HomeMy WebLinkAboutApplicationGarfield County
Cgmmunily Development Department
' t0i'8ti street, suite 401
r r"t .Ghnwo..gd Springs, CO 81601i"r[J ri i, .,ri(6Zol g4S-82L2
{ .',' www.garfield-countv.com
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BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Commercial/M u lti-Family Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,OOO SQUARE FEET
INVOTVED PARTIES
Phone: ( 1ro 1 -qr& " oufi,ZProperty
<.^ ^Le P vvt6,A- 6.lln
I bLoMailing Address:
Email Address:Ar-tte .f
Mailing Address:
Email Address:
Phone: (ate-l -4 fz9 - o r-B 7,\O ailt *r, o"rContractor:
Phone:1n.o l^lL,^" Or^Architect:
Mailing Address:
Email Addressr
Engineer: {V\^rtnr^.\ 8"..^ E'lo4to vh Cn*lt*r, Oa ,no ne;(Q,a ) 3(:G 9414il>
Mailing Address
Email Address:
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Mailing Address:
Email Address:
)Phone:
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Manufactured Home lnstaller
PROJECT DETAITS
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JobAddress: (taLo c,re. afl 'RiA{ C.' g\Gylt
Describe Work:
J,60 t oo6 o9
Lot
Height:Sq. Ft. of Building:
Zooo I
Rrro 1
s r-.F-r co n
^
tl Cle,r
Block
t{ I /L re5
Assessor's Parcel Number:
Sub.
Owner's Valuation of Work: S
EC, A,I # of Floors: Z
Property Size (Sq. Ft. or Acres):
AdditionXNewRemodel/AlterationClass of Work:
DetachedVAttachedGarage:
PROJECT DETAI tS CONTINU ED
Septic X SWTS Community
Type of Heat:Natural Gas Proparre X Electric Otlrer
Driveway
Permit:
mpt Permit #:
NOTICE
AuthoriW. 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.
legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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 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
designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notiee and Certification above, as well as, have
provided the required information which is correct nd accurate to the best of my knowledge.
t2 / ' A'-l- l,,rStl
Property Owner Print Date
OFFICIAI USE ONLY I
6e e aaf,athad aZ2N'b i TA/VSSpecial Conditions:
Valuation:
744"@
Adjustedlza Fee:vPlan Check733.Permit Fee: . r
t- /2 *^ te Manu. Home Fee
-
Misc. Fees: t
Rirnl4l>=649L
'"',,"fr2y, ta Fees Paid:
2t42\ W Balance Due:
l^ /29, /5 BP No:
ME-KSOR ffioi'-BS.aq
Setbacks:
e-4
OCC Group:IRL .onr.,rfRl.zonif(
0,/t*/,BUTtDtNG / P|-ANNtNG D|V|STON 3-tz-
Signed Approval Date
GuffiId Co*ntY,
BUILDING DEPARTMENT
708 Eighth Street Suite 407, Gtenwood Spr'ings, CO 87607
rel: (970) 945-8212
PLAN REVI CH ECK LIST
Permit No: 0 l&F 0z-A- 9528
Building lssues Pla n n i ng lToning lssues
Engineered Fou*dation
Permit
Surveved Site PlaniiiForz-{-852?
Septic Permit and Setbacks
Gradel Topography 30%
Attach Residential Plan Review List
Subdivisio* Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
ch Conditions
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees il,F,b.
Grade/ TopograPhY 40%
Planning lssues
Subdivision Plat
f/ acres
Rltr /v.E.D #/86,o'
Descri on&mmaApplication S'tgned
kdahub
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
/// Parcelschedule No
40# Snowtoad Letter - Manuf. Homes
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Soils Report olL
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a frailing 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.v'a
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 ior compliance, the application 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 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 w!!!o^ut a
CO wilibe 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 t have read, understand and will abide by the requirements of this
checklist.
Property Owner Print n Date
J
fA a 'r'r
u
r 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. -'
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.. PropertV address/legal description. ',,ct ruortn 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.',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. ,.,. Existing and proposed grade, positive drainage around structure (to be contained on site). i,,-. Streams, rivers, creeks, springs, ponds and ditches. -. Existing and proposed wells, septic tanks, leach fields and other systems (if applicable). '.o 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 license-d
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). lndicate 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.r Floor plans for each level, including dimensions and scale noted...r. Clearly label each room or space (bedroom, bath, kitchen, closet, elc)./o Show the location of the mechanical equipment. .
t) Building cross sections with construction details.
r . ' Window sizes, types and operation noted on the floor plans or elevations.. Specify roof slope/pitch, roof covering and siding materials. 'y'
. Stair and guard details 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 crawlspaces. u/o Provide stove and fireplace make, model, EPA or Colorado Phase ll Certification. Masonry
fireplaces shall be designed to the lnternational Residential Code (lRC) requirements.
STRUCTURAL PLANS: Please provide the following information on the structural plans.. SOILS REPORT - lf the project is located in a subdivision with a final plat requiring site specific
soils investigation report or if Structural plans make a specific reference to a soils report, then a
^--.- -a aL- ^^:t^uuPy ut Lilc UUilu tepuil. tn lequrrea ro suomtl a ouilotng permft appllcailon.. Design specifications to include roof and deck snow load, wind and seismic design and frost -
depth,. Foundation plan showing complete footing and found_ation dimensions. ir'. Footing and foundation details specifying reinforcement dnd referenced on plans. \