HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
JAN 2 i ;gp-pwood Springs, co 81601
(e70) e4s-82L2
www.qa rfield-cou ntv.com_._T-_
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BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
Comme ulti-Fami Demolition
Manufactured Home or Ti Home (Si or Multi-Level)
Residential lex or TownhomeFD Reroof
Accessory Dwellin Unit AD - MAXIMUM SIZE OF 200 SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
Email Address:
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Phone: ,3o<
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Contractor: phone:
Mailing Address;
Email Address:
be:;Phone: r(aorll SStl - q 3O3
Email Address:
Mailing Add
Architect;
Phone:d-3r"83- tl"a+Engineer:
Mailing Address:
Email Address:
Phone: (_)Manufactured Home lnstaller:
Mailing Address
Email Address:
PROJECT DETAILS
Tr"' h;l€r- ?trD Lot-- Block
owner's valuation of workr 5 7ogfu- prop.erty size (sq. Ft. or Acres): 20/ e 6 2 S(t
sq. Ft. of Buirding: 6 + 11 Height: 33' 8 t[g" r of noors: 3 t^,i ]h L,.a ,'o,K
Describe Work:
6o/
t315 ',-4 {g il*
Sub.
Assessor's Parcel Number:
Job Address:I €i tur.
Class of Work:ilx New Remodel/Alteration Addition
Garage hed Detached
PROJECT DETAILS CONTINUED
Septic:]WTS Community
Type of Heat:Natural Gas Propane Electric Other
Driveway
Permit:
Exempt Permit #:
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described a bove,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
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.
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 containe d 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)). 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) 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
acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, 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.
?
NOTICE
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 a to the best of my knowledge.
/-2t-902{_
Property Owner Print and Date
( l-r{ r'OFFICIAL USE
CdNbrSpecial Conditions
€ee
Misc.'ilVFZ.rs Manu. Home Fee:lgl9.8zPlan CheckAdiusted Valuation;
421.6/0,76
OWTS NoBalance Due:?ga7q6,
BP No:
BnF.40Lo'"'E"'bty,rr Fees Paid:
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'Sti'sConst. ,tr.t/ROOCC GrouR:, BCiffit'in
hill,-rh.BUILDING / PLANNING DIVISION :
Signed Approval
?/-r- a-
Date
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 othenvise 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 R402.1.2r U-Factor Alternative: Provide a ResCheck Reporto 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.
. 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.e 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 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 / - qf -Ar'2s:
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 8L601
Tel: (970) 94s-8212
PLAN REVIEW CHECKLIST
Permit No= .gLffF-a/-^f- flll
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
// Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat
o
UUD^ttach conditions
Building lssues
Engineered Foundation
Permit
Surveyed Site Plan
N A Septic Permit and Setbacks
Planning/Zoning lssues
perty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
ilding Height
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OPEN.HOLESOILS REPORT
IS REQUIRED AT FOOTING
tNsPECTIoN 3/O4 PSF
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign Application
Parcellschedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
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