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BUILDING PERMIT
APPIICATION
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Email Address:
Manufactured Home lnstaller:
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or an au$rorlzed agse- fffte iSnafure h&H is not Srat ctrthe Osrrcr, a separ"ate ldter of authoriity, slgped by
tfrc Chmtsr" mus* be pr{rilided wirdn dnbApdtlmtlulm.
fceufirsrrn. Affinilhfiirgtumrniitcanrnrotheilsusd\uiilthnilrfipt@ef@f lk8dlanddiqlmmiresslhtdhepupertlyfiur
purposes of inspections bythe Building DMsion.
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(3) aldtspernttitrequ$rdfwuseont*rc propeltyiclsltlrnied abs,rrc, e-g. StateorCcuntyt{g{il,aylRoadAmess
qr a Sfia@ W;Muater Dischnarge rcrilnlfi,.
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of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
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I herehy cfyrtify thet. I' ltr'aMe nead tlt'io Apd,ieatio*tt' and tftet, tlne in'forrn ati,qn conrtained abcue io tnue an, d cornect . I'
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submitted by me or on my behalf (submittals), based upon my certification as to acflrftr€y. Assuming completeness
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consideration of the issuance of the Buildlng Permit, I agree that I and my agents will comply with provisions of any
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applliiob&e huld use regrr[aWiwls (Couuuty ReguuUatiicn(s)). AIT Coumty developremt requiinliury a pervn[t, €xoept for
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structure(s) and facilig(ies), described abwe, are not in compliance with County Regulation(s) or any other
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further ac*nowle@e that the issuance of ehe Buildi,nqg ,Permnit does not p,revent &he Buildir?g Official fro,m: {X) req.r,irir6
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strucftrre(s) or faciffiffies) if sudr 'a in violatfrrn ol' Gounry Reguflation(s) or any other applicable |ry. Reviw of this
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acknowledge that responsibiliff for com,pliance with federal state and local laws and County Regulations rest with
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ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective June 30, 2023Please 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 othenrvise 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 Reportr Total U-Factor Alternative: Provide sofiware 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.. 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 reporl is required to submit a building permit application.. Design specificationsto include roof and decksnow 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 will abide by the requirements of this
checklist.
owner r,,n &//)erlne fl^rrl sig Date /t
Gurfield County
BUILDING DEPARTMENT
708 Eiqhth Street, Suite 401., Glenwood Springs, CO 8L601
Tel: (970) 94s-8212
PLAN REVI EW CHEC KLIST
Ft<r-a?-ai-fa77Permit No:
Building lssues
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ttach Residential Plan Review List
bd n Plat Notes
Engineered Foundation
Driveway Pe rm it arcUnl*A
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Surveyed Site Plan
d€P71-kAt-vA80 i'
Septic Permit and Setbacks
Grade/ Topography 30%
35 ft. Strea
ood Plain
./Buirding Height pi/D /J/>C
Planning/Zoning lssues
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roperty Line Setback, 8,E,
ftrffiT,*:i#'
4{{,?,ffihvao%
-/- Planning lssues
-/ Subdivision Plat
b3?408 amndelfihalp/at
Ft3753
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Fire Dep t Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
ttach Conditions
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Applicatio4 Signedccala/&
Energy Compliance Path/Plan Receivgd
VreeortphTeprft
Plan Reviewef to Sign APplication
Descriotion & Summa rv
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OPEN.HOLE $OILS REPORT
I$ REQUIRED AT FOOTING
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/7t 194,"oParcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
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INSPECTIAN AaU PSF
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