BUILDING PERMIT

PACKAGE

Please return to:

Planning & Zoning Secretary

P.O. Box 189
145 E. HWY. 43
Manila, Utah 84046
Phone: 435-784-3143
Fax: 435-784-3356
 TABLE OF CONTENTS

1. BUILDING PERMIT CHECK LIST

2. INFORMATION LETTER

3. INSPECTION INSTRUCTIONS

4. PLOT PLAN “EXAMPLE”

5. SITE PLAN TEMPLATE

6. CONTACT LIST

7. APPLICATION

8. ZONING APPROVAL

9. OWNER/BUILDER REGULATIONS

10. OWNER/BUILDER CERTIFICATION & DISCLAIMER

11. WATER/SEWER CONNECTION

 BUILDING PERMIT CHECK LIST

ALL RESIDENTIAL STRUCTURES/ADDITIONS MUST OBTAIN A BUILDING A BUILDING PERMIT

ALL ACCESSORY BUILDINGS OVER 200 SQ. FT. MUST OBTAIN A BUILDING PERMIT. ANY
STRUCTURAL MODIFICATIONS TO EXISTING STRUCTURES (IE. ROOFING), REQUIRE A
BUILDING PERMIT.

1. BUILDING PERMIT INFO. PACKET

ALL ITEMS AND FORMS REQUESTED NEED TO BE INCLUDED WITH THE APPLICATION. IF
SOMETHING DOES NOT APPLY LIST N/A. FOR MOBILE AND MANUFACTURED HOMES,
SUBMIT COPIES OF FLOOR PLANS AND/OR INTILLATION PLANS ECT. FROM THE
MANUFACTURER.

*DETAILED SITE PLAN MUST BE INCLUDED.

(SEE ENCLOSED EXHIBIT)

FEES:

CALCULATED AS PER CURRENT STATE GUIDELINES

(ALL PERMITS ARE ASSESSED A 1% STATE SURCHARGE IN ADDITION TO THE

BUILDING/PLAN CHECK FEES)

2. SEWER CONNECTION AND WATER CONNECTION:

NO BUILDING PERMIT WILL BE APPROVED WITHOUT THE WATER/SEWER CONNECTION VERIFICATION

FORM SIGNED BY THE APPROPRIATE PROVIDER AND SUBMITTED WITH THE APPLICATION.

3. BASEMENTS:

ANY PERSON MAKING APPLICATION FOR A BUILDING PERMIT WHICH INCLUDES A BASEMENT NEEDS TO
BE AWARE THAT THE LATERAL SEWER LINES ARE THE PROPERTY OWNERS RESPONSIBILITY. IF ANY LINE
IS NOT INSTALLED DEEP ENOUGH TO PROVIDE SERVICE TO A BASEMENT IT IS THE PROPERTY OWNERS
RESPONSIBILITY TO INSTALL ANY EQUIPMENT (PUMPS, ECT.) WHICH MAY BE NEEDED TO ACCESS THE
SEWER LINE.
4. MOBILE AND MANUFACTURED HOMES:

NEED TO OBTAIN A COPY OF THE “MANUFACTURED HOME SET-UP REQUIREMENTS”. ANY QUESTIONS
REGARDING THESE REQUIREMENTS SHOULD BE DIRECTED TO THE BUILDING INSPECTOR. FOOTING AND
FOUNDATION DETAILS MUST BE INCLUDED.

5. SNOW AND WIND LOAD REQUIREMENTS:

SNOW: 30 LBS. GROUND SNOW: 43 LBS.

WIND: 80 MPH SEISMIC: ZONE C

FROST DEPTH: 36”

 MANILA TOWN BUILDING DEPARTMENT

P.O. BOX 189 MANILA, UTAH 84046

PHONE: 435-784-3143 FAX: 435-784-3356

BUILDING PERMIT INFORMATION PACKET

BEFORE A BUILDING PERMIT CAN BE ISSUED, THE FOLLOWING ITEMS MUST BE SUBMITTED:

A. DETAILED SITE-PLAN. NEEDS TO INCLUDE:

1. DIRECTIONS OF NORTH POINT.

2. LOT LINES TOGETHER WITH ADJACENT STREETS, ROADS AND RIGHT-OF-WAY.

3. LOCATION OF ALL EXISTING STRUCTURES, EASEMENTS ON SUBJECT PROPERTY. (COMPLETELY

DIMENSIONED, INCLUDING UTILITY LINES, POLES, ECT.)

