HomeMy WebLinkAboutApplicationGørfield County
Community Development Department
108 8th Street, Suite 401
O*ç6;l\,rli:l.¡ Glenwood Springs, CO 91601
(s7ol94s-82L2
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BUILDING PERMIT
APPLICATION
ft ifr É'-tFTêön¡ sTRU cn o N
I-DemolitionCommerciaUMulti-Family
Manufactured Home le or Multi-Level
Residential (5F, Duplex orTownhome)Reroof
Access Dwelli U nit DU - MAXIMUM SIZE OF FEET
INVOLVED PARTIES
property owner¡ Jennifer N. Hiatt & Stephanie K. La Lg phone: (970 )366-6553
Mailing Address:3800 W Yost Road, Stillwater,OK74075
Email Address:i n h @ h iatthal le nbeck.co m
Contractor:Owner p¡on".1970 t366-6553
Mailing Address 3800 W Yost Road, Stillwater, OK74075
Email Address:nh @ hiaühallenbeck.com
Architect:Raul Gawrys p¡on". ¡970 p27-4411
Mailing Address PO Box 67, Basalt, CO. 81621
Emait Address. rgawrys@ sopr¡s. net
Engineer:Jeff Dunn Phone:70 1-0990
Mailing Address:802 Rood Avenue, Grand Junction, CO.81501
Email Address:jeff @ lindauerd u nn.com
Manufactured Home lnstaller:Phone:ì
Mailing Address:
Email Address:
Descríbe Work:To build a garage and small apartment on property we own.
Job Address 1BB4 County Road 120, Glenwood Springs, CO.81601
Assessor's Parcel Number:218718102029
su5. Lookout Mountain Ranch lot 29 Btock
owner,sValuationofWork:s-PropertySize(Sq.Ft.orAcres):36
Sq. Ft. of Building:2,637 Height:31 feet # of Floors:L--
Class of Work:{New Remodel/Alteration
Garage:{Attached Detached
PROJECT DETAILS
PROJECT DETAII.S CONTINUED
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Septic:
rype ór tleat:cãt I Propane
Community
Electric
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Other
Driveway Permit #
Permit:
NONCE
Àuthoritv. This àpplication toi " Building Peimit must ¡é signed by the Owner of thelroperty, 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 Perm¡t 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 perm¡ts 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,
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 âccuracy. 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)). 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 submittalt if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) or facility(ies) if such is in violatíon of County Regulation(s) or any other
applicable law. Review of this Applícationr 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
e r and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
the which is correút and accurate to the best of my knowledge
,J,
Date
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ølÕOFF¡CIAI USE ONLY
see atuc/ÊlQNÞ/VAilSSpecial Conditions:
Adiusted Valuation:âi.çv ÇAq.{?
Pla
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n Check Fee:<a oþç fi:v'fä,rt Manu. Home Fee:ì4740'þMisc. Fees:
RITEEì)
Fees Paid:Æa9?Balance Due: -
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BP No:FffE-srrtn OWTS No:
SæPr-ßonn
Total Fíes:b 2, /75 hl
Const. T.¡roe:nnj-Setbaíks:
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a-zvz7BUITDING / PLANNING DIVISION :
Signed Approval
I
Date
Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stiamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: If any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Officialthat additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe 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 illegat 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 ablde by the requirements of this
checklist.
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Sign Date