HomeMy WebLinkAboutApplication·. ~,Garfield County R ~I
G:>mmunity Development Department
JUL 2 1 20 16t 08 81h Sreet, SJite 401
, . ~err<tood ~rings, CD a1 so1
.. 1• : ·n'-~::1 , ir or .... .1970) 945-8212 1.. ,,, _ r 1 .1t:1 l~.eld t www .~1 -coun y.oom
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L_Q_ Chmmerdal/Multi-Family --= _ _I o Demolition
I D Manufcnured HJme (Sngle or Multi-Level) ~ Fmdential (s=, Duplex or Townhome) =-.@ Aeroof -----=-J
INVQVED PARTIES
A'opertyQvner: 7'r~EN R. t:~L ~one: ~\-~--i)r_.c....a......a..-i-....-~
MailingAddress::fb )So~ zoI,.i G:? .... ~'*=n?~ cp S. \HJ?
G:>ntractor: -ro BE bS'fE~lllilw:b Alone: ( _ ____,, ______ 1
MailingAddress: ______________________ _
Arcflitect: ~!?&-rP.&c..e+4 ~I\3.TI)~one: (\-9_,_'A~,-...a.=..\.-=~~~
MailingAddress:~~rc!.__~fr~W~~....£~~912~~~E~n.Q~~s..J
81gineer: Q32\20 ~ <d ri4 E'iO~ Fhone: a\-...._1D...,,..,.,,,)._..._~:;.__._Y--~
MailingAddress: :f l3 ~2. -1\t,$ ~EDD CC'""'~ CD
Manufcnured rbme Installer: __________ Alone:(.__~------
Mailing Address: ______________________ _
FfO..ECT NAMEAND LOCATIOO
Desl'ibeWork: ~ ~;, ~~
..bb Addre$: _ _._""--"""'--"""--..-....,.,.,.,.u;=,,_..__.__o-:::o.z:=---t~-t:---=~~...__..~-r--"'=--...,
~r'sParrel Number: ~~07\ ~~ Lot Bock
ONner'sValuation of WorkDS l ~o Of20 A'opertySze (Sl. R. or Aaes): -z.. ... ~z.:
)
9:1. A. of SJilding: S-S?Cp ~/ --Height: \ '?:. ~ \l'-\1t::::.'11ot Roors:_--=----
Garage: Attcdled lir'Detcdled :s: . /'-
S3ptic: \ ?,Q' ONTS D Chmmunity
Ert~tb~~~~-r-~~~-'--T-
Type of Heat: ~N atural <?es D Ffopane 0 Bectric 0 Other
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. If 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
Building Division. Jn 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)
I 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
Gest 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 Notice and Certification above, as well as, 7;;:;;:q::? c;=;~w:@Z:ccuratetot 7 st ~7Ttedge.
Property Owner Print and Sign Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation: Plan Check Fee : Permit Fee:
150000# ~ Bz 7 .t/4 1z1;.15'
Total Fees: $;~q4 Balance Due:
2./0J.btt I Z. 71. 75'
Setbacks: OCCGroup:
f .2.S' f2.2S° )I 0 .I.!Zc
rt ?-· ~1 ·l(J ~,c-f14q <J~ 9-,. 9t;
Signed Approval
Manu home Fee:
K)
Misc Fees:
Permit Number: f3t.tZe -7-16-4 ~'fr 7
,...Building
7 Engin~ere~ Foundation
iJ/A Driveway Permit
/ Surveyed Site Plan
p )J _ Septic Permit and Setbacks / Grade/ Topography 30%
; / Attach Resident ia l Plan Review list
tJ/A Subdivision Plat Notes
tf A Fire Department Review
/ Valuation Determination/ Fees
/ Red Line P!an~/ Stamps/ Sticker
/ Attach Conditions ...
/ Application Signed
/ Plan Reviewer to Sign Application
/ Parcel/ Schedule No.
