HomeMy WebLinkAboutApplicationRECEIVED
l'4AY 3
GARFIELD
COMMU
tLT i
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol s4s-82t2
wr¡vw.ga rfield-countv.com
Gørfrcld Cownty
l-l Commercial/Multi-Family l_l Demolition
Manufactured Home or Multi-Level
El Residential (SF, Duplex or Townhome)n Reroof
BUILDING PERM]T
APPLICATION
( ??0 ) 3oY - 57è/0
8160 Ê
S,æt**ËË $ @ {r-0 t. ûorrì
PhonePropertyowner: ACS SP6L 15 LLLqq ËlFrru Ël " GrÅls, { s
oAwt{non1 L, Sot doff
Mailing Address;
Email Address:
MailingAddress: Ë€¡ m\ß.
Contractor:Phone: { q10 ) 40Í '- 5 ?.'lf,
Email Address:Cr åfx
Setf * $qeé¡r* bev. Ëtdq
t(( Sc.¡rooner l-¡J, Cc¿borrgol ¿ Co
Email Address: J a uì d @ S4r.n Ker\r ror¡¡n . C o rv\
3 r1*ooPhone:{f*#å
Mailing Address:
Architect:
,, An¿rew CG.luett¡ Êf' phone:11?E;¡ t¿5-8161
l.f UJ *¡
Enginee
¡r ItMailing Address:
Email Address:
Describe work: i1å gr..iJ ll <:ns*v*nl c.{ìt¡.r S ìe'ri:,le d¿rr"-.i\ r* t-i*rn e,
owner'sValuationofWork:S 3ffÕ"ÐôO'.o PropertySize(Sq.Ft.orAcres): *ä6 qCEC
Phone: ( )
2g xHÐ -+ td) å #s'Ë3
t
',
# of Floors
3
sub.#rr.¡Uoht lVleqn Ë 'ã.*
g.#o
Manufactured Home lnstaller:
Assesso/s Parcel Number:
Job Address:
r-ot ft Block-
sq. Ft. of Buil¿inc: L6 \4 Height:
Mailing Address:
Email Address:
Class of Work:ffi ttew LlAlteration Ll a¿¿¡t¡on I Repair l_l tvlove/Relocation
Garage:ffiattached l_lDetached
FßOJf CT DETAILS CONTINUID
Septic flowrs I Community
Type of Heat:l$lNaturaleas I eropane l_l Electric Other
Driveway Permit:l_lrxempt l_lPermit f:
NOIrC[
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. IfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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 Highwayl 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.
cERTtFtCÁTtO$t
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 oron mybehalf (submittals), based upon mycertification astoaccuracy. 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, 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,OWTSregulationsandapplicablelanduseregulations(CountyRegulation(s)). lacknowledgethatthe
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)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of the structureis) 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 rest with me and my authorized agents, including without limitation my architect
desisner. ensineer andl 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.
c
Property and Sign Date
OFFICIAT USf ONLY
R:o¿+à tm?6a+ FZ.<(w'erA)Special Conditions:
Adiusted Valuationl?21b,46t.00 Plan Check Fee:+)p1t.ø2 Permit Fee:qhb&.1b Manu home Fee:MiscFeg 1bv.o1
Total Feés:42,tzo.1z Fees Paid:þlooz.bb Balance Due:el,1lb.(n trtç¿'rft)OWTS No; r
f¡lnrnnniTul
oCCGroup: IRC Const Type: t Ró Zoning: WÞ "
lW,eBUILDING / PTANNING DIVISION :4tu
DateSigned
ù0?-,t 6 o I
&*rfield C*unty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ole4s-82l2
www, gprfl eld-cr¡¡,¡gty. cq#ì
BU]LDING PERMIT
FEE EsîIMATE
WORKSHFET
os-s74
Block:
îro -
Lot;
Address:fcrrñtbrush t*ta*1
licant:
bdivsion: P
c
Fínished Livins Space {N/A for Manufactured Homes}S74.6s
Unfinished Basement O S41.oo
Crawl Space 14,5 Srs.oc
Garage {Conditioned} {i.e. insulation, sheetrock)$sz.oo
Garase {Unconditioned)ñ S24.oo
Covered Patio,/Deck sfl Sra.oo
Uncovered Patio/Deck z Srz.oo
Misc:o So.oo
Misc:0 So.oo
Level
Multi-Level
New lnstallation (S123)$o.oo
Alteration and/or Repair {S75)So.oo
Perculation {$150)So.oo
Plan Review Fee $o.oo
Building Permit Fee So.oo
Manufactured Home Set-Up Fee So.oo
Septic Fee iOWTS)So.oo
Other (Ex: Road lmpact Fee)So.oo
This Sectisn Þetermined by €arfield Couuty
Total Feês Þue $o.os
***All fees are estimates until final plan review is completed*+*
Gørfield C*anS
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
leTore4s-82L2
wvt'lfìr.ga .com
SINGLE FAMILY OR DUPLEX BU¡LDING PERMIT APPLICATION CHEGKLIST
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..'f Parcel number obtained from the County Assessor's Office.
