HomeMy WebLinkAboutApplicationGørfield Count!
BUILDING PERMIT
APPLICATION-- ¡Fñ Community Development Department
RÉ.GElvuu logg.h street, Suite 401
SËP 1
3$,'i[IRY
¡. qfìlg Glenwood Springs, CO 81601.l &u r* (g7ol 945-3212
B,fsy'ì'lJ'
ff Demolition
t Manufactured Home or
l-l Reroof*[ Resídential (5F, Duplex orTownhome)
Phone: t 7 7o l-/,16 -ZZ1 2
-ô
Email Address:
PropefiOwner:
MailingAddress:
Contractor: phone:
MailingAddress:
Email Address: , ,
I
Arßhitect: Phone:
Maillng Address:
Email Address: ,.
fl
Engineer:
Mailing Address: -
EmallAddress: .
Phone: f I
Manufactured Home hstaller:
-
Phone:
Mailing Address:
EmailAddress: , , . ,
Sub. [ot-
Desoibe Work:
ìI
Property Size (SC. Ft. or Aaesf :
Assessol's Parcel Number:
lob Address:
Block-
neieh¡:4 ft- , rof Floors: J
Onrne/s Valuation
Sq. Ft. of Suilding:
of Work:
)Lft4
Move/RelocationI wew $Ateration Ll tdd¡tion IRepairGlass of Work:
IRttached I DetachedGarage:
flCommun'itytrryrySeptlct
l_J rbctric l-lotherGasffttaturalI eropaneType of Heat:
Er¡ve{irq'Pcrmlt:
Authoritv. This application for a Building Permit must be signed
or an authorized agent. lf the signature below is not that of the
*
by the Owner ofthe property, described above,
Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
lesal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Buílding Divísion.
Othe,r permlt¡. Multiple separate permíts may be required: (L) 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 lf work is suspended or abandoned for a period of 180 days after commencement.
I hereby certifu 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 specífícations 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 Appl¡cation, a Bullding Permit will be lssued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Build¡ng Dívision. In conslderation of the issuance of the Buílding Permit, I agree that I and mV 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, ¡f the location, construction or use
of the structure{s} and fac¡l¡ty(¡es}, 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 correct¡on of errors in the submittals, if any, discovered after issuance; or (21 stopping
construct¡on or use of the structure(s) or facility(ies! if such is in violation of County Regulatíon(s) or any other
applicable law. Review of this Application, including submittals, and inspections of the work by the Building
Dlvision do not constitute an acceptance of responslbility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that respons¡b¡l¡ty for compliance with federal, state and local laws
and County Regulations rest with me and my authorized agents, including without l¡mitãt¡on my architect
or builderr
I hereby acknowledge that I have read and understand the Ì{otice and Certificatlon above, as well as, have
provided the required information which ls correct and accurâte to the best of my knowledge.
Property Prlnt Sign Däte
17.''
û0.
q1+
Special Conditions:
-2ç-t).31 t/l
Mänu home Fee:Fee:Fees:ln-MíscIrPlan Check Fee:#+lAdiusted Valuation:
Æaeò
Due:
¡II
ovws iló:
ILTA
totd rees:/6,t" 5Þ
Wã+re6
Fees Paid:
12,Ji
'"flt\l"t*"'-rya-Setbacks:N\lÀ *#1. ,-
BUILDTNG / PTANNING DlVlSlON :,',.p,'Ac/ilß
Date
C.C.
Gørficld Cou,nty
Comm unity Development Oepartment
log 8ü Street, Suite 4Ol
RECElVEBlenwood Springs, cO 81601
SEPX"z0lm
GARFIELD COUNTY
COMMUNITY DEVELOPMENT
SINGLE FAiIILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
ln order to undersúand 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 fom the County Assessor's Office.. Job address (assigned ph¡rsicaladdress). Legal Description: block, lot, tract, subdivision, filing, or section, township and range.r 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.o Use of building (Residential).. Class of Work (New, Addition, Alteration, Repair, Demo, Move/ Relocation).. Detailed description of work.. Type of heating (naturalga$, propane, electric, other).. Sewer system (Community or OWTS), also see other items below.. Garagê (Attached or Detached).¡ Driveway permit (please see other items below).. Valuation (labor and materials), see attached worksheet.
OTHER ITEi/IS:. 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.r A separate electrical permit must be obtained from the State of Colorado Electrical Board,o At the time of building permit submittal, you are required to show proof of legal and adquate
access to the site. This may indude proof of right to use a private easement, County Road &
Bridge permit, or Colorado Department of Hþhway permit, including a Notice to Proceed. The
County Road & Bridge Department can be reached at 970-62S.8601.. lf you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit,o lf you belong to a Homeowners Association (HOA) it is your responsibility to obtain written
approval, if required.r Provide copies of any Resolutions and/or Land Use Permits associated with this property.o 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.
SINGLE FAMILY OR DUPLEX
BUILDING PERMIT
APPLICATION CHECKLIST
BUILDING pLANS: 2 sets of plans must be submitted. Plans must be 18x24" minimum size, complete,
iOãnt¡."1, legible and to scale. Ril plans will be checked at the counter for completeness. lf any of the
roquired infırmation is missing, the huilding permit applicatlon cannot be accepted.
SITE PLAN: Please make sure thefollowing information is provided on the site plan.
r Property address/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'
r Location and direction of the county or private road and driveway accessing the property-
r proposed and
"*irt¡ng
structures. lnclude sheds, barns, decks, patios' and any other buildings'
o Existing and proposeã grade, positive drainage around structure (to be contained on site)'
o Streams, rivers, creeks, springs, ponds and ditches'
r Existing ano profosed wells, ã"pii" tanks, leach fields and other systems (if applicable)
o Retaining walls þngin""r stamped detail required forwalls over 4 ft., measured from þottom 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 ànvetope siràl oe prepared, stamped and signed hya licensed
surveyor. For structuro to be built withdã builbing envebþe,'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.
o Minimum of four (4) elevations (N,S,E,W). lndicate lrerght of building measured from existing
grade to the midpoint between tnäiilée änd eave of a gable or shed roof or to the top of a flat
roof.r Floor plans for each level, including dimensions and scale noted'
, clearly label each room or space (bedroom, bath, kitchen, closet, etc)'
. Showihe location of the mechanicalequipment'
o Building cross sections with construction details'
o Window size$, types and operation noted on the floor plans or elevations'
o Specify roof sloþelpitch, roof covering and siding rnaterials.
. Siair and guard'Oeia¡ls speciñ7ing rise, run, height and spacing.
o Attic, roof anã crawlspac'e u"ñt¡lãt¡on details. lndicate size and location of ventilation openings'
o Minimum insulation shown for walls, floors, roofs/ceilings, slabs, bagelents and crawlspaces'
o provide stovã anà fireplace make, model, EPA or Colorado Phase ll ceil¡fication. Masonry
fireplaces snãll ue ães¡gneo to thá 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.
r Footing and foundation ãetails specifying reinforcement and referenced on plans.
. Framiñg plans for each floor levelaná roof. All beams, columns, ioists, rafrers and trusses
"pà"it¡"î.
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, de]gV-s in is.suing the permit are to be expected' lf
determined by the euiloing official that additiónal information iê 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 witl 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 owrìer 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 willbe 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.
V-/"/- / I
Owner and Sign Dàíe