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Home My WebLink AboutApplicationCGarfield County Community Development Department 108 8` h St reet , SUite 401 Genwood airings, 0081601 (970) 945-8212 www.ciarf lel d-wunt y.cnrn %.. V-\iJ11'11U r ZiN V I imil Hr ru Lf1 I 1 LANA TYPE OF GRADING El MAJOR I I MINOR INVOLVED PARTIES Property ON ner:Y'sV �S Crevwx.rle Phone: (ot'10 ) Sooi1S 15 Mailing Address: t3 S: 1rite r?rvee� t!-IpvIDAA z 1 to 616 3 Contractor: 6 1 ezew a kr CoA,[GcAivN Mtimr Phone: (olio ) ; -4131,-S Mailing Address: f itax '2-3fs g 3yv\ p W k‘lc e. t c -o a vb1S Architect: o Phone: ( ) Mailing Address: P.0440 1401 -1 - Engineer: '1 - Engineer: Ver C04PAP--414144.414q0.41.1(4 Phone: 010 ) 4&,- B C14 Mailing Address: cAri [ MIL ' P\ t 4.10/0/00A SrPfiin" to 81601 PROF T NAM EAND LOCATION Project Name: S Jew ve!'k• j3 PON Describe Work: - llotfvuL 2).02-‘ Icout‘61.1U3 b1 CciA [� .}C �s�•+�►c,d n Tht 5 1Nv r1‹.. L - j s t 1 f -i . 4- -0AeC.st no3 2 ra 4)C 111 IN 41 Doo 4 . Job Address: 1 s; r Strv6z ari.v+e. Lor 1, Lo et 623' Assessor's Parcel Number: Z3°I11(03.-%°I- alb . 0.oAztN(ti rFaR-k PP -03. vir Lot ock Earthwork (square feet): I-IIono L Earthwork (CU bic Yards): 7-0 ALL U I I LJ I I =IV! UJ I CSC LVV1 I CU 1-1.0 VK I VAIN 1' VIVAUI IV V 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, sed by the Owner, must be provided with thisApplication. Legal Access. A Building Permit cannot be issued without proof of legsl and adequate access to the property for purposesof inspections by the Building Division. Other Permits. Multiple separate permitsmay be required: (1) Sate Bedrical Permit, (2) County OWFSPermit, (3) another permit required for use on the property identified above, e.g. Sate or County Highway/ Finad Accessor a Sate Wastewater Discharge Permit. Void Permit. A Building Permit becomes null and void if the work authorized isnot commenced within 180 days of the date of issuance and if work issuspended or abandoned for a period of 180 days after commencement. GAM RG411ON 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 acceptstheApplication, along with the plans and Tedficationsand other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of thesubmittalsand approval of thisApplication, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and fadlitiesdetailed on the submittals reviewed by the Building Division. In consideration of the issuance of the Building Permit, I agree that I and my agentswill comply with provisionsof any federal, state or local law regulating the work and the Garfield County Building Code, OVVTS regulations and applicable land use regulations (County Regulation(s)). I ad<nowledge 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 Ngulation(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 adcnowledgethat 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 Fegulation(s) or any other applicable law. %view of thisApplication, induding submittals, and inspedions of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissionsor discrepandes. Asthe Owner, I adcnowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, induding 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 which is correct and accurate to the best of my knowledge. ti Ir;Iri Property Ouvner Print and Sgn ate `Trikvi s 1, V ie w u-t- OFRaa_ Ug ONLY pedal Conditions: Gromic. Otzi. sr4 /...4Aotimep `--?-kket.A../7 /.ett.) Permit Fee: Qa Balance due0: Misc Fees: BUILDING/ PLANNING DIVISON : Total Fees: 60 ,) 1a X163. Grading Permit: Issue Date: L-1.19 Q-Il(o L/OO, d� r+ - Fees Paid: 10� °(/ Zoning: Date ,-/7—,/