HomeMy WebLinkAboutApplicationGurfield County
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Co4munity Development Department
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TYPE OF CONSTRIJCTION
Manufqgtured Home gr Tiny Home (Single or Multi-Level)
lex or Townhome
itlloemolition
Residential F Reroof
Accesso Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET
INVOTVED PARTIES
Property Owner:
Mailing Address:
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EmailAddress:-{-h ruovt o vn a\ft^(a nA g,m , fc) f}-\
Contractor:S&nup - Ae Al-c'tt+Phone: ( )
Mailing Address:
EmailAddress:
Architect:
Mailing Address:atl
EmailAddress:a
Engineer:
Malllng Address: SZto
{-Phone;4'7a )?
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Email Address:
Manufactured Home lnstaller:Phone:
Mailing Address:
EmailAddress:
PROJECT DETAITS
Describe Work:n(v/ 5.f Co'r^ S*r,,frtal,'O 11
Job Address:
Assessor's Parcel Number:A3 s /o
Owner's Valuation of Work:
Sq. Ft. of Building:I
Class of Work:New
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N
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rot Ll4 Btock
Acres):orFt.Property Size (Sq.1,ftKCr\
Heieht: 7l I no,
Garage:Attached
in Remodel/Alteration
Detached
PROJECT DETAITS CONTINUED
Septic:Community
Type of Heat:Gas Propane Electric Other
pt Permit #;
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
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.
Lesal 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 requiredr (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 contained 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
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.
hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is and accurate to the best of my knowledge.
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Driveway
Permit:
NOTICE
Property Owner Print and Sign
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OFFICIAL USE ONtY
speciarconditions: see af*achd/ Ca/UD /T/ a/V-S
Manu. Home Fee Misc. Fees: '
Qrr ia.8t = $/12/,tAdiusted Valuation:-
,423h A^t,?Plan Check Fee:l,/t/4, V7-,TYE7, ?g
Balance Du
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,.?g BP No:ffiE.RSA\OWTS No:,or"rrfr:r?05,5,'[:T,iii',ba
Const. Type::r0 d '?[irrsetbfiIflocco'"tet'
A h,1,,,-lp a-l-2/BUITDING / PLANNING DIVISION :
Date" signd approval
ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective June 30, 2023 Please provide details showing how building complies / meets Garfield County's
adopted 2018 IECC and 9!!ma!g..!gnel!.
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 Pathr 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 deslgn 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.
r 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.
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.
r Framing iconnection 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. (FinaliCO
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:
GaffiId CounS'
BUILDING DEPARTMENT
7OB Eighth Street, Suite 40t, Gtenwood Springs, CO 81607
rel: (970) 945-8212
PI.AN EVI EW CHE CKLI T
Permit No: E/RFf,Z-Z/ -85A/
Building lssues
e
Planningl2oning lssues P/b
E nglneered Fourrdation
Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ TopograPhY 30%
Attach Residential Plan Review List
Parcel/ Schedule No.
opf;N-hlCILE $ol L$ fitHp0RT
,$ ffiEQUIRED AT FOOTING
tF{spEcfisru lfuo ps':i
Vhase /
Property Line Sethacks
35 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
r""r 9,4, 8b /
SuMivision Plat Notes
frte./,/ileare+: j/;22
Fire Deoartment Review
OXempt/>ez /s,402)
Valuatioh Determination/ Fees '
Red Line Plans/ StamPs/ Sticker
lmpact
Grade/ TopograPhY 40%f /v2 /,24
Planning lssues
subdivision Ptat b4/ O74
ao
Conditions RlF =
Application Signed Descri ptio n & Summarv:
Enersv Comoliance Path/Plan Receivedndhaa?Treoa|d/t-a t /0 FlS >< 74, b8 /6 7 ty'l 2o
Plan Reviewer to Sign APPlication -2/?O aat/ X /8 a0 /2o,e
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Soils Report2
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