HomeMy WebLinkAboutLetter of AuthorizationAnnette !rick
16752 West 70* Ave.
Arvada, CO 80007
October 31, 2018
Garfield County
Community Development Department
108 8th Street Ste, 401
Glenwood Springs. CO 81601
To Whotn It May Concern:
1, Annette Irick. hereby authorize my General Contractor. Gerd Zeller, to act on my behalf regarding any
signatures for the !wilding department. relating to my home located at 1119 Kingfisher Lane, Aspen Glen,
Carboadalc, Color. This authorimtion shall be valid from November 2018 through Fchrwtry 2019.
-
rseptic: owls Community
Type of Heat: ®Natural Gas
Drivewlry Perrnit:
'❑ Exempt
Propane
0 Electric I:Other
173 Permit 1:
NOTIC.E
Authority. This application for a Building Permit must be signed by the Owner of the property, described above.
or an authorized agent. 0 the signature below is not that of the Owner, a separate tetter of authority, signed by
the Owner, must be provided with this Application.
A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of - spect,ar - by the Building Division.
Other Permits. Multiple separate perntt . , iiay 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.
Vold Permit. A Building Permit becomes null and void If the wont authorised 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_
iEitlIF4CAiiOh
I hereby certify that 1 have react Ints ApptitAtior 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 detailed on the submittals reviewed by
the Building Division. in consideration of the issuance of the Building Permit, I ogre -e that l and my agents will
comply with provisions of any federal, state or local law regulating the work and
the t acknowledge ildCount [halling
Code, OWTS regulations and applicable land use regulations (County g if the location, construction the use
Building the s Permit may be suspended described above, are evoked, upon notice
notfrorn the County, compliance with County Regulationls) or any
of the structure(s) and facclity(fes),
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work.
further acknowledge Mat the
seoissuancen the suhmi$ttusssf�a y. disPermitcovered ed aFtc preventes not ssuartce: ar2 Building �ff�algfrgm: (1)
requiring the tu tion
construction or use vi the stn[clure(5j or facility(les) of such iS in violation of County Regulation(s) or any other
su
mittals, and
ections of the
applicable lawRconst of this Apptication, Lute an acceptance of responsibility8 or liability by the County of errors, s am scions or Buildingork by the
discrepancies do
not Wrist
discrepancies As the Owptr, t�responsibility
`f4with
state local laws
and County Regulationsswlth me and my authorized age[sntiuding wthvutllt►tauo►rib architect
designer, engineer and/ or builder.
l hereby acknowledge that 1 have read and understand the Notke and Certification above. as well as, have
provided the required information which is correct and alp+ ate to the best of my knowledge
Y'gi
1 k.� L --+f Gate
PropiVty Own Print and Sign
OWL
Special Conditions
H
Adiust•'d Valuation:
Total Fees:
Setbado:
Plan Check Fee:
Fees Paid:
Permit Fee:
Balance Due:
OCC Group:
Manu home Fee:
Mise Fees:
Coast Type:
Zoning:
BUILDING / PLANNING DIVISION :
Signed Approval
Date
1