HomeMy WebLinkAboutApplicationGarfrcId County
R
. Community Development Department
': i i ', 108 8th Street, Sulte 401
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COMMUNITY TË
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TYPE OF CONSTRUCTION
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Dwelli !s_lltil OF E FEET
INVOLVED- PARTIES
, Property Owner:
, rú.ittng Address:
i Email Address:
i Contractor:-('rP\\t-t s-ra-,É. a.
Mailing Address:
Email Addres¡r
Archltect:
bner¿ Lt 0 r-oss Phone:
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Phone¡(o0o)2.{3,-tL{2
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Phone:
Malling Address:
EmailAddress:
Engineer:ô¡-\ e¡*rÈ¡Ê.É tâ Phone:1Q?O ¡U\o- SO"ot
Mailing Address;
Email Address:
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Manufactured Home lnstaller:Phone:
Malling Address: _
i email Address:
PROJECT DETA¡LS
Describe Work¡0 o^tsr¡¿ust 3v't Lul,t 0-n-ønue.
BUILDING PERMIT
APPLICATION
Job Address: 5 ooS
Assessor's Parcel Number Lq.03 04 I osô s(>
**^o /'"¡(""n iãn pcr.f Lot Block
Owner's Valuation of Work ùt ooo Ft. or Acres):u
, sq. rt. of Building: I t 22.\ Hetght:2o's of Floors: \
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Class of Work:
Garage:
o(New Addltion
DetachedhAttached
Remodel/Alterätion
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PROJECT DETA¡LS CONTINUED
ru/A Communíty
Type of Heat: f-'lNatural Gas
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NOTICE
'Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheowneroftheproperty,describedabove,
,
or an authorized agent. lf the signature below is not that of the owner, a separete letter of authority, signed by l
the Owner, must be provided with this Application.
!
Lesal Access, A Building Permit cannot be issued without proof of legai 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 perm¡t, (2) County OWTS permit.
(3) another permit required for use on the property identified above, e.g, Stãte 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 1g0 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 ¡niormalión contained above'is true and .orr..ì. I
' understand that the Building Division accepts the Application, along with the plans and speciflcations and other data
submitted by me or on my behalf (submittals), based upon my certif¡cation 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 detalled on the submittals reviewed by the Building Division. ln
consideration of the issuance of the Euild¡ng 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
applícable land use regulations {County Regulation(s}). All County development requiring a permit, except for
residential uses, are sublect to Article 7 of the Land Use and Development Code. I acknowledge that the Building
Permit mây be suspended or revoked, upon notice from the County, if the location, consruction or use of the
structure(s) and facilíty(ies), described above, are not in compliance with County Regulation(s) or any other
applicable law.
I hereby gränt perrnission to lhe Building Division to enter lhe property, described above, to inspect the work. I
, further acknowledge that the issuance of the Building Perrnit does not prevent the Building Official from; {1) requiring
the correction of errors ¡n the submittals, if any, discovered after issuance; or (2) stopping construction or use of the
, structure(s) or facilitv(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this
ì Application, including submittals, and inspections of the work by the Builcling Division do not constitute an
i acceptance of responsibility or liability by the County of errors, omissions, or discrepancies- As the Owner, I
; acknowledge that responsibílity for compliance with federal, state and local laws and County Regulations rest with
: me and my authorized agents, including without limitation my architect designer, engineer and/ or builder.
I hereby
provided
that I have read and understand the Notice and Certificatlon above, as well as, have
correct and accurate to the best of my knowledge.
seRtlc:
Property Owner Print and Sign
p'ãpáne Âfn Other
Permit #
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Date
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Special Conditions:
6eeaúac/ted OA/VD/TANS
sted Þl¡n Permit Fpe'- ¿qDI, Óþ Manu. Home Fee:M¡sc. Fees
loial F6es: -
bbe 27 äåä14 '5?'å:öq BP No:
Fi?r;aAkl OWTS No:
Setbacks:
DK occGroup:
tRO const'rY?Ìtor,? t Zon[ng:\<
ù);r+h t0-26-F
Date
BUITDTNG / PTANNtN6 DIVIS|ON
Slgned Approval
Gørfield County
BUILDING DEPARTMENî
108 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PI-^AN EVIEW CHE CKLIST
Permit No:Bt-ßll-a?-ZV&z/O
Building lssues Planning/Zoning lssues
Loþ l?
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
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
MA
^lANA
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,/
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Valuation Determination/ Fees
L- Red Line Plans/ Stamps/ Sticker
Attach Conditions
-/ Planning lssues
Subdivision Plat
Description & Summ.ary:Application Signed
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Energy Compliance Path/Plan Received wcgr¿3*"r
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Plan Reviewer to sisn Application Op/dl
Parcell Schedule No.
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ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective June 30, 2023 Please provide details showing how building complies / meets Garfield County's
adopted 2018 IECC and 9l!-maþZonel!..
Depict and show outline the structure's building thermal envelope. Outline should clearly show portions
of the building to be conditioned inside the envelope (and label or otherwise identify any areas remaining
unconditioned outside this envelope)
Energy Compliance Plan should further include:
Chosen Energy Compliance Path. Prescriptive: Cross Sections of insulated assemblies including the selected material / R-Value
and U-Values to comply with IRC Table R402J.2¡ U-Factor Alternative: Provide a ResCheck Report¡ Total U-Factor Alternative: Provide software generated submittal design reports and inspection
checklist for any RESNET ERI index or other performance path designs
Air sealing details around openings, pipes, penetrations, joints
Fenestration U-factors
Provide mechanical system design details including proposed efficiency rates, types of equipment, fuel
types, locations
Energy efficient lighting specifications - 90% to be high-efficacy (LED complies)
Manual J Report required for new building structures and new equipment installations.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
. SOILS REPORT - lf 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 building permit application.
o 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 iconnection 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
andior 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.
ÚnA^,"Owner Print:{c Sign bvú\ql r?l zr