Fillable Commercial-Building-Permit-Application-PDF Town of Jackson Building

Fill Online, Printable, Fillable, Blank Commercial-Building-Permit-Application-PDF Town of Jackson Building Form

Use Fill to complete blank online TOWN OF JACKSON, WYOMING (WY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Commercial-Building-Permit-Application-PDF Town of Jackson Building

On average this form takes 34 minutes to complete

The Commercial-Building-Permit-Application-PDF Town of Jackson Building form is 5 pages long and contains:

  • 0 signatures
  • 11 check-boxes
  • 131 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Jackson, Wyoming

BROWSE TOWN OF JACKSON, WYOMING (WY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 4
COMMERCIAL BUILDING PERMIT APPLICATION
Building and Planning Department
P.O. Box 1687
Jackson, Wyoming 83001
307.733.0520 or 307.733.0440
Fax 307.734.3563
www.townofjackson.com
This application form is for commercial and multi-family buildings only. If you wish to construct a one or two family residential dwelling,
please use the residential application form. Separate permits are required for plumbing, mechanical, and electrical.
SITE LOCATION STREET ADDRESS__________________________________________________________________
CLASS OF WORK: New ____ Addition ____ Alteration _____ Repair _____
PROPOSED USE/DESCRIPTION OF WORK: Describe the proposed use & work to be completed (i.e. retail, office, dwelling unit)
________________________________________________________________________________________________________________
OWNER____________________________________________________________________PHONE______________________________
MAILING ADDRESS____________________________________________________EMAIL ADDRESS_________________________
APPLICANT (If other than owner) _____________________________________________PHONE______________________________
If the applicant is other than the owner, a notarized Letter of Authorization shall accompany this application. Only the owner or authorized
agent may sign either the application or permit.
MAILING ADDRESS____________________________________________________EMAIL ADDRESS_________________________
CONTRACTOR_____________________________________________________________PHONE______________________________
MAILING ADDRESS____________________________________________________EMAIL ADDRESS_________________________
PLANS PREPARER__________________________________________________________PHONE______________________________
MAILING ADDRESS____________________________________________________EMAIL ADDRESS_________________________
ENGINEER_________________________________________________________________PHONE______________________________
MAILING ADDRESS____________________________________________________EMAIL ADDRESS_________________________
LEGAL DESCRIPTION:
Subdivision___________________________________Lot__________Block______________
Or
Section_____________Township____________Range____________Parcel_______________
ZONING DISTRICT_____________________________ZONING OVERLAY DISTRICT_____________________________________
Page 2 of 4
BUILDING DESIGN CRITERIA AND PLAN INFORMATION
All buildings are to be designed to the requirements of the 2015 International Building Code. The design criteria (Seismic Zone
D, 75lbs psf Roof Snow Load, 90 mph/3 second gust Wind Load) information should be shown on the submitted plans. Plans
must be drawn on 24 X 36 inch paper, to a ¼ inch scale (except for details) with dimensions. Each page shall bear a title block
(with name of the owner and the building address), a scale, and a north arrow. On building elevations, the building height shall
be shown and dimensioned.
IMPERVIOUS SURFACES: Impervious surfaces shall include buildings and roofed areas (eaves that overhang landscaped surfaces
are excluded), paved and/or unpaved parking areas, solid terraces and other similar improvements.
Square footage of existing roofed areas __________________square feet
Square footage of proposed roofed areas, including covered porches __________________square feet
Paved, concrete, or unpaved driveways and parking areas __________________square feet
