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Home My WebLink AboutApplicationSEP 3 <f~/Rm unity Development Department l& 108 81h Street, Suite 401 GAk1-1t:LD CCU~Glenwood Springs, co 81601 f IMUN/TY DF11/LonJ· ~:, (970) 945-8212 I ,tr-. IT www .garfield-countv.com TYPE OF CONSTRUCTION ID Commercial/Multi ·Family • Demolition D Manufactured Home (SF or Duplex) D Residential (SF, Duplex, or Townhome) D Reroof INVOLVED PARTIES Property Owner: _ __.T_..<Z'""'w......_a .......... a'"""+....._Ca...1:1a-.r_.b .... " ... '".._.,.d...,,,,....,/_,.e-c.-. ___ Phone: ( 'l 7 o ) .51 p -/ 2 I If Mailing Address: S If C"' & f'q dd It v e. Cg f' b a tl c/q lg_ Cd fl 16 23 , Contractor: A q, (' i:? I\ lTcr c," b Co D st r VI c..6 a /} Phone: ( .... i.2.~J 3 q () -3 7 0 'f Mailing Address: 2. 0 I 'f C..eitt I) ty ~t14 cl I f7 CJ 6 '/+o we-o ti V2 I/ dj ~ Ct? Architect: __ ........... T,_._'_..m..._ ..... H~9-J-"l'-'m"'-t-"ei"'-'-fn--------Phone: ( 9 7 o ) 3 7 9 -£5 2 I Mailing Address:---------------------------- Engineer: S' f? J1 Phone: ( 9 1 t7 ) C/t/-5 ~ I t!7~1f Mailing Address: II '3 W k rli J'ff u..-t,. Stu'te. 20t7 Gf&..11tVe'dd'51c1ilg; C& Manufactured Home Installer: __ ......L.,N~f_,_A-+--------Phone:( __ ------- / Mailing Address: ___________________________ _ PROJECT NAME AND LOCATION Describe Work: lk-m t</r 1-/,, 11 f' c e..rn(' ''ffi f " r e.:·<,' s b, '1;J /?ref, ·,1j Ac ~na.. AD 1111 a n r-<.. c · s t3 <?'fl tA Job Address: I/ 5 I C,:n1 n~" Bt?a d It!? t7 f1tJ -038 Assessor's Parcel Number: 2 3 "3 · 3 5 Jf -Sub.--------Lot __ Block Owner's Valuation of Work: $ I ff"' fl h~ d.L.m o Property Size (Sq.Ft or Acres): ~. 1 G '1 c res Sq.Ft of Building: r't (/ s. ~-Height: 12 rf-. #of Floors: ......... / ___ _ Class of Work: 0 New 0 Alteration 0 Addition Garage: 0 Attached Septic: 0 ISDS Type of Heat: f D Natural Gas rJ A-' Driveway Permit: D Exempt !V/Pr D Propane 0 Repair 11 Move/RelocatieR {k.rno D Detached 0 Community 0 Electric 0 Other D Permit#: -------- NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Legal 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 ISDS 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. I CERT~IC~TION ---- I hereby certify that I have read this Application and that the information contained above is true and correct. 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. In 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, ISDS 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 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 Jaw. 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 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 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 information w correct and accurate to the best of my knowledge. Date OFFICIAL USE ONLY Spetlal Conditions: Adjusted Valuation: Plan Check Fee: Manu home Fee: Misc Fees: Balance Du ~ ~- OCCGroup: Const Type: Zoning: Signed Approval Date Go gle Earth feet~-------100 I so meters, G o g le Earth feet~---------200 rreters~-----------10 Homs & Mules Bought So'd & Trained Horse back Rid ng Pac~ Trips f ly foh ,ng (970) 963-1144