euilding Dlvlslon accepts the Appllcatlon, along with the plans and specifications and other
data subrnltted by me or on my behalf {subm¡$älsl, based upon rry certlfication as to acc{¡racy, Assumin8
completeness of the submittals and approrrat of thls Appllcatlon, a Building Permit wlll be lssued granting
permission to me, as Owner, to const¡uct the structure(s) and facitlties deta¡led on the submlttals reviewed by
the Euilding Division. ln consideratlon of the ¡ssuance of the Buitding Perm¡t, I agree that I and my agents will
æmply with provisions of any federal, state or local law regulating the work and the Garfield County Build¡ng
Gode, OWTS regulations and applicable land use regulations {County Regulat¡onfs)). I acknowledße that the
Euilding Perm¡t rîay be suspended or revoked, upon notace from the County, lf the location, construction or use
of the structure{s) and faclliÇ(les), descrlbed above, are not ln compllance wlth County Regulat¡on(s) or any
other applÍcable law.
I hereby grant permisslon to the Buildlng DMslon to enter the pfoperty, dexribed above, to lnspect the work I
further acknowledge that the issuance of the Building Permit does not prevent the Building Offfcial fiom: (1)
requiring the correctíon of errors in the submittals, if any, dlscovered after lssuance; or t2) stopplnt
construct¡on of us€ ofthe structure(s) or facility(lesl if such is in violatlon of County Regulatlon(s) or any other
aggllcable law. Review of trys þplícatdn, lncfuding submittals, and ¡nspectlons of the work by the Euilding
Dívísion do not constitute an acceptance of responslblllty or líabiliW by the County of errors, omlssions or
discrepancíes" Æ the Orner, I acknowledge that responslbllity for compliance with federal, state and local laws
and County ßegulatlons rest wlth me and my authorí¡ed a߀nts, ¡nclud¡ng wlthotn llmltatlon my arch¡tect
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Speclal Condition¡:
Mlsc. Fee¡:Manu. Home Fee:Pcrmlt Fee:phn cfeclr FyiAdjustd V¡luatlon:
I O\ilfS No¡!!-$g:Balanse Due:Fees Pal4Tot¡l Fec¡:
ZonlngrConrt TyPe:OCCGrouPzÍ
Setb¡ck¡:
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Slgned Approval DâtC
GørfleLd CouæÉY
BUILDING DEPARTMENT
7Og Elghth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
P I.AN REVI EW CH EC KLIST
Fe¿'mE't i'J,::
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Ëur,leiãrrg Essq"¡es
Engineered Foundation
DrivewaY Permit
Surveyed Site Plan
':ï'HåSËfi!}$,ry øa¿/4
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Pl a ri ;"a I nglZc-t: ¡ tr.¿q ! SsueS
Property Line Setbacks
tn/4 36ft. stream setbacks
l{r+ Flood Plain
Building Height
Zoning Sign-Off
Road lmPact Fees
Grade/ ToPograPhY 40%
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P[anning Issues
/ subdivision Plat
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Application Signed
Plan Reviewer to Sign APPlication
Parcell Schedule No.
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soirs Report tSOOfêê-
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Framlng plans for each floor level and roof. All beams, columns, jolsts, raflers and busses
specified. Pemanufactured struc{ures require the engineers $tamp, signature and date.
Framing /conneclion detailg, braced wall linas, shear wall schedule, location and hold downs.
NOTE: lf any required information is misslng, delays in issuing the permit ara to be expec{ed. lf
determined by the Building Official thfl additional information ls necessary to review the application
and/or plans fur aimpliancè, the apþlibation may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collEct a Plan Revier¡v fee at time of application submittal. The permlt fee, as
vrell as any Road lmpact fees will be collected wl¡en the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to ac't as their representative.
Building cannot be occupied untila Ceiliñcate of Occupancy (CO) is lssued. Usingthe buildingwithout a
CO will be considered an lllegal ócorpancy and may be grounds for vacating the premises. (FinaUCO
inspection requiæments will be attached to your approved field set of plans.)
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I hereby acknowledge I have read,,undetrtand and wlll ablda bY
checklist
Q<a- Ðe ,alc
tl¡e requlrements of thls
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Property Owner Print and
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Garfield County
Pool
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82t2
www.garfield-countv.com
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICAT¡ON 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.. Contractor's 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.r Type of Construction (Residential).
. Class of Work (New, Remodel/ Alteration, Addition, Repair, 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).. Driveway permit (please see other items below).. Valuation (labor and materials), see attached worksheet.
OTHER ITEMS:. WILDFIRE MITIGATION - All Garfield County property owners are recommended to employ
wildfire mitigation strategies in the development and construction of all buildings throughout the
County. Please refer to the following publication: "FireWise Construction: Site Desiqn & Buildinq
Materials" which is available from the Colorado State Forest Service for specific wildfire mitigation
strategies applicable to your project.
. 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 gþ the building permit application.. 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 at970-625-8601.. 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 Permits associated with this property.
SINGLE FAMILY OR DUPLEX
BUILDING PERMIT
APPLICATION CHECKLIST