Other impervious surfaces such as solid terraces and paved sidewalks __________________square feet
TOTAL __________________square feet
GROSS SITE AREA__________________________square feet.
NET SITE AREA: Net site area is the gross site area less all land within road rights of way or access easements.
_____________________________________square feet or __________________________________acres
Landscaping provided on site _________ square feet
PARKING: Provide the location and dimension of all parking spaces on the site plan.
GRADING: There is a separate application for this. Grading and Erosion Control Statement will be required for:
a. Slopes of 0-5%, if area disturbed is at least 8000 square feet but less than one acre.
b. Slopes of greater than 5-15%, if area disturbed is at least 1000 square feet but less than one acre.
c. Slopes greater than 15%, if area disturbed is 3000 square feet or less.
Grading and Erosion Control Plan prepared by a registered Wyoming professional engineer will be required for:
a. Slopes of 0-5%, if area disturbed is one acre or larger.
b. Slopes greater than 5% to 15% if area disturbed is one acre or larger.
c. Slopes of greater than 15% if area disturbed is greater than 3000 square feet.
PROPOSED ACCESS: If proposed construction site is accessed by a State or County road, not within the jurisdictional authority of
the Town of Jackson, an approved road access permit must accompany this application. Please contact:
Wyoming Department of Transportation Teton County Road Department
1040 E. Evans Lane, Jackson 733-3665 3190 S. Adams Canyon Dr., Jackson 733-7190
FLOOD PLAIN
Is the site or structure located in a flood plain or in close proximity to Cache Creek, Spring Creek, or Flat Creek?
Yes_____ No_____
Please be advised that development with the flood way is prohibited. If you are unsure if your site is located within the 100-
year floodplain, please contact the Floodplain Administrator. Buildings located within the 100 year floodplain are required to
provide an elevation certificate (FEMA Form No. 3067-0077) proving the first floor of the structure is elevated one foot above
the base flood elevation. For additions or alterations to an existing structure, provide an elevation certificate for the first floor
of the existing structure.
CERTIFICATE OF PLACEMENT: A Certificate of Placement will be required for all new construction and must be completed by a
Wyoming licensed land surveyor.
Page 3 of 4
SETBACKS
Setbacks of proposed structure from property and easement lines, streams, ponds, wetlands, and ditches. Clearly show any of
these features on your site plan.
Street____________Rear___________Left Side_________Right Side__________ Alleys__________
Streams__________Ponds__________Ditches__________Wetlands___________
HEIGHT OF STRUCTURE_____________The height of a building or structure is the vertical dimension measured from any
point on the exterior of the building or structure to the nearest point of finished grade. For purposes of measuring height,
finished grade shall mean the grade directly adjacent to the structure, which has been set through an approved grading and/or
drainage plan. The term "finished grade" may also mean natural grade when no terrain alteration is proposed, or where
otherwise applicable. Fill which is not necessary to achieve positive drainage or slope stabilization, or which is otherwise
proposed clearly to raise the finished floor elevations(s) for any other purpose, shall not be considered finished grade. The
vertical dimension from the highest point of the structure to the lowest point of finished grade, as viewed on any structure face
or elevation, shall not exceed 110 percent of the maximum height allowed. No part of any structure may exceed the maximum
structural height except for the following:
1. Chimneys, vents, and roof-top mechanical equipment such HVAC systems, provided that the
maximum height is not exceeded by more than four (4) feet; and/or
2. Antenna used for the reception of television broadcast signals.
GROSS SQUARE FOOTAGE TABULATION
Existing Proposed
1
st
Floor ______________________ ________________________
2
nd
Floor ______________________ ________________________
3
rd
