HomeMy WebLinkAboutApplicationRECEIV
Garfield County
JUL 0 7 LIS
GARFIELD COUNf?mmunity Development Department
OMMUNITY DEVELOPMENT 108 8th Street, Suite 401
Glenwood Springs, CO 81601
1970) 945-8212
www.aariield-county.com
TYPE OF CONSTRUCTION
❑ Commercial/Multi-Family
BUILDING PERMIT
APPLICATION
To Demolition
❑ Manufactured Home (SF or Duplex)
1E1 Residential (SF, Duplex, or Townhome)
[ E] Reroof
J
INVOLVED PARTIES
r
Property Owner: jic..1 Gnei KcrNtprinr \nh\ksui Phone: (gf9 )7.V-1-7027
Mailing Address: 311Caccii49J I -r. Glen ".nvA CPriN25 Co R)LDf
Phone:
(9 70 )'Z()t
"
• 20.26"
Contractor: �� IN n -
Mailing Address: of. 4 m,i5 r. ■r rPw t <
Architect: aoLmsani r.ortex,4rrk; 4 -re f . Pc.
Phone:
( 970 )1,25-
()SRO
Mailing Address: Rio E. Ira S4 h, cit, Co 8ii SD
Engineer: W{S4ar
Phone: (
)
Mailing Address: Ill g ‘n) i It Aft. R1 c k. co $I G So
Manufactured Home
Mailing Address:
Installer:
Phone:
( )
PROJECT NAME AND LOCATION
Describe Work: ,%c, hr iut, Cdrts-i- t, r 4— n -
Job Address: 113 So/r I'S 1...n - C' r..6nd n 1-c. Co .531 6.23
Assessor's Parcel Number:
Owner's Valuation
Building: .l
Sq.Ft of Building:
-239i21-1,201.001.5 Sub. Coill ta•i4t- Qtrtr.), Lot IS. Block
of Work: $
3 C)q
2'44115. ti R Property
Size (Sq.Ft or Acres):
# of Floors: 2
Li acres
Height:
.2_1
Class of Work:
pi New
• Alteration
0 Addition
•
Repair
• Move/Relocation
Garage:
Ii Attached
0 Detached
Septic:
ra OWTS
•
Community
Type of Heat:
0 Natural Gas
Propane
0 Electric
• Other
Driveway Permit:
0 Exempt 0 Permit #:
CERTIFICATION
Applicant acknowledges that the completeness of the application is conditional upon such further
mandatory and additional test and reports as may 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 the permit is subject to such terms and conditions as deemed
necessary to insure compliance with rules and regulations made, information and reports submitted
herewith and required to be submitted by the applicant are or will be represented to be true and
correct 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 falsification or misrepresentation may result in the denial of the
application or revocation of any permit granted based upon said application and legal action for perjury
as provided by law.
t 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.
ic0+Cr Ito).
Property Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
{
Date
Adjusted Valuation:
270 8?5
Total Fees:
.2 x9.73
Setbacks:
,45,a5 5/a
Plan Check Fee:
1268.38
Fees Paid:
ii; . 34
OCC Group:
Permit Fee: 1 Manu home Fee:
I q5l. 3S
Balance Due: BP No:
2 09 2.39 BLP 3'}-x-3
Const Type:
Misc Fees:, 93. D7
gv v r l rc,77-
OWFS No:
Zoning
BUILDING
BUILDING / PLANNING DIVISION : Afl I��'�*•'- ?�Ti9 /C
Signed Approval
. $1 t
Date
Scanned by CamScanner
The Building Division will collect a Plan Review fee at lime of application submittal. The permit fee, as
well as any Septic or Road impact fees will be collected when the permit is issued
The permit application muss 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.)
1 hereby acknowledge 1 have read, understand, and will abide by the requirements of this
checklist.
•
Property Owner Print and Sign
7/Y7/15
Dat
Garfield County
Community Development Department
108 81h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
SINGLE FAMILY OR DUPLEX
BUILDING PERMIT
APPLICATION CHECKLIST
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
In 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: lot, block, fling, subdivision or tract, section, township and range.
• Owners name, mailing address, phone, fax, or cell.
• Contactors name, mailing address, phone, fax, or cell.
• Architect/Engineer's name, mailing address, phone, fax or cell.
• Building size, height, number of stories, lot size.
• Use of building (residential)
• Class of Work (new, addition, alteration, repair, demo, move, other)
• 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:
• If 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).
• ISDS requires a septic permit application to be submitted with the building permit application.
• A separate electrical permit must be obtained from the State of Colorado Electrical Board.
