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HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
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ult i-Fami - Meter Building
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BUILDING PERMIT
APPLICATION
INVOLVED PARTIES
Property owner: MountainWest Pipeline, LLC p¡s¡g.1307 t352.7462
Mailing Address: P.O. Box 45360, Salt Lake City, UT 84145-0360
Email Address:cindy.sheehan@mwpipe.com
contractor: Wire Brothers Phone:(307 ì 362.8460
Mailing Address: 4016 Springs Drive, Rock Springs, WY 92901
Emait Addres' glenn@wirebrothers.com
Architect:Phone: (_)
Mailing Address
Email Address
Phone:
Manufactured Home lnstaller:Phone: I
Mailing Address:
EmailAddress:
PROJECT DETAITS
Describe Work: MountainWest Pipeline is installing a 8'x I' pre-fabbed, skid mounted meter building as part of a
natural gas delivery project to Xcel / PSCO. This unmanned building will not require septic, water or heat.
Job Address: No Assigned Address / Private Road (Swallow Lane )
:
Engineer:
Mailing Address: _
EmailAddress:
Sub.
Assessor's parcel Number: 2177192001 10
lot _ Block _
owner's valuation of work: Éq990- d¡b.@ Property Size (Sq. Ft. or Acres):9.62 Acres
Sq. Ft. of Building:Height 8'# of Floors: 1
Class of Work:à*Addition
G arage
64
ched
Remodel/Alteration
Detached
PROJECT DETAIIS CONTINUED
t hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the uired information which is correct and accurate to the best of my ltnowledge.
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Property Owner Print and Sign b","
OWTS CommunitySeptic:
Propane Electric OtherType of Heat:Natural Gas
r pt Permit #:Driveway
Permit:
NOTICE
Authoritv. This application for a Building Permit tnust be signed by the Owner of the propert¡ 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.
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 permits may be requiredl (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 nulf 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
cornpleteness 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 federalì state or local law regulating the worl< and the Garfield County Building
Code, OWIS 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, constructíon 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, omíssions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance w¡th federal, state and local laws
and County Regulations rest with me and my authorized agents, including without limitation my architect
designer, engineer andl or builder.
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Permit Fee:%,ú5 Sffi".w""'Misc, FeesNIRAdiusted Valuation'57*,æ Plan Checkfee:]72ü
Balance Due:ü2hf6 ö*r¡o-nlq oWrS hoi
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Signed Approval
BUITDING / PLANNING DIVISION
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Date
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Gøffietrd County
BUILDING DEPARTMENT
7OB Eighth Street Su¡te 407, Glenwood Springs, CO 87æ7
Tel: (970) 94s-8272
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perty Line Setbacks
36ft. str"rr Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
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Engineered Foundation
DrivewaY Permit
Surveyed Site Plan
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
Rtta ch co n d itio ns fu/VÞ /Wå/rß
Application Signed
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NOTE: lf any required information is missing, delays in issuing the permit are to be expected, lf
determined by the Building Officialthat additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe required informatíon 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 a person having written authority from the
owner to act as their representatíve.
I hereby acknowledge I have read, understand, and wil! abide with the requirements of this
checklist.
Q*
Owner Print and Sign Date
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Gørfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www. garfiel d-cou ntv.com
COMMERCIAL OR MULTI.FAMILY 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. All applications are required to
be submitted in person.
APPLICATION FORM: Please make sure the following information is provided on the application.o 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.¡ Architect and/or Engineer's name, mailing address, phone, fax or cell.o Building size, height, number of stories, lot size.. Type of Construction (Commercial).. 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).o Driveway permit (please see other items below).o 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.o OWTS requires a septic permit application to be submitted with the building permit application.r 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 atg70-625-8601.. lf you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit.o lf you belong to a Homeowners Association it is your responsibility to obtain written approval, if
required.