Floor ______________________ ________________________
Basement __________________ ____________________
Garage __________________ ____________________
FIRE SPRINKLER: The Town of Jackson requires all structures in excess of 5000 square feet to be fire sprinklered.
UTILITIES: Provide the location of all utilities on the site plan or utility plan to include any work in the public right of way or public
easements.
WATER METER SIZE(S): ¾-inch____ 1-inch____ 1 ½-inch____ 2-inch____ 3-inch____
ESTIMATED COST OF CONSTRUCTION (required) _______________________
BUILDING PLANS:
Please submit two (2) complete sets of building plans and 1 flash drive including the same complete set of plans/documents. If there
is food service provide a set to the Teton County Health Department for review. Plans shall at a minimum include a site plan,
landscape plan (Stamped by a landscape Architect licensed in Wyoming), foundation plan, floor plan, framing plan, building
elevations, plumbing plan and/or mechanical plan. All structural plans of the building are required to be designed and stamped
by an Engineer licensed in the State of Wyoming.
CERTFICATE OF OCCUPANCY IS REQUIRED. Before occupying the building, a Certificate of Occupancy must be issued by the
Building Department. Persons occupying a structure prior to issuance of the Certificate of Occupancy are subject to fines under the
Town of Jackson Municipal Code.
APPLICANTS’ SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have
read this application and state that the information herein is correct and swear that any information which may be given by me shall
be truthful and correct. I agree to comply with all city regulations and state laws relating to the subject matter of this application and
hereby authorize representatives of the Town of Jackson to enter upon the above-mentioned property for inspection purposes.
_________________________________________ _____________________________________ __________________
Signature of Applicant Print Name Date
Page 4 of 4
Notice: The review and approval of a Building Permit by the Town of Jackson is not an endorsement or approval under other applicable
review or regulations specific to the subject parcel or building. The Town of Jackson encourages the applicant to contact all other
applicable reviewing agencies or associations at the same time or prior to submitting an application for a Building Permit.
APPLICANT’S GUIDE TO SUBMITTAL MATERIALS
Minimum of two (2) sets of plans and 1 flash drive, at ¼” = 1’ scale (except for details, which may be shown at a larger scale). All pages
shall be on 24 X 36 inch paper. For other plan sizes please contact the Building Department. Each drawing shall bear a Title, a Scale,
and North Arrow, as appropriate. On building elevations, the building height shall be shown and dimensioned. Plans for alterations and
repairs may deviate from these requirements with approval from the Building Official.
_____ COVER SHEET _____ BUILDING ELEVATIONS
_____ SITE PLAN _____ PLUMBING PLAN
_____ UTILITIES PLAN _____ MECHANICAL PLAN
_____ FLOOR PLAN _____ ELECTRICAL PLAN
_____ ROOF PLAN _____ FRAMING PLAN
_____ LANDSCAPE PLAN _____ FOUNDATION PLAN
COVER SHEET SITE PLAN
_____ PROJECT NAME & ADDRESS _____ ENGINEERING SCALE
_____ PROJECT OWNER & ADDRESS _____ PROPERTY LINES (WITH BEARINGS & DIMENSIONS)
_____ PLANS PREPARER, ADDRESS & PHONE
_____ VICINITY MAP _____ EASEMENTS
_____ ZONING DISTRICT _____ DIMENSIONED SETBACKS
_____ BUILDING OCCUPANCY/USE _____ NORTH ARROW
_____ LOT AREA (SF) _____ ADJACENT STREETS
_____ EXISTING & PROPOSED NO. OF STORIES _____ ADJACENT PUBLIC IMPROVEMENTS
(LIST FOR EACH FLOOR & BASEMENT) _____ PARKING (EXISTING & PROPOSED)
_____ EXISTING & PROPOSED FLOOR AREA (LIST FOR EACH FLOOR & BASEMENT)
_____ TOTAL FLOOR AREA (INCLUDING BASEMENT)
_____ TYPE OF CONSTRUCTION (PER THE INTERNATIONAL BUILDING CODE)
_____ LISTING OF THE INTERNATIONAL CODES UTILIZED IN THE DESIGN OF THE BUILDING
_____ DESIGN CRITERIA UTILIZED (SEISMIC ZONE D, 75 PSF ROOF SNOW LOAD, 90 MPH/3 SEC WIND LOAD
_____ PARKING (EXISTING & PROPOSED NO. OF SPACES)
_____ NOTATION AS TO WHETHER FIRE SPRINKLERS ARE BEING PROPOSED
FOR OFFICE USE ONLY