4. LOCATION OF PROPOSED CONSTRUCTION AND IMPROVEMENTS, INCLUDING THE LOCATION OF ALL

SIGNS.

5. MOTOR VEHICLE ACCESS, INCLUDING INDIVIDUAL PARKING STALLS, CIRCULATION PATTERS, CURB,
GUTTER, AND SIDEWALK LOCATION.

6. NAME, ADDRESS, AND TELEPHONE NUMBER OF BUILDER AND OWNER.

7. ANY NECESSARY EXPLANATORY NOTES.

8. INCLUDE PLAT PLAN FROM DAGGETT COUNTY RECORDER’S OFFICE. ONE SET NEEDS TO GO TO THE
CONTRACTOR/OWNER, AND ONE SET GOES IN THE FILE. THE BUILDING INSPECTOR NEEDS TO BE
ONSITE FOR INSPECTOR USE. ( OWNER/BUILDER NEEDS TO HAVE ONSIGHT INSPECTION FOR BUILDING
REVIEW). – ONE FOR REFERENCE, AND ONE FOR FILE.-

9. ALL OTHER INFORMATION THAT MAY BE REQUIRED AS DETERMINED BY THE BUILDING INSPECTOR.

B. AUTHORIZATION FROM THE MANILA PLANNING AND ZONING COMMISSION STATING THAT ALL
ZONING AND SET-BACK REQUIREMENTS HAVE BEEN MET. (THE TOWN CLERKS OFFICEWILL SUBMIT THE
BUILDING PERMIT APPLICATION TO PLANNING AND ZONING AFTER ALL INFORMATION HAS BEEN
RECEIVED.)

C. WATER / SEWER CONNECTION, OR WASTEWATER PERMIT VERIFICATION FORM.

D. TWO (2) SETS OF PLANS NEED TO BE SUBMITTED WITH THE APPLICATION. ONE SET GOES TO THE
BUILDING INSPECTOR, AND ONE SET REMAINS IN THE FILE. EACH SET OF PLANS NEEDS TO INCLUDE THE
FOLLOWING (WHERE APPLICABLE):
 1. FRONT, REAR, RIGHT AND LEFT SIDE VIEWS.

2. FRAMING OF WALLS AND FLOORS. (VIEWS)

3. SIZE OF ALL BEAMS OVER 6’ LONG.

4. FIREPLACE – VIEW OF TYPE OF WOOD STOVE.

5. FLOOR PLANS WITH ALL WINDOW AND DOOR OPENINGS.

6. ROOF FRAMING PLANS.

7. ELECTRICAL, PLUMBING, AND MECHANICAL, WITH HEAT LOSS CALCULATION. (RESCHECK)

8. FOOTING AND FOUNDATIONS. THIS INCLUDES MOBILE AND MODULAR HOMES. **

(SEE ADDITIONAL INFORMATION; SET-UP REQUIREMENTS FOR MODULAR AND MANUFACTURED

HOMES.)

E. PROJECTS NOT COMPLETED WITHIN 180 DAYS OF THE ISSUANCE OF PERMIT MUST CONTACT THE
BUILDING INSPECTOR FOR AN EXTENSION OF 180 DAYS.
 REQUIRED INSPECTIONS
YOU MUST CONTACT THE BUILDING INSPECTOR FOR INSPECTIONS. PLEASE ALLOW AT LEAST 24 HOURS NOTICE.

IT IS THE PERMIT HOLDERS RESPONSIBILITY TO SCHEDULE NECESSARY INSPECTIONS.

R109.3 IT SHALL BE THE DUTY OF THE PERMIT HOLDER OR THEIR AGENT TO NOTIFY THE BUILDING
OFFICIAL THAT SUCH WORK IS READY FOR INSPECTION. IT SHALL BE THE DUTY OF THE PERSON
REQUESTING ANY INSPECTIONS REQUIRED BY THIS CODE TO PROVIDE ACCESS TO AND MEANS FOR
INSPECTION OF SUCH WORK.

