HomeMy WebLinkAboutApplication10/22/2011 HON 11i57 FAX 970 394 3470 GARCO COMM DHVHLOPNENT
RECEIVED
Community Development Department
of y 2 II 1018 los as Street. Suite 401
R�IEL0 DUN-" Glenwood Springs, co 111661
GA
vELbp� � 1970) 945.8212
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Garfireld County
Commerelei/Multi•Fam1lt
M_ ll
enularIured Home [SlnJie or Multl•Lcve
Residential [SF, DpIpx or Tawnhornel
001/002
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BUILDING PERMIT
APPI.ICATION
Demolition
_ J o Reroof
Property Owner, 11 i ' t 11 Phone: } %
lYlalllrtg Addrees R t •tel 6 \ R[` C �., r1 ..� c'w- (b [7�
£msll Address4 t it_104 [ C.]� C -O f'
contr«dwZPM P 5V A rn ` ,R C -D 11)C . Phone: (
MalRng Address. a• A.a ' 1^ U r i i J t
Emelt Address.
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9
Architect: Phone;
Mailing Address:
EmaH Address:
Engineer. Phone; ( )
Mailing Address:
Email Address:
Manufactured Home Installer: Phone::
Malang Address:
Email Address:
DescribeworkT R CRC k--x':44fIfR " M1orsC ^' r+ldl Ah.
Job Address:
Assessors Parcel Number:
Sub. Lot �B-lock
ork 1$ \ k i rut: rhpeny Site (Sq. Ft. w Acres):
n ..
Nor Flows:
Ownini Valuation
�d0 ti ' Heweht:
New Alteration 1Addition
[:Attached
Sq. Ft. of Budding:
Chin of Worn:
Garaiet
Repair j 0 Mave/Relotetion
L__i Detached 1
10/22/2018 NON 14157 Fax 970 384 3470 CARCO COMM DEVHLOPNENT
Ot er
Authority. This appl cation for a Building Permit must be signed by the Owner of the property, described above,
or an authorlted 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 Aaeos. A Building Permit cannot be Issued w:shout 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 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 Pamrlt. A Building Permit becomes nu:I 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.
• r 1irt'l- ti; ' Z )tY'Gry1;Sti1..1v-r`Vr=iSy�0.1L}i:�4y44,^41w;7i 7klf:*c1 $: ry .x60" :
;s aA2 JAL,)01. T.,,,te"e.5tlhow. -yi .T}
I hereby certify that I have read Shi s Applkatlon and that the Information contained above is true and correct. 1
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 detalled 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, 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 Regulations) 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 structures) or facll:ty(les) if such is in violation of County Regulation(s) or any other
applicable law. 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, engineerand/ or builder
1 hereby acknowledge that 1 have read and understand the Notke and Certification above, as well as, have
provided the required Information whkh is correct and accurate to the best of my knowledge,
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Property Owner Print and Sign
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Date
X002/002
Special Conditions:
Adjusted Valuation:
Total Feeto
Setbacks: 1
Pfan Check Fee: Permit Fee:100
Feesfoo
aid: Balance Dil
i
OCC Group:
Manu home Fee:
Pd0F" - 3 q
Const Type:
Misc Fees:
OWTS NIo:
Zoning:
BUILDING / PLANNING DIVISION :
Signed Approval
1
I -i [
Date
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