HomeMy WebLinkAboutApplicationGarfield CoantY
,,Í li.,I ' to8 gth Street, suite 401
nity DeveloPment Department
Glenwood SPrings, CO 81601
JUt't 2 2 201"1 (e70) 94s-8212
www.ßarf ield-countv.com
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Comm
Manufactured Home or
Residential or Town
Tiffany D. Leasure
Demolition
Reroof
Phone:r(e70) p18-713e
Property Owner:
Mailing Address:PO Box 23019 Glade Park CO 81 523
fi recraclcerfli rt@gmail. com
Emall Address:
self Phone:Contractor:
Malling Address:
Architect: Phone:
Mailing Address:
EmailAddress:
Email Address:
Email Address:
Phone:Engineer:
Maillng Address;
Manufactured Home lnstaller: Phone:
Mailing Address:
Email Address.
.:; .- .
Re-build decks front and back
Describe Work:
-ff
Move/Relocationfl RepairF edo¡t¡onNew -l] Detached
Alterat¡on
Attached6arage:
810 cty RD 22 3 Rifle CO 81650
Job Address:
Assessoy's Parcel Number;
Sub. Lot
--
Block --..-
of Work: $
512 I 96
Property Size (Sq. Ft. or Acres)I owne/s Valuation 2500
Height:# of Floors:-.-
OtherI etectric
CommunitY
Septlc:OWTS
Typc of Heat:Natural Gas
DrivewaY Pe¡mit:Exempt
Propane
Perrnil #:
or a State Wastewater Discharge Permit'
null and void if the work authorized is not commenced within 180 days
Void Permit.A Building Permit becomes
of the date of issuance and if work is susPended or abandoned for a period of 180 days after commencement
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 detai led on the submittals reviewed bY
the Building Division. I n 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, upo n notice from the County, ifthe location,construction or use
of the structure(s) and facility(ies),described above,are not in compliance with County Regu lation(s) or anY
other apPlicable law
I hereby grant Permi ss¡on 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)
requ iring the correct¡on of errors in the submittals, if any, discovered after issu ance; or (2) stoPPing
constructio n or use of the structure(s)or facility(ies) if such is in violation of Cou nty Regulation(s) or anY other
appl icable law. Review of this Application,including submittals, and inspections of the work bY the Building
Division d o not const¡tute an acceptance of responsi bility or liabilitY bY the County of errors, omissions or
discrepancies.As the Owner, I acknowledge that responsi bility for comPliance with federal, state and local laws
and CountY Regulations rest with me and my authorized agents,including without limitatio n my architect
and/ or builder
I hereby I have read and understand the Notice and Certification above, as well as, have
is correct and accurate to the best 9f mY knowledge.
%o/,
Date
requlred
Special Conditlons:
Fee:Manu
5Plan Check Fee:ø<4.ølValuation:
4 (..2
Balance Due:9nø1b\\Paid:Fees:
252.bb
occSetbacks:
BUILDING / PTANNING DIVISION :
Signed APProval
\
Dete
zlølø
V S&¿öq.tl
Crlunly
Buildin s.l Zonine Plan Review Checklist
Permit umber 6L3E- ob-n- 4743
Buildine Planning/ Zo¡Ue
N/A V¿.
t...t/¡
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
40# Snowload Letter - Manu. Homes
N/^Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssuesN
'/ Red Line Plans/ Stamps/ sticker
Attach Conditions
Application Signed
'/ Plan Reviewer to Sign Application
Parcel/Schedule No.
Subdivision Plat
N/A
General Comments:
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and/or plans for compliance, the application may be placed on hold untilthe required information is
prouio"o. work may not proceed w¡thout the issuance of a permit-
The Building Division will collect a plan Review fee at time oJ application submittal. The permit fee, as
wái il;t-noad 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 unlil a certificate of occupancy (co) is issued. u.sing the building without a
co will be considerelãñ inegal or"up"n.y áno my uä grounos ior vacating the premises. (Final/co
inspection requiremeÁS will ıe attached tó your approved field set of plans')
t have read, understand and will abide by the requirements of this
%/=
Sign Date
Gørfield CountY
Community Development Department
108 8th street, Suite 401
Glenwood SPrings, CO 81601
{970} e4s-82X2
www.earf¡eld-counW.com
APPLICATION FORM: please make sure the following information is provided on the application
Parcelnumber obtained from the Gounty Assessor's Office'
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
ln order to understano tn" t*p" 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
áOäqJàt" informatibn to design your project and to facilitate a plan review'
Job address (assigned physical address)
L"ããi o"""riition'Iolock, låt, tract, subdivision, filing, or section, township and range'
Or,iner's name, mailing address, phone, fax or cell'
Contactors name, mailing address, phone, fax, or cell'
ÃrcÀitect andior Engineei's name, mailing address, phone, fax or cell.
