HomeMy WebLinkAboutApplicationGarfteld Coanty
,,.',!,Cgr4munity Development Department
108 8th Street, Suite 401
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BUILDING PERMIT
APPLICATION
ryPE OF CONSTRUCTION
Commercial/M ulti-Family Demolition
Manufactured Home or TinV Home (Single or Multi-Level)
7 Residential (SF, Duplex or Townhome)Reroof
Dwelling Unit (ADU - MAXIMUM SIZE OF SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
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Phone
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Phone: tdnbl -%/ -?iZ?Contractor:
Mailing Address:
Email Address:
Architect: ffl *L- Al o."J 37q - 3?79Phone
LbMailing Address:
Email Address:
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Phone:Engineer:#3Mailing Address:
Email Address:
Phone: (Manufactured Home lnstaller:
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work
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Height:
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Property Size (Sq. Ft. or Acres):
Sq. Ft. of Buildingr
Job Address:
Owner's Valuation of Work: S
Assessor's Parcel Number:
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t/AdditionClass of Work:l(.ew
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RemodeUAlteration
nffiched DetachedGarage:
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Septicr
Type of Heat:OtherE lcctric
munity
Driveway
Permit:
Propane
pt
atural Gas
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
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 regulatlng the work and the Garfleld County Building Code, OWTS regulatiorrs and
applicable land use regulations (County Regulation(s)). All County development requiring a permit, except for
residential 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 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) orany 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 Officialfrom: (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 anv 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, ornissiorrs, or discrepancies. As tlre 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 rchitect designer, engineer and/ or builder
I here acknowledge that I have read u the Notice and Certification above, as well as, have
required n which correct accurate to the best of my knowledge.
tl - z {-zv
Property r Print and Sign Date
OFFICIAT USE ONtY
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Special Conditions
Adjusted Valuation:
3g//^ a//. tz v5itn Manu. Home Fee:*Misc. Fees:
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"ffi;v3"o7 nce Duel75 BP No:
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OWTS No:
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Signed Approval Date
tBUILDING / PLANNING DIVISION
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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 Climate 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 othenryise 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 R402.1.2. 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.
REPO - 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.
. 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 /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
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 ide by the requirements of this
checklist.
SignOwner Print Date://-z/-ZY
Garfteld County
BUILDING DEPARTMENT
708 Eighth Street, Suite 401, Glenwood Sptings, CO 87601
Tel: (970) 945-8272
PLA N REVIEW CHECKLIST
&Kr-/z-21-gp-zePermit No:
Building lssues Planning/Zoning lssues /ilb
r' Ensineered Foundation
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Surveyed Site Plan
b*6
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees Or 20
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
r Subdivision Plat Notes
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Valuation Determination/ Fees
Red Line Plans/ Stam ps/ Sticker
ttach Conditions
Soils Report
Application Signed
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Energy Compliance Path/Plan Received
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Plan Revieirver to Sign Application
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Description & Summarv:
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OPEN.HOLE SOILS REPORT
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