HomeMy WebLinkAboutApplicationGarfield County
{.
Community Development Department
"
: biot r , .r /i.: rr 108 8th street, suite 401' "''Glenwood Springs, CO 81601
www.ga rfield-cou ntv.com
RHcr:"
[irr,;i,, ;' ti; l.-l-l Ut-] I,i illT-V
CC)lli'jUr,ii
INVOLVED PARTIES
BUILDING PERMIT
APPLICATION
DemolitionCommerciaMulti-Fam
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome) fftt g BJnAl.-]l Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
tr
-\DE. P€t r->EQ-l.oLo @G rnnb+. r r- . Cnnz\
D
Email Address
Phone:Property Owner:
Mailing Address:
r BCtrrr B3a-qqq-]Contractor:
Mailing Address
Email Address:
Phone
Email Address
Mailing Add
Architect: t{ \R
t Sool
Email Address , -Jr\qnLra -@.Fl I\t DggA €-T
Mailing Address
Engineer:
PhoneManufactured Home lnstaller:
Email Address:
Mailing Add
PROJECT DETAILS
Desc ribework: tlflxl2.\\o POIE BneU, TO gg rlgED Ac. h.
z lqr)DlrtnN-\ Al- s-IopAaE.
Job Address:P
Class of Work:
suu. wroP-Pl6ANln Rhtr.lCH Lot- Block-
Assessor's Parcel Number 2 r-t01023 cnanq
# of Floors t\
Owner's Valuation of Work: $
Sq. Ft. of Building: 1L{6\O $.trf. Height:
property size (sq. Ft. or Acres): 41. tl5 nC Bf
25-1"
R"*Remodel/Alteration Addition
Garage:Attached Detached
Docusign Envelope lD: FEI 40ED4-4CAD-4727-ACA7-304EgCgDFCgA
ll
Electric OtherNatural Gas PropaneType of Heat:
Driveway
Permitl
PROJECT DETAILS CONTINUED
Septic:Community
Exempt Permit #:
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor
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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
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. 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 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
and County Regulations rest with me and my authorized agents, including without limitation my architect
desi neer 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.
e
q*?r a a^J-
Property Owner Print and Sign
1o/28/2024
Date
OFFICIAL USE ONIY
see a*La4e/m//sSpecial Conditions:
'vf$.'rs Manu. Home Fee:Misc, Fees:Plan Check Fee:5b9,5?Adiusted Valuationrqs7. q4q
t^.^1.^{^r^^. D-i,l 'Qalanra flr ra.RD Na.OWTS Na:
wJr: -gqlASla<.>-l/.441,6#
const.rvfeB C zonipOCC Groupl IRCSefbacks:
0,ll),',r*hBUILDING / PLANNING DIVISION
Signed Approval Date
tFZ
ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective June 30, 2023 Please provide details showing how building complies / meets Garfield County's
adopted 2018lECC and Glimate Zone 5.
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 othenruise identify any areas remaining
unconditioned outside this envelope)
Energy Compliance Plan should further include:
Chosen Energy Compliance Pathr Prescriptive: Cross Sections of insulated assemblies including the selected material / R-Value
and U-Values to comply with IRC Table R402.1.2. 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.
o 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.
o Foundation plan showing complete footing and foundation dimensions.
o Footing and foundation details specifying reinforcement and referenced on plans.
o 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.
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, un erstan
checklist.
rements
owner Print: JOg Q=lnel:-Sign
an e
Date
th
Garfield County
BUILDING DEPARTMENT
108 Eiqhth Street, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN REVIEW CHECKLIST
&Ktr-hza-9nzzPermit No:
Building lssues
wbfu
Plan ning/Zoning lssues
lVA
Engineered Foundation
y Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fe
Grade/ Topography 40%
Planning lssues
Subdivision Plat
NA Q"tFL
ulvb
ilrF
lrf'ru/Wff J/r6s/
3 ?ail
Description & Summarv
>1aar44eL/-+ ah/4
P6n nevieffer to Sign Applicafin
Parcel/Schedule No.
40# Snowload Letter - Manuf. Homes
kfeftr6.sbua{Q)
74/
ut/q/r
rc/afza/
hoe
SOILS REPORT
IS REQUIRED AT FOOTING
INSPECTION PSF
,aa.har* /"lrt^//: (/iwn7%BF s7?