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Gødr.eld County
-Çommunity Development Department
RECEIVED ros 8th street, suite 401
, t ^,ou€lenwood Springs, CO 81601
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BUITDING PERMIT
APPLICATION
TYPEOF CONSTRUCTION
E Commercial/Multi-Family Demolition
tr Manufactured Home (Single or Multi-Level)
lE Residential (SF, Duplex orTownhome)Reroof
INVOLVED PARTIES
Property owner: Jep Bracey & Julie Ferrero Phone:832 316-1426
Mailing Address: 4406 Autumn Mist Court lKaly, Texas 77450
Email Address:jepbracey@gmail.com
contractor: DM Neuman Construction & Design Co Phone: (970 )
945-7502
Mailing Address: 310 1gth Street / Glenwood Springs, CO 81601
Emait Addres* jmn@dmneuman.com (Jason Neuman)
DM Neuman Construction & Design Co Phone: ( 970
)
945-7502Architect:
Mailing Address: 310 1gth Street / Glenwood Springs, CO 81601
Emait Addres' rich@dmneuman.com (Rich Carter)
¡n"ur. Oddo Engineering, lnc 970 945-1 006
Eng Phone
Mailing Address: 713 Cooper Ave, Suite 200
Email Addres' bob@oddogws.com
Manufactured Home lnstaller:Phone: (_)
Mailing Address:
Email Address
DETAIIS
Describe work: Nêw residence in Elk Springs Subdivision
JobAddress: Elk Springs Subdivision, Lot 23, Filing 9
Assessor's Parcel Number
sub. Elk Springs
218536113023
r-ot 23 r'o.¡ Filing 9
Owner's Valuation of Work: 5 1,500,00 Property Size (Sq. Ft. or Acres)2.5 Acres
sq. Ft. of Building: 4'395 (includes garage) Height:22'-6"# of Floo 1
Class of Work:New LJAlteration Ll Rdd¡t¡on l_J Repair | | Move/Relocation
Garage Attached l_J Detached
PROJECT DETAILS CONTINUED
Septic OWTS Community
CERTIFICATION
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required informati ch is correct and accurate to the best of my knowledge
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and Sign
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Date
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I Propane El ectri c OtherType of Heat Natural Gas
¡Permit #Driveway Perm¡t Exempt
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwnerof theproperty,describedabove,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
g 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 OWIS 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
Legal Access. A Buildin
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 this Application, a Building Permit will be issued granting
perrnission 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 Bu¡lding 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 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 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 restwith me and my authorized agents, includingwithout limitation my architect
r, en neer and/ or builderd
qdOFFICIAL USE ONtY
Soecial Conditions:
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Misc Fees: .Nl{Adiusted
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Valuation:
242.0ô
Plan Check Fee:*h t¿tt.çZ Permit Fee:4h4ec.qry
Balance Due:42,A1?.%BPfNo
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OWTS No:
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Total Fees:44lobi1 ffffi va-
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t4BUILDING / PLANNING DIVISION
Signed Approval
1
Date
Gørfield County
BUILDING DEPARTMENT
108 Eighth Street, suite 407, Glenwood ,pr¡ngs, CO 81601
Tel: (970) 945-8272
PLAN REVIE c HECKLIST
Permit No: w<e'o b-14 - bl 44
Building lssues Planning/Zoning lssues
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
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
/ Attach Conditions
Application Signed
Parcel/Schedule No
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Heíght
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
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General Comments:
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Gøffield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-82L2
www.mrflcld-countv.com
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
ln orderto understand the scope of work intended and to expedite the issuance of a permit, it is
imporlant 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, mailÌng address, phone, fax or cell.o 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 watqr 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 perform installation and hook-ups,
unless the homeowner is performing the work.
SINGLE FAIVIITY OR DUPLËX
BUILDING PERMIT
APPLICATION CHECKLIST
BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 1B"x24" minímum size, complete,
identical, legible and to scale. All planswill be checked atthe counterforcompleteness. 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.
. Propedyaddress/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 potlion 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.. 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, roofsiceilings, 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 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 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.
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Print and Sign Date
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