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: PåOJECT DETAIIS csNïlNuflj
the üwner, r1':irst be prÕt/idcd v/ìih this Åpplîcition.
L.ßgal Access" A âuilding Perñ1¡t r.írr'ìnoÈ be issuec v¡ìtirc¡;t ?rûÕî t)î legai and i¡(ir:eiuãle ôc{*s5 tü tire pra*erfy far
p*rpc-(es cll ?*rpe(iions by the Suilding Dívision.
deta s*bnritied by m* *r o* i*y behalf {suhmittals}, based 'rpafl nV cerfific;tion åe t* å{curãfì/. ê'ssrmi|rg
{ûnrpietûnâss çi zh*. submiZtels aild epprçvãi af this A*plication, a Suilding Permit wili be is:ued grãntifig
pÊriì.ri5g¡ü11 tr mË, ¡ts ()v,tner, io r;onsT:"uct ihe structursisl and faciliiies Cetailed çn tiìe submitlals revi*we<J by
the &uilding Divirirn. Jn csnsideratirln of the i¡suancc of the ðuilding Ferrnit, I egree thaì I arrd rny agcr¡ts wiil
cornply *:ith pr*vlsions al a*y lederal, state ar local iav; regulaling the wcrk ¿nd the üadieid County Building
t*¡je, *'f1î5 rfgillati*fis and applicable land use regulations {County Regulation{si}" ? acknowledge thât lhû
*uíf<{ing ?€rrmit rnay br: çtts**.*d*d ar reveked. upon notice iron-. the Co,.:nty, il the lacatìcn, {oñsiructíçn $r us{*"
çl the siruci,rre{s} and i*çi1iy¡lîe*}, described above, are nût irì cûmpliãnce with Couniy Regulation{s} ar enY
ather applicable law.
. I here by gr"ant p*rnrlssir:n t* rh* FuilcÌing Divìçion to ent€r ïhe properq', described iibûv€i, Nc ¡nspect The work. 1 '
turttru. uitno"itu*gu thêr th( isss:anceûf the Siliidir¡$ Parmiå doe$ noT pl'{'iliet}t the Suiiding Oíficial fr"orn: {1}
: r*quiri*gt:ttetarrecl\3r1cf erra6ínihesubmitt¿ls.ilany,discove¡edafte¡"issr:ance;orl2)s*"ttp?in$ :
i c<x*tr;cìl*n cr uçe o{ iha structirrr{s} or f*cility{ies} i{ such is i* vial¿ti*n of Coulrty lieguìaiion{s} af any çlre.r I
. ¿pplicable law. Revi¡llv *f ihir å.pplication, inciuding :ubmittals, afid inspectionr of the work by ihe *uiialng
;j }iu'rirtr ¿Ja n*t cpnstitr,;s ¿n lç:ct:ptãnce $f responribilii.y or liability by the County aî errars, Õmisáì$n} or
, ¿j¡srrepancie ç. fi.s th¡* {}wr*.r,1 ackr:owledge that responçìbility lar cornpli;nce with feder*i, stâte aí':d local iawç I
; lnd Co*n{y e*gulaiia*sres; with n"l* and *iy euthorìzed ðgenis, ìrrcluding without limitéticû mY êrchitect
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i täby-;;k;óJie¿ã* Áll t t aie rãaC anO uñderstãid the Notice and Certification above, ¿s well as, have
provided :.he required which is üceçratê ta the best of my knowledge-
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OWTS No:Batance Dve:6478.6øY¿id:
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Z*nins: RWal{onsti'ype; lR ¿Çsctütrsupt ln¿
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5ìgned Approvll
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Gørfield County SINGLE FAMILY OR ÞUPLEX
BUILDIN€ PERMIT
APPTICATION CHECKLIST
Community Development Department
l0g 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.garfield-countv.com
SINGLE FAMILY OR DUPLEX 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.
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: block, lot, tract, subdivision, filing, or section, township and range.
. Owner's name, mailing address, phone, fax or cell.
. Contactors name, mailing address, phone, fax, or cell.
. Architect and/or Engineer'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, Addition, Alteration, Repair, Demo, 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).
. Driveway permit (please see other items below).
. Valuation (labor and materials), see attached worksheet.
OTHER ITEMS:
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.
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.
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.
lf you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit.
lf 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.
A Colorado State Licensed Electrician and Plumber must perfrom installation and hook-ups,
unless the homeowner is performing the work.
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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 infórmation is missing, the building permit application cannot be accepted.
SITE pLAN: Please make sure the following information is provided on the site plan.
. Propertyaddress/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. lnclude 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 waits (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 establisheO ouiioing envelope shall be prepared, stamped and signed by a licensed
surveyor. For structures to be built within a bLrilding envelope, provide a copy of the recorded subdivision
final plat with the proposed structure located in the building envelope.
ARCHITECTURAL PLANS: Please provide Lhe following inforrrtation 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.. 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.
o 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, rLln, 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'
. 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.
. 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 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: 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 for compliance, the application may be placed on hold urntilthe 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 wjtlo_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 I have read, understand and will abide by the requirements of this
checklist.
rP rint S Date
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Buildin El Zonins P-lan view Checlqlist
Permit Nu er:
Buildins
'/ Engineered Foundation
DrivewaY Permit
Surveyed Site Plan
øffi-ôb-16->214
Jø7 Fil,ta¡ 6Wa4L þtÁ4 (Ør fuvø )
Planni
.'/ Property Line setbacks
30 ft. Stream Setbacks
NA Flood Plain
./ Building Height
Zoning Sign-Off
Septic Permit and Setbacks
'/ Grade/ToPograPhY 30%
/ - Attach ResidentíalPtan Review List
'/ Subdívísion Plat Notes
N/A
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Fire Department ReYíew
Valuation Determination/ Fees
/ Red Line Plans/ Stampsl Sticker
Attach Conditions
'r' Applicatiorr Signed
'/ Plan Revíewer to sign ApplÍcatíon
'/ Parcellschedule No.
N/^40# Snowload Letter- Manu. Homes
X soils Report
N/A_
N/a Road lmpact Fees
Grade/ Topography 40%
'/ Planníng lssues
'/ subdivision Plat
General Comments:
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