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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(9701e45-82t2
www.garfi eld-counW.com -3
Garfield County
DemolitionCommercial/Multi-Family
Manufactured Home or TinV Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Dwelli Unit U - MAXIMUM SIZE OF SQUARE FEET
BUILDING PERMIT
APPLICATION
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Property Owner:
Mailing Address:
Email Address;
Phone: (q1O I ?gs-orxb
Phone: (1"10 ) 3{D-r.o-2^Econtractor: Rlt {\
Mailing Address:
Email Address:
Phone: (170 | 1R4^',1120
<lt " aar !rOrnrv\cro}- nalEmail Address:
Mailing Address:
Architect:
Engineer:
Email Address:
Phone: t97O 1 2\t -tSnO
Mailing Address G,f" J i?\sr Cr) g.)C() I9.D2 R't'A
Describe Work:
Job Address:
PhoneManufactured Home lnstaller:
Mailing Address
Email Address:
Property Size (Sq. Ft. or Acres): , 537 q.rt.
5q. Ft. of Building:4oro
s2Et,2A.bo
Height:Floors: I)4"|q tl #of
ro, GV I Brock Flg.2
Owner's Valuation of Work:
Sub.
X New Remodel/Alteration AdditionClass of Work:
X Attached DetachedGarage:
ti f,/.r,:: ;r:l : ':1.:;, ,l i:'
Type of Heat:Natural Gas Propane Electric
AuthoriU. Thls application for a Building Permlt must be slgn
or an authorized agent. lf the signature below is not that ofthe Owner, a separate letter of authorlty, signed by
the Owner, must be provided with this Application.
Lesal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Divislon,
Other Permlts. 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.
Vold Permlt. A Building Permit becomes null and void if the work authorized is not commenced withln 180 days
of the date of lssuance and if work is suspended or abandoned for a period of 180 days after commencement.
ed by the Owner of the property, described above,
read thls Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Applicatlon, along with the plans and speclflcations and other data
submitted by me or on my behalf (submittals), based upon my certification as to accuracy, Assumlng completeness
of the submittals and approval of thls Appllcation, a Bullding 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 wlth provisions of any
federal, state, or local law regulating the work and the Garfield County Bulldlng Code, OWTS regulations and
applicable land use regulations (County Regulatlon(s)). All County development requiring a permit, except for
residentlal uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building
Permlt may be suspended or revoked, upon notice from the County, if the location, construction or use of the
structure(s) and facility{ies), descrlbed above, are not in compllance with County Regulation{s) or any other
applicable law,
I hereby grant permission to the Building Division to enter the property, described above, to lnspect the work. I
further acknowledge that the issuance of the Building Permlt does not prevent the Bullding 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 iacility(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, lncluding without limitation my architect designer, engineer and/ or bullder,
I hereby certlfy that I have
I hereby acknowledge that I have read and understand the Notice and Certlfication above, as well as, have
provided the required informatlon which and accurate to the best of my knowledge.
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Property Owner Print and Date
Speclaf Condltions: t I6eeafuilc/ANb/valE
Adiusted Valuation:
agq- 27q 60
Plan Check Fee:.l33v 5+HDETro Manu, Home Fee:Mlsc, Fees:
RIFEEDQAIfr
Total Fees:Pe,ff lald: 7rr I Balance Due:BP No: ^^^4t OWTS No:
I5,579,^r \r3+.J'1 t4(r-trbt
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Setb6cks:occ GrouPr
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Signed Approval
BUILDING / PTANNING DIVISION I
Pr
Date
Lu/,/0-
ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective Juna 30, 2023 Please provide details showing how building complies / meets Garfield County's
adopted 2018 IECC and Glimate Zone 5,
Depict and show outline the structure's building thermalenvelope, 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 R402.1.2o U-Factor Alternative: Provide a ResCheck Report. Total U-FactorAlternative: Provide software generated submittaldesign 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.. Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.. Foundation plan showing complete footing and foundation dimensions.o Footing and foundation details specifying reinforcement and referenced on plans.r Frarning plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified, Pre-rnanufactured structures require the engineers stamp, signature and date.o 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 untilthe 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
wellas any Road lmpact fees willbe 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. (FinallCO
inspection requirements will be aftached to your approved field set of plans.)
checklist.
the requirements of this
,A F-rc-AIOwner Print:Sign
Gwffi8d CwrewS,
BUILDING DEPARTMENT
1O8 Eigtrh Street Suite 407, Glenwood Springs' CO 8rc0f
Tel: (970) 945-8272
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Permit No:
El.giree+ed Fe*,sd+tio+*
Driveway Perrnit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ToPograPhY 30%
Attach Residential Plan Review List
Sd!,bdivi.si@+t, P!+t F*ates
-/rire Department Review
--Valuation Determinationl Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
-.-f u
Energy Cornpliance Path/Flan Received
Plan Reviewer to Sign APPlication
Planning /Zaning lssues
'/za"rry.W
P rope-rlY Line Setbacks
35 ft. Stream Setbacks
od Plain
lding Height
Zoning Sign-Off
Road lmPact Fees
Grariel ToPograPhY 4O%
Planning lssues
Subdivision Plat
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Building lssues
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ppplication Signed'iiZtpie'e7"f/
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