WORK SHALL NOT BE DONE BEYOND THE POINT INDICATED IN EACH SUCCESSIVE INSPECTION WITHOUT
FIRST OBTAINING THE APPROVAL OF THE BUILDING OFFICIAL. THE BUILDING OFFICIAL, UPON
NOTIFICATION, SHALL MAKE THE REQUESTED INSPECTIONS AND SHALL EITHER INDICATE THE PORTION
OF THE CONSTRUCTION THAT IS SATISFACTORY AS COMPLETED, OR SHALL NOTIFY THE PERMIT HOLDER
OR HIS AGENT WHEREIN THE SAME FAILS TO COMPLY WITH THIS CODE. ANY PORTIONS THAT DO NOT
COMPLY SHALL BE CORRECTED AND SUCH PORTION SHALL NOT BE COVERED OR CONCEALED UNTIL
AUTHORIZED BY THE BUILDING OFFICIAL.

IT IS THE OWNERS RESPONSIBILITY TO CALL BLUE STAKES BEFORE ANY DIGGING.

THE FOLLOWING INSPECTIONS ARE REQUIRED:

A SITE INSPECTION IS REQUIRED TO INSURE THAT ALL SETBACKS ARE ACCORDING TO

THE SITE PLAN PROVIDED.

R109.1.1 – FOOTING, FOUNDATION – INSPECTION OF THE FOUNDATION SHALL BE MADE AFTER POLES
OR PIERS ARE SET OR TRENCHES OR BASEMENT AREAS ARE EXCAVATED AND ANY REQUIRED FORMS
ERECTED AND ANY REQUIRED REINFORCING STEEL IS IN PLACE AND SUPPORTED PRIOR TO THE
PLACING OF CONCRETE. THE FOUNDATION INSPECTION SHALL INCLUDE EXCAVATIONS FOR THICKENED
SLABS INTENDED FOR THE SUPPORT OF BEARING WALLS, PARTITIONS, STRUCTURAL SUPPORTS, OR
EQUIPMENT AND SPECIAL REQUIREMENTS FOR WOOD FOUNDATION.

R109.1.2 – PLUMBING, MECHANICAL, GAS, AND ELECTRICAL SYSTEMS – ROUGH INSPECTION OF

PLUMBING, MECHANICAL, GAS, AND ELECTRICAL SYSTEMS SHALL BE MADE PRIOR TO COVERING OR
CONCEALMENT, BEFORE FIXTURES OR APPLIANCESARE SET OR INSTALLED, AND PRIOR TO FRAMING
INSPECTION.

EXCEPTIONS: BACK FILLING OF GROUND-SOURCE HEAT PUMP LOOP SYSTEMS TESTED IN

ACCORDANCE WITH SECTION M2105.1 PRIOR TO INSPECTION SHALL BE PERMITTED.
R109.1.3 – FLOODPLANE INSPECTION – FOR CONSTRUCTION IN AREAS PRONE TO FLOODING AS ESTABLISHED
BT TABLE R301.2(1), UPON PLACEMENT OF THE LOWEST FLOOR, INCLUDING BASEMENTS, AND PRIOR TO
FURTHER VERTICAL CONSTRUCTION, THE BUILDING OFFICIAL SHALL REQUIRE SUBMISSION OF
DOCUMENTATION, PREPARED AND SEALED BY A REGISTERED DESIGN PROFESSIONAL, OF THE ELEVATION OF
THE LOWEST FLOOR, INCLUDING BASEMENTS.

R109.1.4 – FRAME AND MASONARY INSPECTION – INSPECTIONS OF FRAMING AND MASONARY

CONSTRUCTION SHALL BE MADE AFTER THE ROOF, MASONARY, ALL FRAMING, FIRE STOPPING, DRAFT
STOPPING, AND BRACING ARE IN PLACE. AND, AFETR THE PLUMBING, MECHANICAL, AND ELECTRICAL ROUGH
INSPECTIONS ARE APPROVED.

R109.1.5 – IN ADDITION TO THE INSPECTIONS CALLED FOR ABOVE, THE BUILDING OFFICIAL MAY MAKE OR
REQUIRE ANY OTHER INSPECTIONS TO ASCERTAIN COMPLIANCE WITH THIS CODE AND OTHER LAWS ENFORCED
BY THE BUILDING OFFICIAL.

