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Home My WebLink AboutApplicationGarfield County Èäzã, ãE ootJ> l¡J l- Ë=É,= éã oF5U¡æ I¡J tf" (JcÞ lU =2É.ä .-.1 Community Development Department 108 8üì Street, Suite 401 Glenwood Springs, CO 81601 (9701s45-82L2 www.garfleld-counw.com Commerci allMulti-Family Manufactured Home le or ulti-Level) ResidentÍal (5F, Duplex or Townhome) Accessory Dwelling UnÍt (ADU) - MÐ(IMU_U-!LZ_E OF I,OOO SQUARE FEET IÍTVOII/ED PARNES C Phone,() Demolition Reroof Property Owner: Malllng Address: EmailAddress: LÙ(ô(¿ à bol ¿-\cð'r'l ß,'il Tzae-l Phonel l - 5v3aContractor: Englneer: 38fbÐ 6Mailing Address: Email Address:ble ntl) qCIl,cß Phone; I )Architect: Mailing Address: Email Address: A Phone: Mailing Address: Email Address: Manufactured Home lnstaller:/U l/f Phone: Mailing Address: Emall Address: PRO'ECÍ DETAIIS Describe / JobAddress: 2 Assessof's Parcel Number: Sub. Owne/s Valuatlon of Work: Sq. Ft. of Building: &rot- groct /l+c # loeyl a Ft. or Acres): Height: I Uñ ôo (a I Class of Work iGarage: i Remodel/Alteration -l BUILDING PERMIT APPLICATION New ed jE N-ør Detached PROIECT DEIAIIS GOfÎNUED Sept¡ct Community iTType of Heat!Natural Gas Propane Electric Permit #:-- * Other Driveway Permit: NONGE Authorltv. This application for a Building Permit must be signed by the Owner of the property, described J¡"*, I , or ân authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by : I the Owner, must be provided with this Application. : lepal Access. A Building Pcrmit cannot be issued without proof of legal and adequate access to the property for I purposes of inspections by the Building Division. Other Permits. Multiple separate perm¡ts 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 Westewater Discharge Permit. Void PermiL A Building Permit becomes null and void if the work authorized is not commenced within 180 days i of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CCRTIFlcANOil I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Buílding Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my cert¡fication as to accuracy. Assuming completeness of the submittals and approval of thls Application, a Building Permit will be issued grenting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals revíewed by the Build¡ng Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will comply with prov¡sions of any federal, stãte 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, construct¡on or use of the structure(s) and facility(ies), descrìbed 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 Permít does not prevent the Bu¡lding Official from: (1) requiring the correction of errors in the submittals, if any, díscovered 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, a nd 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, includíng without limitation my architect designer,engineer and/ or builder I hereby acknowledge that I have read and understand the Notice and Certlflcation above, as well as, have provided the information which is correct and accurate to the best of my knowledge. / /"çl¿t Property Print and Sign o.í"1 oFFlclAlustoiltY 7¡q>t +ZÇ,¿o C.c.oì zz Special Condltions: Ad¡usted Valuation:Plan Check Fee:Permit Fee: s 2.5. êo Manu. Home Fee:ñ/r Mlsc. Fees: Totäl Fees;Fees Paid:lzî,ôo Balance Due:+t BP No: D6¡c O '12f ol OWTS No: ¡/¡ Setbacks:OCC Groupr Const. Type:Zoning: P. v. Þ. ot/os/z¡z¿ DateSigned BUIIDING / PIANNING