• 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.
• If you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit.
• If 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.
• Additional Dwelling Units may require Administrative Review.
• Minimum dwelling dimension is 20 ft wide x 20 feet long.
• 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. If 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.
• Property address/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.
• Proposed and existing structures include sheds, barns, decks, patios, and any other buildings.
• 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.
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.
• Minimum four (4) elevations (N,S,E,W) Indicate 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.
• Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
• Show the location of the mechanical equipment.
• Building cross sections with construction details.
• Window sizes, types, and operation noted on the floor plans or elevations.
• Specify roof slope/pitch, roof covering, and siding materials.
• Stair and guard details specifying rise, run, height and spacing.
• Attic, roof, and crawlspace ventilation details. Indicate size and location of ventilation openings.
• Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.
• Provide stove and fireplace make, model, EPA or Colorado Phase II Certification. Masonry
fireplaces shall be designed to the International Residential Code (IRC) 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, 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: If any required information is missing, delays in issuing the permit are to be expected. If
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.
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Applicant: K -\ W \\\tiGre%et_
Job location: 10 - �,1 , Co Parce.1 C? 3932yaO( O
Sub-Lot/Block: S., i,,a_�f TtzunIp Le,,ov. $S 5,,._. caj ;...41 , ,nc„ L+ J.5'
Fin ONLY in the yellow areas
Type of Space
Square Feet
Value
per sq. ft.
Valuation
Finished Living Space
(,1' : I for .t luuufoctured !Ionics)
.21111 sq ft X
$74.68
(SDpSIMa
$0.00
Unfinished Basement
sq ft X
$41.00
$0.00
Crawl Space
t-1 l ( sq ft X
$9.00
7 i Logi $0.00
) !1 9 7Iv $0.00
Garage
';,2„ sq ft X
$18.00
Covered Patio/Deck
7.26, sq ft X
$24.00
7i. 2 f $0.00
Uncovered Patio/Deck
sq ft X
$12.00
$0.00
Misc: Un ,,,.+.Acri_JnkS,..Ronrr,
I--19.,2, sq ft X
sq ft X
$0.00
$0.00
$0.00
$0.00
Misc:
Total Valuation 50.00
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Set -Up Fee
Valuation
50.00
Septic
Permit (5123.00)
Valuation
Percolation (5150.00)
Total Septic Fee
$0.00
This section will he determined by Garfield County.
Plan Review Fee
Building Permit Fee
P , r sepw aie lr with Cash or Cheek oiihv (Road impact fees)- Other
Due at time of Application Submittal
Due at time of Permit Pick -Un
Total fees
$0.00
$0.00
$0.00
***AII fees are estimates until plan review is completed "*
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
Garfield County 1
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www:garfield-county.com
Applicant:
Job location:
Sub-Lot/Biock:
Williams Residence
TBD CR 103 Carbondale
Calicotte Ranch Lot # 15
Fill ONLY in the yellow areas
Type of Space
Finished Living Space
(N/it for Manilla( tared Holm s) blain & Upper Levels
Unfinished Basement
Crawl Space
Garage
Covered Patio/Deck
Uncovered Patio/Deck
Misc:
Misc:
Misc:
Total Valuation
Square Feet Value Valuation
per sq. ft.
2903
2411
832
726
sq ft X' $74.68
sq ft X $41.00
sq €t X $9.00
sq ft X $18.00
sq ft X $24.00
sq ft X $12.00
sq ft X 30.00
sq ft X $0.00
sq ft X $0.00
$216,796.04
$0.00
$21,699.00
$14,976.00
$17,424.00
$0.00
$0.00
$0.00
Manufactured Home Set -Up
Single level ($400.00)
Multi -Level ($600.00)
Total Sett Fee
Valuation
N/A
N/A
$0.00
Septic
Permit ($123.00)
Percolation ($150.00)
Total Septic Fee
Valuation
ENG
$123.00
$123.00
Total fees
This section will be determined by Garfield County.
Plan Review Fee $1,268.38
Building Permit Fee $1,951.35
Pur .+cparutel r ►rill: Ca+h or Gtech rill) ( Road impact fees )- Other $2,093.07
Due at time of Application Submittal $1,39138
Due at time of Permit Pick -Up $1,951.35
$5,435.80
Garfield Coarro•
BulldiiiiReviemir Checklist
Permit Number:
Building
Nin
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
/ Attach Residential Pian Review List
Subdivision Plat Notes
ript
1
N, A
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40#i Snowload Letter -- Manu. Homes
f
Soils Report
Planning/ Zoning
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments: