HomeMy WebLinkAboutApplicationGurfield County
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Community Development Department
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Qlenwood Springs, CO 81601.i riil:(szo) s4s-s2tz
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BUILDING PERMIT
APPLICATION
a
DemolitionCommercial/Multi-Family
Manufactured Home or Tiny Home (Single or Multi-Level)
ReroofGsidential (SF, Duplex orTownhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
Phone: t170 I tr3 '016frPropertyowner: O,rD) iLY*{
Mailing Address
Email Address:
Phone: tQ16 I e6'|-olboContractor:
Mailing Address
Email Address:
Phone:
)
(q7i I nyf 'o5-7 -,
t
Phone (Architect:
Engineer:
Mailing Address
Email Address:
Mailing Address
Email Address:
^lli-1-TI Phone: ( )Manufactured Home lnstaller:
Mailing Address:
Email Address:
sq. Ft. of Buirding: Uk sl}q Height: lq' # of Floo
Describe Work:
Block
I t,{
3
Lot
10,{ AcrosProperty Size (Sq. Ft. or Acres)Owner's Valuation of Work: S
Job Address
Assessor's Parcel Number:
Sub.
Remodel/Alteration AdditionClass of Work:New
6ttached DetachedGarage:
PROJECT DETAITS CONTINUED
CommunitySeptic:
OtherPropaneElectricType of Heat:I Gas
Permit #:mptDriveway
Permit:
NOTICE
Authoritv. This application for a Building Permit must be sig
or an authorized agent. lf the signature below is not that of
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.
ned by the Owner of the property, described above,
the Owner, a separate letter of authority, signed by
CERTIFICATION
I hereby certify that I have read this Application and that the information
understand that the Building Division accepts the Application, along with
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, lagree that land 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 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 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 designer, engineer and/ or builder'
contained above is true and correct. I
the plans and specifications and other data
I hereby acknowledge that I have read and un derstand the Notice and Certification above, as well as, have
p the required information which is correct and accurate to the best of my knowledge.
g/n /a;
Property Owner Print and Sign Date
OFFICIAI USE ONLY
s?Eattuillel /v2/BSpecial Conditions:
-05
Misc. Fees
-
26 Manu. Home Fee:nEfPlan
OWTS NoBalance D
,brFees Paid76
ZoConst. Type:2OCC Group cSetbacks
BUILDING / PLANNING DIVISION :
Signed Approval Date
[/'/K 7-/
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 otherwise 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 R4O21-2
. U-Factor Alternative: Provide a ResCheck Report
r Total U-Factor AltefnatiVe: 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
iypes, 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 PORT -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.
o 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 considerecl an illegal occr,rpancy and may hre 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 ft {
Garfield County
BUILDING DEPARTMENT
1Og Eighth Street, Suite 407, Glenwood Springs, CO 8160L
Tel: (970) 945-8212
PLAN R EVIEW CHECKLIST
Permit No:gl4e-a6-d*?z?8
Building lssues
OPEN"h{OLE $0lLS REPORT
I$ REQU IRED AT FOOTING
eered Foundation
Driveway 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
Application Signed
Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
Parcel/ Schedule No.
40# Snowload Letter - Manuf' Homes
Soils Report
Planning/Zoning lssues
perty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact s
Grade/ Topogra p y 4O%
Planning lssues
Subdivision Plat
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Description & Summarv:
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