R109.1.6 – FINAL INSPECTIONS – FINAL INSPECTION SHALL BE MADE AFTER THE PERMITTED WORK IS
COMPLETE AND PRIOR TO OCCUPANCY.

****SPECIAL INSPECTIONS ARE REQUIRED FOR FIRE-RESISTANCE-RATED, REINFORCED,

MASONARY, INSULATING CONCRETE, AND CONVENTIONALLY FORMED CONCRETE WALLS.***
 BUILDING PERMIT CONTACT LIST

ANY QUESTIONS REGARDING BUILDING REQUIREMENTS, SET BACKS, ZONING, OR INFORMATION REGARDING
WASTE WATER / SEWER OR CULINARY WATER SHOULD BE DIRECTED TO THE FOLLOWING:

BUILDING INSPECTOR

RESIDENTIAL INSPECTOR: MATT TATE 1-435-219-7545

COMMERCIAL INSPECTOR: MATT TATE 1-435-219-7545

PLANNING & ZONING

PLANNING & ZONING: SCOTT TAYLOR, CHAIRMAN

TOWN OF MANILA: (CULINARY WATER / SEWER – MANILA AREA)

PUBLIC WORKS: JERRY MUIR 1-435-784-3143

OTHER UTILITY SERVICE PROVIDERS

(MANILA AREA)

BRIDGER VALLEY ELECTRIC

40014 BUISINESS LOOP I-80

MT. VIEW, WY. 82939

1-307-786-2800

UNION TELEPHONE

P.O. BOX 160

MTN. VIEW, WY. 82939

1-307-782-6131
FERRALL GAS

360 S. 200 E.

ROOSEVELT, UT. 84066

1-435-722-5171

SAVE ON PROPANE

1150 W. 500 N.

VERNAL, UT. 84078

1-435-789-3198 / 1-800-490-3198

MFA OIL

2949 W. 1100 N.

VERNAL, UT. 84078

1-435-789-8466

V-1 PROPANE

1535 9TH ST.

ROCK SPRINGS, WY. 82901

1-307-382-3250
 SAMPLE PLOT MAP [8 ½ X 11]

Job site address: 123 Any Street, Manila

Property Owner: John & Jane Doe
Owner’s Phone #: 555-555-5555
CHECK LIST
NORTH
262’ A  North Arrow
 Plot Plan Scale
-----------------------------------------------------------------
B 10’ Easement
 Property Owner Info
 Parcel No. & Zoning

49’
Window well

68’
D 100’ 81’ A Property Dimensions
STREAM, CREEK OR B Easements
PROPOSED 113’ C Roads and Streets
RIVER
ADDITION
D Stream, Creek or River
18’ PROPOSED 70’ A
A GARAGE  Existing Buildings

170’
EXISTING  Proposed Buildings
237’

93’ HOUSE
Use Arrows to show
150’
distance from
buildings to
85’
75’ setbacks
Use solid lines to
indicate existing
structures
Use dotted lines to
indicate Proposed
structures
 BUILDING PERMIT WORKSHEET

