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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