Building size, height, number of stories and lot size'
Use of building (Residential).
Class of Work (New, Additión, Alteration, Repair, Demo, Move/ Relocation).
Detailed descriPtion of work-
Type of heating (naturalgas, propane, electric, other)'
Säwer system-liommunfty or OWTS), also see other items below.
Garage (Attached or Detached).
Oriveway permit (please see other items below)'
Valuatioñ i¡ubo, and materials), see attached worksheet'
OTHER ITEMS:o lf you anticipate obtaining a water-tap trqm tfrg City of Rifle, please provide a letter indicating that
the City wiff prwide *"i""t service. Räquired to subm¡t bullding permit application'
o OWTS requires a septic permit application to be submitted with the building permit application'
o A separate electrical permit must be obtained from the State of Colorado Electrical Board'
. At the time of buildinj permit submittal, you are required to show proof of legal and adequate
access to the ;id. iñË' ray ¡ncluoe óiãár o right to use a private easement, county Roa{f
Bridge permit,äôoioiaoó'oepartmánior Higñ'*"y permit, including a Notice to Proceed' The
Couñty'noaO'A er¡Oge Department can be reached at 970-625-8601'
o lf you anticipate excãvating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit'
o lf you betong io a Hoireo*ñers 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'
r Additional Dwelling únits may require Administrative Review'
o Minimum dwelling dimension is 20 ft' wide x 20 ft' long'
r A Colorado state Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work'
BUTLDTNG pLANS: 2 sets of pranS must be submitted. prans must be 19"v24" minimum size, complete,
identical, legible
"no
lo s"ãrÀ. Ãripl"n* will be checked at the counter for completeness. lf any of the
,"qji$'i"tärmation ¡" ,¡¡sg¡ng, the building permit application cannot be accepted'
slTE PLAN: Please make sure the following information is provided on the site plan'
o Propertyaddress/legaldescription'o North Arrow and Scale on each page'
.Showallpropertylines,buildingenvelopes,floodplainandeasements'
¡ provide setnack oistances from boundaries, buildings, septic, well and waterways'
. Location and direction of the county or private road and driveway accessing the property'
. proposeo u"Jå*¡.äni structures. include sheds, barns, decks, patios, and any other buildings'
o Existing and proposed grade, positive drainage around structure (to be contained on site)'
. Streanis, rivers, creeks, springs, ponds and ditches'
. Existing .no piåpo."à *"trc, ã"pii" 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 "nu"ìopé
t-f,fu U" prepared, stamped a-nd signed by a licensed
surveyor. ror structuié" to o" built within á nuitbing envelope, provide a copy of the recorded subdivision
tiñal dfat with the proposed structure located in the building envelope'
ARCHITECTURAL pLANS: please provide the following information on the architectural plans'
o Minimum of tour (4) elevations (N,S,E,W). lndicaie height of building measured from existing
grade to the Ãiorì"í'.i ¡"tween n"-riJé" änà ""u" of a lable or shed roof or to the top of a flat
roof.. Floo, plans for each level, including dimensions.an!.s9ale noted'
. Clearly label each room or space (bedroom, balh, kitchen, closet, etc).
. Show the location of the mechanical equipment'
r Building cross sections with construction details'
r Window sizes, Úpes and operation noted on the floor plans or elevations'
r Specify root sioóelpitch, roof covering and siding materials'
o stair and guard deiails specifying rise, run, height and spacing
o Attic, roof and crawlspace ventilation details. tndicate size and location of ventilation openings'
. Minimum insulation shown for walls, floors, roofs/ceilings, s]abs, na.9eleljs and crawlspaces.
. provide stouã ãn¿ fireplace make, model, EPA or Colorado Phase ll Certification' Masonry
fireplaces ,nãñÚı ãesigneo to the lnternational Residential Code (lRC) requirements'
STRUCTURAL PLANS: Please provide the following information on the structural plans'
. Design specificãtions to in'clude roof and deck snow load, wind and seismic design and frost
depth,o Foundation plan showing complete footing and foundation dimensions'
o Footing and foundation ãetails specifying leinforcement and referenced on plans'
. Framing pfansior each floor level aná roof' All beams, columns, joists, rafters and trusses
specified. pie-mánutactured structures require the engineers stamp' signature and date'
o Framing iconnection details, braced wall lines, shear wall schedule, location and hold downs'
NOTE: lf any required information is missing, dglgV-s in issuing the permit are to be expected' lf
determined by the Building official tnat additiónat information is necessary to review the application