HomeMy WebLinkAboutApplicationGatfield County
Community Development Department
1o8 8th Street, Suite 40L
Glenwood Springs, CO 81601
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Com merciallM ulti-Family Demolition
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential {SF, Duplex or Townhome)Reroof
Accesscrv Dwellins Unit {ADU} - MAXIMUM SIZE OF 1,200 SQUARE FEET
owner: 5e-ttf ''i:'-n ':
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Phone: {'1 iL.r } l; i't rX iJ tr.*r
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Email Address:
Property
Mailing Address: 'i
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Mailing Address:
.. 1 l-'-\f !-l-Phone:€ontractor:
Email Address:
Phone:{ llq } ri.'irt -"3'1i-t)
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Mailing ndaress: ?i i i....r {{,,i-c':\-
Architect:i)L
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Email Address: ,:i 0',1 i
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Engineer;
Mailing Address;
Email Address:
Assessor,s parcel Number: ?.3{)' I i "7 !. fr aJO i L:
Phone:
\! t ,.-.'.Describe Work:
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Bbck A"i
Job Address:
Manufactured Home lnstaller:
Height:
0wnerrs Valuation of Work: $
Sq. Ft. of Building:| !.-l '2.,.;
Sub.1\
Mailing Address:
Ernail Address:
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PropertySize (Sq. Ft. orAcres): j i-' \:"i S.,1 ir,<
# of Floors: j
\dClass of Work:I'lew Remodel/Alteration Addition
Garage:Attached Detached
PROJECT Df'/
Septic:wTs Community
Type of Heat:
]ruaturalGas
Propane Electric Other
Driveway
Permlt:lEl,'"*0,Permit f:
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be pravided with this Application.
Legal 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?efmils. Multiple separate permits may be requir*d; {1} State Electrical Pe rmit, {2} County OWTS Permit,
{3) another permit required for use on ihe property identilied above, e.g. State or County Highwayl Road Access
or a State Wastewater Discharge Permit.
Veld Pefmit. A Euilding 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.
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 {submitials}, 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. ln
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 tCosnty Regulation{s}}. All County development requiring a permit, except for
residentiai uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building
Permit may be suspended or revoked, upon notice frorn 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
appiicable law.
I hereby grant permission to the Building Division io 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 erors in the submittals, if any, discovered after issuance; or {2} stopping construction or use of the
structureis) or facility{ies) if such is in violation of County Regulalion{s) or *ny other applicable law. Review of this
Application, including submittals, and inspections of the work by the Suilding Division do not constitute an
acceptance of respansibility or liability by the County of errors, ornissions, or discrepancies. As the Owner, I
acknowledge that responsibility 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 buiider.
NUED
I hereby ecknowledge that I have read and understand the Notice and Certificatien above, as well as, have
provided information which is correct and accurate to the best of rny knowledge.
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Owner Print and Sign Date
See atta dhey' u/vD /T/ oNSSpecial Conditiensl
Manu, Hon:e Fee;Misc. Fees:-
K] FtrBD lqg'Adjusted
I /.2_
UDA?;:ilb'Permit Fee: . 1/oz, te
Balance Due: ^z/o72, P BP No:WF,-(q*+OWTS No:<Er -8aA8'"'Tfrb?,o,l,,gqb,10
Fees Paid
toninr'f:Setbaeks:
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BUILDIN6 / PLANNING DIVISION :
Signed Apprcval Date
&,1i"%
GarfuId ComrctY'
BU//LDING DEPARTMENT
fO8 Eighth Strc\ Suite 4OI, Gtenwood Springs, CO 87501
Tel: (970) 945-8212
t.^AN R rEw H K lsr
Permit No:BtRF-aa -24-8727
Building lssues
Surveyed Plan
UN - septic Permit and Setbacks
E*gineered Fot**dation
furm
Driveway Perm
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire De partment Review
Va luation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
// Parcel/ Schedule No
PlanninglToning lssues
PropertY Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Buitding Height
Zoning Sign-Off
Road tmpact Fees ryD
Grade/ ToPograPhY 40%
Planning lssues
Subdivision Plat
,./ NA
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R,lFE"B,>
Descr roR Sunn a
40# Snowload Letter - Manuf. Homes
soits Repor t K+A 24-Vnb
FLs tqssa/, 7/,6&= /0ry925/
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alaabl bul//,h3
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t jr:'Ll'i't40LH $OILS RHPCIRT
iit l*i.i*ulnr$ Ai FomTlNG
iru*r'*Srt0N J1M*PSF .,
thcludecobpachoh rcelt
>5. a*Vehzc/4/'
ua/aah'az // 3: gb7, sf
ENERGY CCIMPLII\NCE SHEET REQUIREMENTS:
Effective June 3A,2023 Please provide details showing how building complies / meets Garfield County's
adopted 201816CC and 9llllglgZgrc-L
Depict and show outline the structure's building thermal envelope. Outline should clearly show portions
of the building tc be conditioned inside the envelope (and label or otherwise identi$ any area$ remaining
unconditioned outside this envelope)
Fnergy Compliance Plan should further include:
Chosen Energy Compliance Pathr Prescriptive: Cross $ections of insulated assemblies including the selected material / R-Value
and U-Values to comply with IRC Table R4Q2.1.2. U-Factor Alternative: Provide a ResCheck Report
r Total Alternative:Provide software generated submiital design reports and inspection
checklist for any RESNET ERI index or other performance path designs
Air sealing details around openings, pipes, penetrations, joints
Fenestratian U-factors
Provide mechanical system design details including proposed efficiency rates, types of equipmenl, fuel
types, locations
Energy efficient lighting specifications - 90% to be high-efficacy {LED complies)
Manual J Report required for new building structures and new equipment inslallations.
STRUCTURAL PLAN$: Please provide the following information on the structural plans.
r $OILS REPORT - lf the project is located in a subdivision with a final plat requiring site specific
soils investigation report or if Structural plans make a specific reference to a soils report, then a
copy af the soils repoft is required to submit a building permit application.. Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.. Foundatian plan showing complete footing and foundation dimensions.r Footing and foundation details specifying reinforcement and referenced on plans.
r Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.. Framing lconnection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delays in issuing ihe permit are to be expected. lf
determined by the Building Official ihat additional information is neces$ary 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 will callect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be collected when ihe permit is issued.
The permil 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 vacaling the premises" {FinallCO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirarnents of this
checklist.
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owner prinr -"-)f,$5{-
,"; liilti(C $ign:Date: '--r