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Home My WebLink AboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601REcErvEffi {i GA COMM ING MINOR INVOLVED PARTIES Property Owner: Mailing Address: EmailAddress: Phone: ( ) Contractor:f phone: (úlíh | 3l ¿/ îot Mailing Address tl% E lltn r ß;ç¿ t^t) N6ro EmailAddress: Architect: Phone:( Mailing Address EmailAddress: Engineer: Cìrcrr Eqg)noedn5 th( Phone: (131 I ]îî ctt¿/Í Mailing Address t+ EmailAddress ttlJWW, PROJECT NAME AND TOCATION Project Name: Describe Work: Job Address: Assessor's Parcel Number: Sub.Lot IiuK â? Btock Earthwork (square feet) :A,iltl sqft Earthwork (Cubic Yards) : ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Author¡tv. This application for a Building Permit must be signed by the Owner of the property, 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 Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Perm¡ts. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof 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 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. 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, ifthe location, construction or use ofthe 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 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 w¡th 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 the required information which is correct and accurate to the best of my knowledge. /o -a/- / 7 and S¡gn Date ØOFFICIAL USE ONLY Special Conditions'ftl4NtDtuç f"w*rr K uatn''J "F,r*oç Vut.¡r*,n-T t brù^Ê¿¿! 'Ru,, 6ôTotal Fees: $ too Fees Paid:Þ/oô.ooMisc Fees:\\lÈ'"åi'Åä "" lssue Date: t+øoln Zoning: p Grading Þermit: l}øÐh* r,ot/A^\ooödBalance due: Approval BUILDING / PLANNING DIVISION n Date l'zo EfC, rv.^t ,lb¡irpÐ\L U 6't- r fto^* ß"<Sç & ( *- a- Plot Plan Custoiner aêüÅ"1'Address 1¿á 5¡gD #yg N w musl note the ElecUþ Gas/prcpane Homq fronUrear doo¡s of home Other sFuch.¡res: ßarage/shedlshop of homeand all other llems-srra tô shs$,and front and rgar doors. Buyer agrces to pay Sellel,s expensss br any costs incuned to rnove or resel home not conshbnt wlth thb plot plan.I L RJof4 E s GulvErts Buildoverlshed roofe Home delivery obstruc&ns Ðlstance of home b PrcPeñY lines Dblanæ between skucturce Ëasemants Sbeetaccess Water[nssr/ S¿'¿¡er llne Sèbæle Ssles P Date*-.** _.&as¿t _-