COMMERCIAL OR
MULTI-FAMILY
BUILDING PERMIT
APPLICATION CHECKLIST
. Provide copies of any Resolutions and/or Land Use Permits associated with this property.. Projects with more than 10 occupants require plans sealed by a Colorado Licensed Design
Professional. Occupant load shall be calculated by IBG Table 1004.1.¡ A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups
BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" minimum size, complete,
identical, legible and to scale. Certain projects may also require a third copy of the plans be submitted to
the local Fire District for review prior to permit issuance. 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.
o Propertyaddress/legal description.o North Arrow and Scale on each page.
r Show all property lines, building envelopes, flood plain and easements.. Provide setback distances from boundaries, buildings, septic, well and waterways.o Location and direction of the county or private road and driveway accessing the property.. 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.¡ 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.
COVER SHEET:. Projectidentification.o Project address and/or legal description.. Design specifications to include building use and occupancy classification, type of construction,
building height and area calculations, occupant load, and fire sprinkler systems.
ARGHITECTURAL PLANS: Please provide the following information on the architectural plans.
o Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Design Professional stamped plans.
. Minimum of 4 elevations (N,S,E,W).. Floor plans for each level, including dimensions and scale noted.o Clearly label each room or space (office, storage, mechanical, elevator, etc).o Wall types; clearly labeled and referenced. ldentify all fire resistive wall construction.. Construction details for all fire resistive elements referenced on floor plans and cross sections.
lnclude wall, floor/ceiling, roof/ceiling, shaft wall assemblies and structural frame. Provide the fire
resistive listing number referenced on each assembly detail. (ex. UL P123)o Window and door sizes, types and operation and direction of swing noted on the floor plan.
. Specify roof slope/pitch, roof covering and siding materials.. Energy design specifications/details for R-values, U-factors and SHGC's per IECC.. Stair and guard details specifying rise, run, height and spacing.
a Accessibility; show compliance with accessibility requirements for all elements of the building per
lBC, Chapter 11 and ICC/ANSI A 117.1, ADA, FHA, and UFAS.
STRUCTURAL PLANS: Please provide the following information on the structural plans.. Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.
o Enoineeredfoundation esion oer soils reoort. Geotechnical reoort Provide a coov of
site-specific soils investiqation report.. 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 referenced on plans.. Framing plans for each floor level and roof. All beams, columns, joists, rafters, trusses and all
live/dead loads specified.. Framing /connection details referenced on plans.o Pre-manufactured structures require an engineer's stamp, signature and date.
MECHANICAL PLANS: Please provide the following information on the mechanical plans.o Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.. Energy design calculations and details verifying compliance with the 2009 IECC.. Floor plans for each level showing size, location and materials of all ductwork, plenums, return
and outside air intake registers.. Size and location of all combustion air ductwork and openings.¡ Size, type and termination of all gas appliance flues and vents.¡ Location of all fire and combination smoke/fire dampers.. Equipment schedule for all mechanical equipment (boiler, furnace, exhaust fans, etc.).. Commercial kitchen hood location, hood and duct sizes, CFM calculations.
PLUMBING PLANS: Please provide the following information on the plumbing plans.o Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding l0 require Colorado
State Licensed Engineer stamped plans.o Floor plans for each level showing DWV layout and sizing, materials, slope and sewer location.. Water piping materials, length and size of pipe, water meter location, fixture unit demands,
location and type of backflow prevention devices.o Gas piping materials, length and size of pipe, gas meter location and BTU/hour demands.o Additional piping plans for roof/deck drains, condensate, medical gas, etc.. Plumbing fixture schedule for all plumbing equipment.. Commercial kitchen plumbing fixtures, food preparation equipment, grease interceptors, etc.
ELECTRICAL PLANS: Please provide the following information on the electrical plans.¡ Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.. Floor plans for each level showing location of lighting fixtures, switches, receptacles, emergency
exit signs and lighting and panel location.. Diagram showing service entrance, conduilwire size, main disconnect size, grounding
electrode/conductor size, feeder conduiVwire size, transformers and generators.. Panel schedule showing bus/breaker sizes, circuit description, voltage, phase, amperage, etc.