1. PROPOSED USE OF STRUCTURE_____________________________________________

2. VALUE__________________________________________________________________

3. SQUARE FOOTAGE________________________________________________________

4. DATE WORK STARTS_______________________________________________________

5. PARCEL ID NUMBER_______________________________________________________

6. BUILDING ADDRESS_______________________________________________________

7. LOT NUMBER___________________BLOCK NUMBER____________________________

8. SUBDIVISION NAME_____________________ZONING___________________________

9. TOTAL PROPERTY AREA (ACRES OR SQUARE FEET)______________________________

10. TOTAL BUILDING SITE AREA USED___________________________________________

11. DWELLINGS / UNITS NOW ON PROPERTY_____________________________________

12. ACCESSORY BUILDINGS NOW ON PROPERTY__________________________________

13. TYPE OF IMPROVEMENT: REPAIR____BUILD_____ ADDITION______ REMODEL______

DEMOLISH_____ CONVERT USE______ SIGN_____________

14. NUMBER OF OFF STREET PARKING SPACES: COVERED_________ UNCOVERED________

15. SETBACK REQUIREMENTS: FRONT YARD______ REAR YARD______ SIDE YARDS______

ACCESSORY BUILDINGS: FRONT YARD______REAR YARD______ SIDE YARDS______

16. OWNER OF PROPERTY_____________________________________________________

17. MAILING ADDRESS OF PROPERTY OWNER_____________________________________

18. TELEPHONE NUMBER OF PROPERTY OWNER___________________________________

19. BUISINESS NAME & ADDRESS_______________________________________________

20. ARCHITECT OR ENGINEER___________________________TELEPHONE______________

ADDRESS____________________________________________________________

21. GENERAL CONTRACTOR____________________________TELEPHONE_______________

ADDRESS____________________________________________________________
 STATE LICENSE NUMBER_____________________BUISINESS LICENSE NUMBER_______

22. ELECTRICAL CONTRACTOR____________________________TELEPHONE__________________

ADDRESS_________________________________________________________________

STATE LICENSE NUMBER____________________BUISINESS LICENSE NUMBER_________

23. PLUMBING CONTRACTOR_____________________________TELEPHONE___________________

ADDRESS_________________________________________________________________

STATE LICENSE NUMBER___________________BUISINESS LICENSE NUMBER__________

24. MECHANICAL CONTRACTOR____________________________TELEPHONE___________________

ADDRESS_________________________________________________________________

STATE LICENSE NUMBER___________________BUISINESS LICENSE NUMBER_________

PLEASE NOTE THAT CONTRACTOR’S STATE LICENSE NUMBER AND CITY OR COUNTY
BUISINESS LICENSE NUMBER MUST BE INCLUDED, OR A PERMIT WILL NOT BE ISSUED. IF YOU
ARE USING A GENERAL CONTRACTOR AND ARE DOING THE WORK YOURSELF, PLEASE LIST
“SELF” AS THE CONTRACTOR.
 ZONING APPROVAL

APPLICANT: PLEASE COMPLETE TOP OF FORM.

APPLICANT____________________________________________________________________________________

PARCEL ID NUMBER_____________________________________________________________________________

SUBDIVISION______________________________________BLOCK______________LOT______________________

ONLY PLANNING & ZONING COMPLETE BOTTOM OF FORM

ZONING_______________________________________________________________________________________

SETBACK REQUIREMENTS:

MAIN DWELLING FRONT YARD_____ REAR YARD_____ SIDE YARDS_____

ACCESSORY BUILDING FRONT YARD_____ REAR YARD_____ SIDE YARDS_____

BY SIGNING THIS FORM, I CERTIFY THAT I HAVE EXAMINED THE ENCLOSED PLOT PLAN AND HAVE DETERMINED
THAT IT MEETS ALL ZONING AND SETBACK REQUIREMENTS OF THE MANILA TOWN PLANNING & ZONING BOARD
IN REGARDS TO THE BUILDING PERMIT BEING ISSUED TO THE APPLICANT ABOVE.

APPROVED__________ DENIED__________ (IF DENIED, EXPLAIN) MEETING DATE__________

DATED__________ SIGNATURE_______________________________________________________

MANILA TOWN PLANNING & ZONING

 WATER / SEWER CONNECTION

VERIFICATION FORM

THE FOLLOWING APPLICANT IS APPLYING FOR A BUILDING PERMIT. BEFORE THE PERMIT CAN BE ISSUED, THE
WATER AND/OR SEWER SERVICE PROVIDER MUST SIGN THIS FORM INDICATING THAT PLANS HAVE BEEN
SUBMITTED AND REVIEWED (IF APPLICABLE) AND THAT ALL FEES ASSOCIATED WITH THIS CONNECTION HAVE
BEEN PAID OR SATISFACTORY ARRANGEMENTS HAVE BEEN MADE TO THE PROVIDER.

APPLICANT____________________________________________________________________________________

MAILING ADDRESS______________________________________________________________________________

TELEPHONE____________________________________________________________________________________

PROPERTY ADDRESS____________________________________________________________________________

PARCEL NUMBER______________________________________________DATE_____________________________

TOWN OF MANILA WATER / SEWER DISTRICT:

WATER CONNECTION APPROVED & FEES PAID YES____ NO____

SEWER CONNECTION APPROVED & FEES PAID YES____ NO____

________________________________________________________ ______________

SIGNATURE OF AUTHORIZED REPRESENTATIVE DATED