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Home My WebLink AboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 RECETVED le7ole4s-82t2 GAÈTÉ9tGSgEfitG ãó rvr ro H runrYn Lo P M ENT INVOLVED PARTIES { vrrruon fT+.,no. Bak.r Q-{B( ltl:,ilu^,{. *u, Property Owner Mailing Address Phone:8ro t s7î -7gvß EmailAddress:0 o[o "¿.r{o,t*l cl ir" e F e trtc ' | , ¿6¡zt-t-) Contractor: Phone: Mailing Address: EmailAddress: Architect:Phone: Mailing Address: EmallAddress: Engineer:Phone: Mailing Address: EmailAddre¡s: PROJECT NAME AND TOCATION Project k &Describe P.lr- Work: h n-\", t l^,r,t v- , a. Job Address:ol Assessoy's Parcel Number: Sub.Lot Elock Earthwork (square feet):6nb 00 Earthwork (Cubic Yards): ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authorlw. 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 permíts may be required: (1) State Electrical Permit, (ZIæounÔWfS 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 Permlt, A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the dete of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby certiry that I have read this Application and that the information contained above ís true and correct. I understand that the Buildíng 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 revíewed 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 Bu¡lding 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 Ín 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 (2l.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 with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer andl or builder. I hereby acknowledge that I have read and understand the Notice and Cert¡ficat¡on above as well as have provided the required information which is correct and accurate to the best of my knowledge. __> -TZ_ /ç/Þ-. Property Owner Print and Sign Date oFFrc¡AtusEoNtY ?aìl * lgtlCt d+r??ô SlCló.o6 D A ur-fl.)&q nÐ43 k)rps" Rrrrr;D G*aeo* ht- ,¿Vsl ff+AYtNç Speclal Condltlons: CT Ll-þ]' Cou¡az&&zotu, ñÎn-oL o"$läo. o'Mlsc Fees:tû.Fees:0ot",l ""ïîän. oo 00 Balance due: Q¡¡ Gradlng PeÌm¡tl Cil¿rmrço43-,,9 /a. lssue Oate:/st Zonlng; 2S BUTLDTNG / PTANN|NG D|VTSTON r Date 1,-2 t/ "l ;.ìl .ldh-1, tþ,'Õ,"ì-Ì4\gânlü (l\-i R1'4 q\fnX$'ä-xog .1r;rj{,çTl3(dee'*ms)<.1 t/ Çr-,r \ r"-S5"ãe'niL*.r -n..,? (J{rlêFl1cr*.n.n"¡..r llJÍ f/tflÇ1þn, r-1 (1 G1O4lâ9lå/ aq.4 (i¡+rd,l+(!1 tt fi{\ {r 3l)äf ¿lø1IIIIiji'14 A-vi U {"3 } \'fì4'U å-r ì,r? \21).-] 3'-'''¿6,ar"odAzl l¡veg*t +y ¡!ì ìti[i:r'i¡Jt f-i.:.i fi rììti;. ilr:r !:r1:ì.1 . '.2!r5Àhlm ' .ú.r.!r r r¡rv o1d -^qfr\ñ .::, !--r,-_{ ì: LOT ! tlliÌ.:Itir Ji)ll]l :i'l'(iolI zllili() It\tr¡,lTll tilt{ ...'.'. !Þ;lrx+:2 ¡tli,rtrritili:, r:Ì1:rf i 4 tì t- t \ i I i Dß¡ i:OS' ,rl , t:: 1¿,.2 LOT 2 Z¡NKO EXEÀIPTION +& 0 50' 100' 'I ¿tttÞr' (US SURVEY FEET) SCAI E: '1" = 100' NoTE: THls PROPERTY lS SUBJECT TO RESERVATIONS, RESTRICTIoNS, 0oVENANTS AND EASEMENTS oF RECORD OR lN PLACE PROPF RI'Y DESCRIP-TION A PARCEL OF LAND BETNG LOTS 1 AND 2 OF THE ZINKO EXEMPTION PLAT RECEPTION #44388'I SECTION 16, TO\A/NSHIP 6 SOUTH, RANGE 89 WEST OF THE SIXTH PRINCIPAL MËRIOIAN COUNTY OF GARFIELD, STATE OF COLORADO I HEREBY STATE THAT THIS IMPROVEMENT LOCATION CERTIFICATË WAS PREPARED BY HIGH COUNÏRY ENGINEERING, INC FOR JOHN STOCH , THAT IT IS NOT A LAND SURVEY PLAT OR AN IMPROVEMENT SURVEY PLAT, AND THAT IT IS NOT TO BE RELIED UPON FOR THE ESTABLISHMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT LINES I FURTHER STATE THAT THE IMPROVEMENTS ON THE ABOVE DESCRIBEO PARCEL ON THIS DATE, OCTOBER 30, 2017, EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY WTHIN THE BOUNOARIES ÕF THE PARCEL, EXCEPl'AS SHOI¡/IV, THAT THERE ARE NO ENCROACHMENTS UPON THE DESCRIBED PREMISES BY IMPROVEMENÏS ON ANY ADJOINING PREMISES, ËXCEPT AS INDICATED, AND THAT THERE IS NO APPARENT EVIDENCE OR SIGN OF ANY EASEMENT CROSSING OR BURDENING ANY PART OF SAID PARCËI, EXCEPT AS NOIED. BIT W.A" BAKER. COTORADO PLS #2Í1875 t .t ,': D.\rE. 10,30,2017 JOLì NO.: 2171030.01 HIGH COUNTRY ENGINEERING, INC. 15f 7 BLAKE AVENUE, SUITE lOT GLENWOOD SPRINGS, CO AI60I PH: {97O)945A6i76F.XI (e7o) 94}2555 www.HcENG.coM #>å