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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
{970} 94s-8212
Mailing Address
Email Address:
fl Manufactured Home e or Multi-Level
Resídential D lex or Townhome Reroof
INVOIVED PARTIES
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Architect: 2-?5' 7 belrC'¡J Phone 7o .Z
Mailing Address:
Email Address:
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Mailing Address:
Email Address:
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Garfield Coanty
BUILDING PERMIT
APPLICATION
E Commercial/Multi-Fami Demolition
Engineer:
Mailing Address:
Email Address:
Phone: (
Manufactured Home lnstaller: ¡ /,4 Phone: (_)
Mailing Address
Email Address:
PROJECT DETAITS
Describe Work:'Er^)tet¿rocc Ò¡:t-1. AoO Pnn-r''qlo,,¿ l)*u ì, fbú¿bl'¿¿rcr'/^-
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Job Address:izt l)ocry Ñq,^P* Pe Ce lpA',":ot CD I lø tt
Assessor's ParcelNumber: Z\ b13 ZLICo tUQ
sub. érrS7utøaç Lot I Block
-
Property Size (Sq. rt. or4@s):7,ql,Owner's Valuation of Work: S !o. OOt)
Sq. Ft. of Building:3 Boz Height:# of Floors
RepairClass of Work:
èår"eà'
New
hed
ation Addition
I oàiácr'eà
Move/Relocation
PROJECT DETAI tS CONTINUFD
Septíc:
Type of Heat:
Driveway Permit
flowrs
l-l Natural Gas
[-l rxempt
fl Comnrunity
FI P.opun" 'n El..tri.
l-l Permit H:
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NOT¡CE
Authoritv. This application for a Builcling Pe rmit mr.¡st be signed by the Owner of the property, clescrìbed above,
or an authorized agent. lf the signatr,rre below is not that of the Owner, å separate letter of âuthority, signecl by
the Owner, must be provided with this Application.
Leg¡l-ASgg:s' A Builcling Pernìit cannot be íssued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Alb.gl-Pgrui!! Mult¡ple sepa!'ate pcrm¡ts may bc required: {1} State Êlectrical Permit, {2) County OWTS perm¡t,
(3) another perm¡t requ¡red for use on the property identificci above, e.g. State or County Highwayl Road Access
or a State Waster,våter Discharge Permit-
llp$-fc¡¡o¡!, A Building Permit bccotnes null ¿nd void if the work authorized is not comrnenced within 1-80 days
of the date of issuance and if work is suspended or abanclonecJ for a period of 180 days after conrmencement.
CÊRTIFICAT¡ON
I hereby certify that I lrave read this Applicatiorr and that the i¡rfornration conlained above is true and correct. I
understand that the Euilding Division accepts the A¡.rplit,ation, along with tlre plans ancl specificatio¡¡s and other
dat¡ submitted by me or orr my behalf (submittals), based uporr my certification as to ðccuracy. Assuming
conrpleteness of thc subrnittals and approval of this Application, a Building Permit wìll be issued grânting
perrìission to me, as Owner, to cor'ìstruct tht: structure(s) anc, fac¡lit¡es detailecl on the submittals reviewt_.rl by
the Btrilding Division. ln consideration of the lssr,¡¿¡nce of the Builclìng Permit, I agree that I and my ågents \,vill
comply with provisiorrs of arry federal, stðtc or local law regulating the work and the Garfield County Builcling
Code, OWTS rcgulations ancl applicablc lanci use regulations {County Regulat¡on(s)}. I acknowledge that the
Building Permit may be suspended or revoked, r¡pon notice {rom the County, if the location, construction or use
of the structure(s) and facility(ies), dcscribed a[:ove, are not ¡n compl¡ãnce with County Reguiation(si or any
other applicabie law.
I lrereby Srant perrìission to the BLrilding Division to enter the property, described above, to ¡nspect the work. I
furiher acknowledge that the issuancc of the Builcling Pernrit cioes iìot prevenl the Building Official from: {1}
requiring the correction of errors in the subnrittals, if any, discovered after issuance; or (2) stopping
construction or use of thc structure(s! or facility(ics) if such is in violat¡on of County Regulation(s) or any ottrer
applicable la'uv. Review of this Applic¿tion, including subnrittðis, and inspect¡ons of the work by the Building
Division do not const¡tute ân acceptarìce of responsibility or liability by the County of errors, onrissiorrs or
discrepancies. As the Owner, I acknowlcdge that responsibil¡ty for compliance with federal, statc and local laws
and County lìegulàt¡ons re st w¡th me and my author¡zed agents, ¡nclucl¡ng without limitation mV arch¡tect
designer, errgineer and/ or bt¡ilcler.
I hereby acknowledge that I have read and understand the Not¡ce and cert¡ficat¡on above. as rvell as, have
ihe requíred information which is correct and accurate to the best of my knowledge.
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Date
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BUtLDtN6 / PLANNtN6 DtVtStON
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OFFICIAL U5Ê ONLY
Valuation Manu home Fee:N/A *'" t"'lryA
Total'Fees:þzqq,ou
Special Condìtíons:
Fee:
Paid:
I 1.25
"8
n
Balance Dur:q b]f<e.'Tb5
BP No OWTS No:
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Corrsrrype: le¿
Gørfield County
BUILDING DEPARTMENT
1.08 Eighth Street, Suite 401., Glenwood Spr¡ngs, CO 87601
Tel: (970) 94s-8212
PLAN R E VIEW CHECKLIST
Permit Noz Ð,-W 05- 14- n Òb
Building lssues Pla n n i ng lZoning lssues
N/¡Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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
Va luation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
"/ Attach Conditions
N/A
N/A
Application Signed
Plan Reviewer to Sign APPlication
ParcellSchedule No.
40# Snowload Letter - Manu' Homes
Soils Report
General mments:
N/n
Rl^ilyÁll o( ø4et't^4 qSWAÀ¿ua
Valwtion' çlotoIo.oo
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Faaà lnry-t ?q = N/A
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Gørfield County
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
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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.
a
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 at97O-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.
Ia I ¡
ISINGLE FAMILY OR DU
BUILDING PERMIT
APPLICATION CHECKLIST
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 information 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 watenvays.. 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 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.. 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.o 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.. 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, run, 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.
r 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
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of applicatíon 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 wíll be considered an illegaloccupancy and may be grounds for vacating the premises. (Final/CO
ínspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand ànd will abide by the requirements of this
ist.
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Property Print a Sign Date
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