HomeMy WebLinkAboutApplicationili', ":
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Devel opment Depa rtme nt.
108 8th Street, Suite 401
Glenwood Springs,'CO SL6OI
(9701 e45-8212
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Horne or MulHome
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Phone:
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Phone:Contractor:
Mailing Address:
Email Addressr
Email Address;
Property Owner;
Mailing Address:
Architect
MailingAddress:
Email Addressl,
Phone:
Phone:Manufactured Home lnstallen
Engineer:
MailingAddress:
Email
Mailing Address:
Email Address;
tl t0 t bob
Sub.lot -? . Btock-
,3'1l Ac,Propefi Size (Sq. Ft. or Acresf :
Assessor's. Parcel Number:
Job Address;
Ownerfs Valuation of Work:
Sq, Ft, of Building:Heighti-- #of floors: ?'
Class of
Garage:
ptie:
Type of Heat:Natural Gas
Driveway
Propane Electric
it#:
Other
AuthoiiW. This application for a Building Permit must be signed by the owner oi itri piopertv, UesciiUeu aooue,'
or an authorized agent. lfthe signature below is not that ofthe Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Lega! 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 Fe{mits. Multiple separate permits may be requiredl {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.
VqiC Permit" A Building Permit becomes null and void if the work authorized is not commenced within 1g0 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
I hereby certify that I have read this Application and that the information contained anove is iiui"and ;;il;;i-i -
understand that the Bullding Division accepts the Appl ication, along with the.plans and specifications and other data
submitted by me or on my behal{ {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(sf and facilities detailed on the submittals reviewed by the Bu ildlng 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
appticable land use regulations {County Regulation(s)). All County development requiring a perrnit, except for
ential 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 notlce from the County, if the location, construction or use of the
structure(s) and facility(ies), described above, are not in compliance with Counfy Regulation(sl or any other
applicable law.
further acknowledge that the lssuance
I hereby grant permlssion to the Buildi ng
of
Division to ent€r the property, described
the Building Perrnit does not prevent the
above, to inspect the work. I
Building Offieial froml {1} requiring
the eorrection of errors in the submittals,if any, dlscovered 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
acceBtance oi 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 designer, engineer and/ or builder.
that have read and understand the Notice and Certificatio n above, as well as, have
provided the required information which is correct and accurate to.the best of my knowledge.
0s.t3.LE
Property Owner Print Sign Date
IXf
Special Conditions:-i@ a.*taa
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fee'
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"I['Zb.,t Fees Paid:':}/\ z. I\(l J\82BElance Due:/.863,ffrt p"QActg OWTS No;
'PY g.E.OCC Group:Const iijl'i r:
BUID|N6 / PLANNTNG DIVIS|ON hz25
Date
ENERGY COMFTIANCE SHEET REAUIREMENTS:
Effeetive June 30,2023 Please provide details showing how building complies / rneets GarJield Cogntyts
adopted 2018 IECC and Climate Zone 5,
D9.gict a1d..show outline the stiucture's building thermal envelope. Outline should clearly show portions
of the bujlding to be conditioned inside the envblope (and label or otherwise:identify any,areas iemainingunconditioned outside this envelope)
Energy Compliance Plan should further include:
Chosen Energy Compliance Path. Fres,qlibjiye: Cross Sections of insulated assemblies including the selected material I R-Value
and U-Values to compty with tRC Table R4OZ.1.z. U:factor, Alte,rnative; Provide a ResCheck Reportr TotalU-Fgctor Al!.eIlatiyg llovide software generated submittal design reports and inspection
checklist for any RESNET ERt index or other performance path desigis
Air sealing details around openings, pipes, penetrations, joints
Fenestration U -factors
Provide mechanical system design details including proposed efficiency rates, types of equipment, fueltypes, locations
F. "tgy.
effhient lighting.specifications - 90yo to be high-efficacy (LED compties)
Manual J Report required for new building structuresind new equipment installations.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
' SOILS REPORT - lf the proiggt is located in Jsubdivision with a final prai reiuiiing site specific
soils investigation report or if Structural plans make a specific reference to "tJir"iep;;il;" ;
copy of the soils report is required to submit a building permit apptication.. !esi.9n specifications to include roof and deck snow load, wind and seismic design and frost
depth,r Foundation plan showing complete footing and foundation dimensions.I Footing and'foundation details speciffing reinforcement and referenced on plans.. Framing plans for each floor level and roof. Al[ beams, columns, joists, rafters and trusses
specified. Fre-manufactured structures require the engineers stamp, signature,.and date.r Framing /connection, detalls, braced wall lines, shear wall schedule, Iocation and hold downs.
{OTE: lf any requged'intormation is,missing, delays in issuing the permit are to be expeoled, lf
delermined by the. Building Official that additional infsrmation ii necessary to review thb application
and/or n!a1s f9r compliance, the application may be placed on hold untilt-he required.information isprovided. Work may not proceed without the issuance of a permit.
The'Building:Division will collecta Plan Reviewfee attime of application submittal. The perrnitfee, as
well as any Road lmpact,fees,willbe collected when the permit'G issued.
The permit application mu.st be sfgned 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
GO will be considered an illegal occupancy and may be grounds ior. vacating the firemises. lFInaf/COinspection requirements will bc attached to your approved field set of plans.f
I lrergbly acknowledge I have read, understand and will abide by the requirements of thlschecklist.
qo${ .Bpoun si
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Owner Print:gn:, Q5 .\3.?,9
Gurfield County
BUILDING DEPARTMENT
708 Eighth Street, Suite 401, Glenwood Springs, CO 81607
Tel: (970) 94s-8212
PI.^AN REVIEWC HECKLI ST
gt-RE-6-e*/a/EPermit No:
Building lssues
Er.rgl.neered :Fou.ndatio n
Driveway Permit
Surveyed Site Plan
Septic Permit and Setnacks
Grade/ Topography 30%
Attach Reside ntial'Pla n Review'List
Subdivision Plat Notes
f,6, =N/AFire Deoartm6nt Review
< hz@fi
Va I uatidn Dete rn'fi natio n/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Energy Complia nce Path/Pla n Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Pl a n n i ng I Zoning lssues
rl Property Line Setbacks EE
35 ft. Stream Setbacks
/A"-Flood Plain
Building Height
< daa
tu
Road lmpact Fees hUhtnU.S
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Descri otion & Summa rV
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