HomeMy WebLinkAboutApplicationGarfield County
�.Vu.i.. Lr Vcr cwr./ NIcufi
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.gariield-county.com
TYPE OF CONSTRUCTION
n Commercial/Multi-Family
BUILDING PERMIT
APPLICATION
QManufactured Home (Single or Multi -Level)
IDemolition
Residential (SF, Duplex or Townhome)
_H
INVOLVED PARTIE
Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Property Owner: gLIPx.YN CianCI. e-pkn. C
Mailing Address: S 5 I C r1 } Pa 1 1-3
Email Address: Cis e- p (621 kOt hru.L ti I C
(Ta C40rrCel. e-t) ' I
Contractor:.,!, Ca.( 1 bey- si ruc-hor\ Phone: (1 MO) (`-I — CY-1 9) °1
Mailing Address: 1 i Cl, Fx] ]C n S i 4 co Slits
Email Address: SCSC 0 3 CCi1 l Q.rcUnS uC-1-I ('fir-) corn
Phone: (91-O) 3191 _cal C `3(,
Si li CO 81(0SD
LAM
Architect: f )1 R
Phone: (
Mailing Address:
AJJ..---.
6.111011 fuuI S 3.
Engineer: L» Q.Y1 E O e_b e I Phone: (9 C7) y I _. C ?-1,-,
Mailing Address: Fare al Y ce E reunc`J n J 0 , �'-D
( u:3C2_.St u Q r CAD ; CO rYl
Email Address:
�
6i ruction
Manufactured Home Installer:,PP r1174` Ctc�►rk nPhone: (93-D ) `i 9-0 - y 3
Mailing Address: L I OL0 I � y 2 iq r. 2. uoly-Icl so } F50sSQ
Email Address: de C Lett'- I , SSA kof I'neki i. C_O pn
PROJECT DETAILS
Describe Work: S+cit I 1 TP G rY1(. ,Ll.L [a. k-- RID U
L [ Sr p-ii c. S rv-,
Job Address: of 31 - (3 Cow h..) Rd (9.3 4
Assessor's Parcel Number: a I a- 3 (( 30Co 3
Sub. i4n+I f Y-s or (-I, 1C p A c)Z) v Lot Block
b. v V-v\L,
Cv Sa
Tract , at] 1731..c,nS 1A,
Owner's Valuation of Work: $ Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building: 1 600 Height: - OK I P _
# of Floors:
0
Class of Work:
1 Garage:
New ❑Remodel/Alteration
y Attached C- f Lure
i
Addition
Detached
PROJECT DETAILS CONTINUED `
t ---. �%fOW75
Septic: ! I n
Community
Type of Heat: El Natural Gas I 12 Propane Electric
' ❑ Other
Driveway Exempt Permit #:
Permit: I I
NOTICE
Authori�. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
teem 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 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.
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 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. In 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: (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
Land 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.
Property Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions:
Date
Adj►;,sted-ValuatIIIion: 41
Tota tees:
Setbacks:
Plan Check Fee:
Eees Paid:
Permit Fee:
Balance Due:
63DII
OCC Group: A c
BUILDING / PLANNING DIVISION :
Signed Approval
Dig_anu. Home Fee:
00.00
0511
Const.7 pe r
M es:
OWTS No:
sepr- &5go
Zoning: K .4g 1_
o.
.P►i
c]I+/—)
PD•t4ay. (D, cc, 11117 I74mo
Date
4i;!. Garfield County
Community Development Department
1088"Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
SINGLE FAMILY EAR DUPLEX
BUILDING PERMIT
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
In 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 desian your protect and to facilitate a plan review.
APPLICATION FORM. Please make sure the following information is prnvirieri nn the applik_.ation
• 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.
• Owners name, mailing address, phone, fax or ceii.
• Contractor's 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.
• Type of Construction (Residential).
▪ ('.lace of lAlnrk (Now RPrnnrhPI! AMPratinn Arfrlifinn RAnair, Rflnrra/ RAFnratinn)
• Detailed description of work.
• T' c iif i icatiiI i atu rat aS ry ai is ci2�u iC vti icr�
YN 'v ( y , FN N /
• 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:
• WILDFIRE MITIGATION — All Garfield County property owners are recommended to employ
wildfire mitigation strategies in the development and construction of all buildings throughout the
County. Please refer to the followina publication: "FireWise Construction: Site DAsian & Building
Materials" which is available from the Colorado State Forest Service for specific wildfire mitigation
ctrategiAg annlirahlp to vni it nrnier'_t
• If 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 opiainea from ihe State of Coiorado Eieciricai 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.
• If you anticipate excavatina or aradina prior to issuance of a building permit. you will be required
to obtain a separate grading permit.
If vnii hPlnng to Hnmarnnrncra Acanr•ia+inn !I-I()Al if IQ vngir raennncihili4v+n nhtain vniriffan
(I , y QrlrnQihili*
approval, if required.
a 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.
BUILDING PLANS: 2 sets of plans must be submitted. Plans must be 18"x24" minimum size, complete,
identical lenihle and to crate All plans will he rharkerl at the rnl Inter fnr rmmpletenecs If anv 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.
▪ r UJ ILy auul cSoi ICya1 UCJL 1I.JUVI 1.
• North Arrow and Scale on each page.
• Show all property lines, budding envelopes, flood plain and easements.
• Provide setback distances from boundaries, buildings, septic, well and waterways.
• Location and direction of the county or private road and driveway accessing the property.
• Proposed and existino structures Include sheds_ barns decks, patios_ and anv 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). Indicate 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.
1-I1JVI ow is IVI cat+ll 'CVO!, 111U1uull ly ul1I ICI ISIVI I0 al lu St,.a1C IWICu.
• 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 coverino and siding materials
• Stair and guard details specifying rise, run, height and spacing.
• Amin roof and nrawlspane ventilation dJetails indicate a and Innn�ion of ventilation inns
Attic, 1VV1 G111J 1.il GVVIJId1V1r V1r11111G11V11 1.11r1G11J. 1111.11VG11.� size G111J location of V1r11111G11V11 openings.
• Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.
• Provide stove and fireplace make, model, EPA or Colorado Phase 11 Certification. Masonry
fireplaces shall be designed to the International Residential Code (IRC) requirements.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
• SOILS REPORT - If the project is located in a subdivision with a final plat requiring site specific
soils investigation report or if Structural plans make a specific reference to a soils report, then a
copy of the soils report is required to submit a buildino permit application.
• Design specifications to include roof and deck snow Toad, wind and seismic design and frost
rdlcn+h
• 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.
NfTF• If any rani iirari infnrmatinn is miccinn riPlavc in icci iinn the narmit art to ha amartart If
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 impaei 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 harehy anknowladga I have read; uinderstand and will ahide by tha requirements of this
checklist.
_UOA
Pro.4 y O11 finer Print and Si n Date
1 I iof z.0
Aro Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No:
Building Issues
mt--ll- z° - 6s79
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
s / Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
LyFt Line Plans/ Stamps/ Sticker
Attach Conditions
lApiplication Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter— Manu. Homes
Soils Report
Planning/Zoning Issues
Property Line Setbacks
•.�� 30 ft. Stream Setbacks
t;CL Flood Plain
lJ (/6 Building Height
Zoning Sign -Off
Road Impact Fees
Grade/ Topography 40%
%v‘ Planning Issues
0r4 Subdivision Plat
Description & Summary:
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