HomeMy WebLinkAboutApplicationGarftcld County
D-LI
Community Development Department
RECEI\f [:if] 108 8th street' suite 401
Glenwood SPrings, CO 81601
NOv 2 0 ?02E
GARFIH[-D CCtJ
s0hli.':uillTY
l970l94s-82L2
www.sarfi eld-countv.com
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BUILDING PERMIT
APPLICATION
DemolitionCommerciau
anufactured Home or orMHome
ReroofResidentialDulex or Townh
Dwel Unit - MMIMUM SIZE OF SQUARE FEET
b1 e 7ECt
*t
enrt
Phone:llo
Email Address:
Property owner:
Mailing Address:
Co gtr,,qa
Email Address:
Contractor:
E?+reMailing Address:?n
t4urnts Phone: th7 t'Tl1 t1#
t-741
Architect:
Mailing Address:
Email Address:
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Manufactured Home lnstaller:
-
Phone
Mailing Address:
Email Address:
TL
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u (b{Yl
Email Address:
Mailing Address
Engineer:
[6D rot]f(@Brock-
Describe Work:
Addition
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2'77-D t )- D0 -5U7
Owner's Valuation of Work:s
ew Remodel/Alteration
Sq. Ft. of Building:
Class of Work:
Sub.
Property Size (Sq. Ft' or Acres):
Assessor's Parcel Number
Job Address:
Height:
-
# oJ
Detachedvfttiir'eoGarage:
t4Septic
Natural Gas PropaneType of Heat:
Driveway
Permit:[f€xemnt
PROJECT DETAII.S ED
Community
Other
Permit #:
NOTICE
Authoritv.This application for a Building permit must be signed by the Owner ofthe 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.
Leeal 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlg0days
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 th is Applicat ion and thatthe 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, exceptfor
residential uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building
Permit may bc 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 herebygrant permission tothe Building Division to enterthe property, described above, to inspectthe 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
rrlu nn..,l^-l^^ +L^+ -^-^^--:L:t:r- - t- -dLr\iruwieoge rnar i'esponslbliity ior cornpllanee with fecieral, state anci locai laws anci eounty Regulations rest with
me and my authorized agents, including without limitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required which is correct and accurate to the best of my knowledge.
Property Print and Sign Date
Iufrtec*ic
OFFICIAT USE ONt t
Special Conditions:
.4;A,
l-/T/1-/
Pla Fsq
1c2 Permit ia'Home Fee:M Misc. Fees:
Total at 2@Paid 55
IA@
Balance Due:OWTS No:
o
Setbacks:OCC Group:Const.ng:
BUTLDtNG / PLANNtNG DtVtStON :/z-//-
Signed Approval
r
Date
ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective June 30, 2023 please provide details showing how building complies / meets Garfield County's
adopted 2018 IECC and Glimate Zone 5.
Depict and show ouline the strrrctureb building thermal envelope. Outline should clearly show portions
of tfre 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
. presciiptive: 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+actor 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)
wtanuit 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
soits irnestigation 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.
o Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.. Foundation plan showing complete footing and foundation dimensions.
. Footing and forindation details specifying ieinforcement and referenc'ed 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 ior 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 wilibe 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 sig W^"'nfnfN
Garfield Coanty
BUILDING DEPARTMENT
708 Eighth Street, Suite 401, Glenwood Springs, CO 87601
Tel: (970) 945-8212
PLAN REVIEW CHEC KLIST
Permit No: 6t-RE- tt-Z+qDl LoN+
Building lssues
< Grade/Topography3O%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Line Plans/ Stamps/ Sticker
ch Conditions
Parcel/Schedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
Pla nning/Zon ing lssues
Ft=4r1-04-24Jaea
-4 rope rty Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Building Height
Zoning Sign-Off
Road lmpact Fees fu'6P
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Application Signed
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Enerev Comoliance Path/Plan Received
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PIan Reviewer to Sign ApPlication
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Description & Sum marv:
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OPEN-HOLESOILS REPORT
IS REQUIRED AT FOOTING
INSPECTION J6Q- PSF A. r .
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