d Job address (assigned physical address)
f Legal Ðescription: block, lot, tract, subdivision, filing, or section, township and range.,,f Owner's name, mailing address, phone, fax or cell.
ql' Contactors name, mailing address, phone, fax, or cell.
.,,p".. Architect and/or Engineer's name, mailing address, phone, fax or cell.
1y' eulaing size, height, number of stories and lot size.
.çø Use of building (Residential).
v/ Class of Work (New, Addition, Alteration, Repair, Demo, Move/ Relocation).-t Detailed description of work.
r¡/ fype 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:
"'ì . lf you anticipaie obtaining a water-tap from the City of Rifle, please provide a lefier indicating that
the City will provide water service. Required to submit building permit application.
Ke 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.r 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 at970-625-8601.
þ . lf you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit.
h lf you belong to a Homeowners Association (HOA) it is your responsibility to obtain written
approval, if required.
"/o Provide copies of any Resolutions andlor Land Use Permits associated with this property.
.i . Additional Dwelling Units may require Administrative Review.
,,,. o A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
/gU¡tOlt¡G PLANS: lZ 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 information is missing, the building permit application cannot be accepted.
SITE PLAN: Please make sure the following information is provided on the site plan.
çå Propertyaddress/legal description.vt North Arrow and Scale on each page.
\f Show all property lines, building envelopes, flood plain and easements.
f Provide setback distances from boundaries, buildings, septic, well and watenrays.
v'¿ Location and directíon of the county or private road and driveway accessing the property.
v6 Proposed and existing structures. lnclude sheds, barns, decks, patios, and any other buildings.
,-pl Existing and proposed grade, positive drainage around structure (to be contained on site).
',Cr' Streams, rivers, creeks, springs, ponds and ditches...-i Existing and proposed wells, septic tanks, leach fields and other systems (if applicable).
".*rt Reta¡ning 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.
,f 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.
,/ noo, plans for each level, including dimensions and scale noted.
€: Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
.C. Show the location of the mechanical equipment.
-3'. Building cross sections with construction details.*i Window sizes, iypes and operation noted on the floor plans or elevations.
t¿ Specify roof slope/pitch, roof covering and siding materials.
# Stair and guard details specifying rise, run, height and spacing.
\d' Attic, roof and crawlspace ventilation details. lndicate size and location of ventilation openings..i' Minimum insulation shown for walls, floors, roofslceilings, slabs, basements and crawlspaces.
.t' 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.
rp/ Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.
çu. Foundation plan showing complete footing and foundation dimensions.
l/ Footing and foundation details specifying reinforcement and referenced on plans.
ç.c Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
., specified. Pre-manufactured structures require the engineers siamp, signature and date.,l Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delays in issuing ihe 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 untilthe 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 without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (FinaliCO
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.
C, Soldo#slzo/t8
Sign Date
BuÍldÍns.l T,oning"PIan Review Checklist
Perrnit Number: Øl;F#' gry' Iø'5273
Aóe fr<-ø/ grre-
Buildin
'/ Engineered Foundation
Wtu,lff Driveway permit
'/ Surveyed Site Plan
N/n Septic Permit and Setbacks
Grade/Topography 3O%
'/ Attach ResídentialPlan Review List
,/ subdivísíon Plat Notes
Fire Department Review
Valuatíon Determinatíon/ Fees
,/ Red Line Plans/Stamps/ Sticker
Attach Conditions
Applicatíon Signed
Plan Reviewer to Sign Applicatíon
Parcel/ Schedule No.
N^ 40# snowload Letter - Manu. Homes
'/ soils Report
v atr'v*tron -
Plann Toning
'/ Property Line Setbacks
NA
N/a
t/ Road lmpact Fees
Grade/ Topography 40%
./ Planníng lssues
Subdivision Plat
General Comments:
lLl,in (uqiá.u^æ
UWU PæiJø'¿¿
30 ft. Stream Setbacks
Flood Plain
Building Height
Toning Sign-Off
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