HomeMy WebLinkAboutApplicationbur'ttli n
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol e4s-82t2
www.garfield-cou ntv.com
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:(/¿i\<\
Contractor: CJ u:w-øf
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Phone:
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Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone: (
Mailing Address
Email Address:
Garfield County
WPE OF CONSTRUCTION
ulti-Fami DemolitionCommercia
fif Manufactured Home (Single or Multi-Level)
ReroofE Residential (SF, Duplex or Townhome)
BUILDING PERMIT
APPLICATION
Phone: fArchitect:
Mailing Address:
EmailAddress:
Phone: ()Engineer:
Mailing Address:
Email Address:
Class of Work:E[ New ! alteration ! Rdd¡t¡on ! nepair I l_Move/Relocation
DetachedGarage:!Attached
PROJECT DETAITS
Describe Work:Loc.cl-t, ^g- n\"- r^a¡\ r Ç oi-Cu,-.J horn€- cva +l(**¿-
Job Address:
Assessor's Parcel Number:
Sub.
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(b 8,u 4'1{.t)
Lot
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Block
Owner's Valuation of Work: $O (oQÔ Property Size (Sq. Ft. or Acres): r-6\ crc re-
-
# of FloorsSq. Ft. of Building:tzt u Height:t2
pño¡ Ècr oÈiÀi is coñrrñ úeot
Septic:OWTS Community
Other
Driveway Permit:Exempt Permit #:
NOTICE
Authoritv. 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. 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 Build ing 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 thisApplication, a Building Permitwill 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: (L)
requiring the correctÌon 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 responsibilíty 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 Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge'
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perty Owner Print and Sign
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BUttDTNG / PIANNING DIVISION
Date
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E lectricNaturalGasPropaneType of Heat:
OFFICIAL USE ONtY
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lñor*¡ )iyt¡¿\. Special Conditions:
äpOn yrr¡ +inqtallat'on tne4nia ftiov lo fitnl/c.0.
wisc Feel*{ q b. ooPlan Check Fee:
+270.1t
Permit Fee:4zuç.2ry Manu home Fee:+ 4oo. oo
Adjusted Valuation:-.+22,70"00
OWTS No:W-9LfuFees Paid:4tloo , oo
Balance Due+m4.70 BP No:
F-t¡n v -úÌlltlTotal Fees:
+144.v¿
Zoninþ: RConstType: IRCSetbacks:
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Gørfield County
Commu nity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(970194s-8212
www.garf ield-cou ntY.com
BUILDING PERMIT
FEE ESTIMATE
WORKSHEET
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Project Add ress:
rl ,f t'tç¿¡Jc*¡A.;tt¡.Lot:
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Subd tvs o n 3 1 oj ?-t ock:
574.68t'z\t-oFinished Living Space (N/A for Manufactured Homes)
s41-.ooUnfinished Basement
s18.00Crawl Space
s32.ooGarase (Conditioned) (i.e. insulation, sheetrock)
s24.00Garase (Unconditioned)
s18.ooCovered Patio/Deck
$12.00Uncovered Patio/Deck
s0.00Misc:
so.ooMisc
So.oole Level
so.ooMulti-Level (S600)
So.ooNew lnstallation ($123)
so.ooAlteration and/or Repair (S75)
so.ooPerculation (S150)
So.ooPlan Review Fee
So.ooBuilding Permit Fee
So.ooManufactured Home Set-UP Fee
so.ooSeptic Fee (OWTS)
So.ooOther (Ex: Road lmpact Fee)
This Section Determined by Garfield County
$o.ooTotal Fees Due
***All fees are estimates until final plan review is completed***
7æ*o Jaatzu
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
1970194s-82t2
www.Ra rfield-countv.com
MANUFACTURED HOME 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: PIease make sure the following information is provided on the application.
y' . Parcel number obtained from the County Assessor's Office.
,z o Job address (assigned physical address).
/ o Legal Description: block, lot, tract, subdivision, filing, or section, township and range.
n"o Owner's name, mailing address, phone, fax or cell'
r Contactor/lnstaller's name, mailing address, phone, fax or cell. Home lnstallers license #
r 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.
o 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).
o Valuation (labor and materials), see attached worksheet'
OTHER ITEMS:r lf you anticipate obtaining a water-tap from the City of Rifle, please provide a letter indicating that
tnê 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'
o A separate electrical permit must be obtained from the State of Colorado Electrical Board'
. At the time of a 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 Roa{&
Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The
county Road & Bridge Department can be reached at970-625-8601.
r lf you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit'
r lf you belong to a Homeowners Association 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.
. 40 psf live roof snow load, 115 wind speed design.
. Colorado Division of Housing insignia must be affixed prior to Certificate of Occupancy'
. A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
Garfield County MANUFACTURED HOME
BUILDING PERMIT
APPLICATION CHECKLIST
BUILDING PLANS: 2 sets of lans must be sub
identical, legible and to scale.nq will be checked
required information is missing, the building permit app
. Plans must be 18"x24" minimun-glze, complete,
at the counter foi:ıımptãteness. lf any of the
lication cannot be accepted.
SITE PLAN: Please make sure the following information is provided on the site plan.
e Property address/legal description.
o 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 watenruays'
. Location and direction of the county or private road and driveway accessing the property.
r 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.
o 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.
MANUFACTURER'S AND/OR ARCHITECTURAL PLANS: Provide the following information.
¡ Minimum of 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.
o 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. lndicate size and location of ventilation openings.
r 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.
MANUFACTURER'S AND/OR ENGINEER'S STRUCTURAL PLANS: PTOVIdE thE fOIIOWiNg
information.r Design specifications to include 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 details specifying reinforcement and referenced on plans.
o 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 until the required information is
provlded. 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 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.)
I hereby acknowledge I have read, understand, and will abide by the requirements of this
checklist.'9¿en\*y't,ñ,a."r L¡*,..ð d Crürtt"<, LLs
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Property rint and Sign Date
BuildÍngll Z0,nins^PIan Review Checklist
Permit Number:
Build Planni Zon
'/ Property Line Setbacks/ Engineered Foundatio¡
./ .- OæT AøtqZt Ðrivefvay Permit
'/ Septic Permit and Setbacks
Grade/Topography 3Q%
'/ Attach ResidentíalPlan Review List
x Surveyed Site Plan
Nd
fj'
' '/ Buitding Height
"/ Zoning Sign-off
Road lmpact Fees
'/ Grade/ Topography 4o%
./
N/A
30 ft. Stream Setbacks
Flood Plaìn
Planníng lssues
Subdivision Plat
N/A Subdívisíon Plat Notes
A Fire Department Revíew
'/ Valuatíon Determinatíon/ Fees
'/ Red Line Plans/ Stamps/ Sticker
Attach Condítions
'/ Application Signed
'/ Plan Reviewer to Sign ApplícatÍon
'/ Parcel/schedute No.
"/ 40#snowload Letter-Manu. Homes
/ soils Report
General Comments:
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