DATE RECEIVED__________________________ZONE___________________________________________________
TYPE OF CONSTRUCTION________OCCUPANCY GROUP__________BUILDING USE______________________
FLOOR AREA 1
ST
FLOOR________ 2
ND
FLOOR________3
RD
FLOOR________BSMNT________GARAGE________
TOTAL SIZE OF BUILDING (SQ. FT.)______________________NO. OF STORIES____________________________
NO. OF DWELLING UNITS_____________________FIRE SPRINKLERS REQUIRED (YES/NO)________________
FEMA ELEVATION CERTIFICATE REQUIRED (YES/NO) ________BASE FLOOD ELEVATION_______________
BUILDING VALUATION_________________PLAN CHECK FEE______________PERMIT FEE_________________
Town of Jackson Building Permit: Exterior LighƟ ng SubmiƩ al Requirements
(For Commercial and ResidenƟ al)
Address: __________________________________________________________________________________________________
In addi on to comple ng the tables below, you will need to submit manufacturers’ product specifi caƟ on sheets for all proposed
outdoor ligh ng and a lighƟ ng plan showing the locaƟ on and height of all proposed exterior lighƟ ng. Commercial applica ons shall
include descrip on of adap ve controls and plan for ligh ng reduc on. Complex uses may require addi onal informa on.
Proposed LighƟ ng:
Fixture Model or
DescripƟ on
No. of Fixtures Shielded (Y/N) Light Color (Kelvin) Max Lumen per
Fixture
Lumens Total
Ex: Cornice P5634 sconce 3 Y 3000 623 1869
ExisƟ ng Exterior LighƟ ng (complete to the best of your knowledge):
Fixture DescripƟ on No. of Fixtures Shielded (Y/N) Light Color (Kelvin) Max Lumen per
Fixture
Lumens Total
Lumen Total (ExisƟ ng & Proposed)
*If you need addiƟ onal space to detail your exterior lighƟ ng fi xtures, please submit on a separate page
Is your exterior ligh ng contained en rely on your property? Yes No
Exterior Ligh ng Requirements (Sec. 5.3.1 of the Land Development Regula ons)
Shielding. All lights over 600 lumen must be shielded so that light is directed downward (see picture on reverse side). A lumen
measures the brightness of a light and is indicated on ligh ng packaging. A standard 60 wa light bulb is roughly 800 lumens.
IlluminaƟ on per sq Ō limits. Illumina on is limited by how much exis ng or proposed impervious surface (pavement, building
footprint, decks, gravel, etc) you have on your property.
Zone Lumens/sq Ō Example
TS, UC, UC-2, UR, AC-ToJ, AR-ToJ,
OP-ToJ, OP-2, BP-R, BP-ToJ, BC-ToJ,
RB, MHP-ToJ, NC-2, P/SP-ToJ, P-ToJ
3
A commercial property with 32,395 sq of impervious surface is al-
lowed 97,185 lumens (32,395 X 3)
R-ToJ, S-ToJ, NC-ToJ, RB 1.5
A property with 5,500 sq of impervious surface is allowed 8,250
lumens (1.5 X 5,500)
9 Light Color. All lights must be equal to or below 3000 K. Correlated color temperature refers to the ‘color’ of the light emied. It
is indicated on lighng packaging.
9 Light trespass. Don’t shine light into your neighbor’s yard.
9 Pole Height: Lights mounted on a standalone pole cannot be greater than 15  in height.
9 Prohibited Lights. No ickering or ashing lights, no searchlights or laser lights, no strings of lights (unless between Nov 1 and
April), or singular lights having 20,000 lumens or more.
9 Controls & Lighng Reducon. All nonresidenal properes shall use automac lighng controls to exnguish lighng or reduce
total exterior lighng by 30% by 12:00 am. Lights should be exnguished during the day when there is sucient daylight.
Examples of Unshielded and Shielded Fixtures:
Image Credit: Boulder County. Used with permission.
Why do we have Exterior Ligh ng
Requirements?
Excessive or poorly designed exterior light-
ing contributes to Light Pollu on, which has
nega ve consequences for our community,
including:
• Hazards for public safety. Poor ligh ng creates
glare which makes it diffi cult to see hazards such
as wildlife crossing the road at night.
• Impacts to public health & Nuisance. Excessive
ligh ng disrupts sleep pa erns.
• Impacts on the natural environment. Excessive
ligh ng impacts wildlife feeding & breeding pat-
terns.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Commercial-Building-Permit-Application-PDF Town of Jackson Building

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 13 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document