/-J/ II _ 40# Snowload letter-Manu. Homes
(
Soils Report
Planning/ Zonin~ / .
--......---Property line Setbacks
/
___ ,....___ 30 ft. Stream Setbacks
/
-----.,,.--Floot:I Plain
/ ____ Building Height
/ ----Zoning Sign.Off
/V/ A Road Impact Fees
__ /_• __ Grade/ Topography 40%
__ /__,._ Planning Issues
__ / __ Subdivision Plat
General C'Omments: -. -
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 Septic or Road Impact 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
i nspection 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
k·:~;(~~n?'?L-7/z1/~
Property Owner Print and Sign Date
·ce Garfield county
Cl:>mmunity Development Department
108 S'h Sreet, 9.Jite401
Genwood ~rings, CD81601
(970) 945-8212
www .garfield·county.com
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.
APP~IJ'TION FORM: Please make sure the following information is provided on the application.
13', areal number obtained from the County Assessor's Office.
r/ /ob address (assigned physical address)
Ill A'egal Description: block, lot, tract, subdivision, filing, or section, township and range.
[!"' gwtler's name, mailing address, phone, fax or cell.
~ontactors name, mailing address, phone, fax, or cell.
~ Architect and/or Engin;er's name, mailing address, phone, fax or cell.
B' Bull'l!DG:S.ize, height, number of stories and lot size. ~se of building (Residential).
B ~lass of Work (New, ~ditiOJl. Alteration, Repair, Demo, Move/ Relocation).
ff ,.,Detailed description of work.
if J.ype of heating (natural gas, propane, electric, other).
llV'_.,Sewer system (Community or OWTS), also see other items below.
~Garage (Attached or Detached).
ii( Driveway permit (please see other items below).}J/t. fa.I 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.
'fl. ;OWTS 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.
9" 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 ea~ement, County Road &
Bridge permit, or Coloraqo Department of Highway permit, including a Notice to Proceed. The ~aunty 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.
~ )1inimum dwelling dimension is 20 ft. wide x 20 ft. long.
1B(' ~Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
BUIL.DIN"G PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" minimum size, complete,
idehtical, 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~: Please make sure the following information is provided on the site plan. if ~erty address/legal description.
~ .)k>rth Arrow and Scale on each page.
liiY" ~ow all property lines, building envelopes, flood plain and easements.
ff j>rovide setback d istances from boundaries, buildings, septic , well and waterways.
&I' j..ecation and direction of the county or private road and driveway accessing the property.
[}/'" _.Pr9posed and existing structures. Include sheds, barns, decks, patios, and any other buildings.
g/" ;(xisting and proposed grade, positive drainage around structure (to be contained on site). KV" fa'f re s, rivers, creeks, springs, ponds and ditches.
fi1' .i 1sting 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.
ARCHIT.P6-fURAL PLANS: Please provide the following informati on on the architectural plans. il/Mi~~~m of 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
/oof.
rt" fioor plans for each level, including dimensions and scale noted .
ml" .,.e(early label each room or space (bedroom, bath, kitchen, closet, etc).
~ §PoW the location of the mechanical equipment.
~oilding cross sections with construction details.
l5r"" JVindow 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.
~ .Atfic , roof and crawlspace ventilation details. Indicate size and location of ventilation openings.
M mum insulation shown for walls, floors , roofs/ceilings, slabs, basements and crawlspaces.
)!(Provide stove and fireplace make, model, EPA or Colorado Phase II Certification. Masonry N.Ro1
{, fireplaces shall be designed to the International Residential Code (IRC) requirements.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
pf Design specifications to include roof and deck snow load, wind and seismic design and frost
depth . rf Foundation plan showing complete footing and foundation dimensions.
at Footing and foundation details specifying reinforcement and referenced on plans.
ji/ Framing plans for each floor level and roof . All beams, columns , joists, rafters and trusses
rl 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