HomeMy WebLinkAboutApplicationGurfield County
Community Development Department
1O8 8th Street, Suite 401
RECHffilHtftuood SPrings, CO 81601
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BUILDING PERMIT
APPLICATION
DemolitionCommercial/Multi-Fa mily
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOIVED.PARFIB
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Email Address:
Property Owner:
Mailing Address:
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Phone: ( 7 70 | 274-2 Ll2 LContractor:
Mailing Address
Email Address:
Architect:Phone: ( )
Mailing Address
Email Address:
Phone: (qf,ot 4+t - 2tZ-l(
UvtLtr.AA e Ano.-la c hll"Email Address:
Mailing Address:
Engineer:
Mailing Address:
Email Address:
Phone; ( )Manufactured Home lnstaller:
owner'sValuationof Work: S 1(Oron Property
sq.Ft.orBuirding: 3{W Gn'r'"
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PROTECTDETAITS
Describe Work:l+nb
size{sq.Ft.orAcres): 2 7q {N-t
# of Floors: )
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Assessol's Parcel Number:
Sub.w 3) Bbck 6
Job Address:
Class of Work:
Garage
Remodel/Alterationew Addition
Detached
PROrI cI Dl lr\lls ('t)Nl lNtll l)
Seltiic:
\pe ol l.lentr
Driveway
Fernrit:
NOTICI
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Afrlhqfilf. llrrs aplrhcation fot a llulkling Perrnit ntust be signed by the Owner of the properly, descrilntJ above,
or an arrtlr6riretl agent. lf the sigrratrrre below is not that of the Owner, a separate letter of authority, signc-d b'1
the Owner, nrust be provided with this Application.
LegalAcSg11g, A Builtiirrg Permit cannot be issued without proof of legal and adequate access to lhe properlY fot
purposes o{ inspectiotls by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Ilectrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County HighwaV/ 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 gtanting
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 (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 Euilding 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: i1)
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 rest with me and my authorized agents, including without limitation my architect
designer, engineer and/ or builder
I herebv acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required which is correct and accurate to the best of my knowledge.
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Date
CIAL USE ON[Y
seeatbaild cail>/Special Conditions:
Home Fee:
*
Manu.
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Misc. Fees:Permit Fee: q -2 t/27,'-Adiusted Valuation:
Sga7a,?- 6'l Plan Check Feer
15-7776
OWTSNo:-NI-Afr5 Eg+t l
Fees Paid:
15.3+,7'l
Balance Due: -,a24 /,V. c7Total F6es:/4af,t3
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0"'i;t;; 8.tr\occ Group:
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Signed Approval Date
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Gwffitd Aww;wfir
BU'LDING DEPARTNTENT
1OB Eigttth Stree, SuitI- AAL Glenwood Sprtngs' CO 81607
Tel: (970) 945-8272
tA NR NEW c E KLil
Permit No: A6-24-g7b/
Planning/Z oning lssues
Building lssues
riveway Perrnit
Surveyed Site Plan
Septic P-ermit and Setbacks
Grade/ToPograPhY 30%
Attach Residential Plan Review List
Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Plan Reviewer to Sign APPlication
ParceU Schedule No.
40# Snowload Letter - M'anuf' Homes
Soils RePort
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Building Height
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Grade/ TopogJ:€P
Planning lssues
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Descri ion & Su rna
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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 9!!E!q@L
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 othenrvise identify any areas remaining
unconditioned outside this envelope)
Energy Gompliance Plan should further include:
Chosen Energy Compliance Patho Prescriptive: Cross Sections of insulated assemblies including the selected material/ R-Value
and U-Values to comply with IRC Table R402J.2o 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)
ManualJ 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 speciflc reference to a soils report, then a
copy of the soils report is required to submit a building permit application.r 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.r 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.
Owner Print:Sign:Date:/'z/-"