HomeMy WebLinkAboutApplicationGarfield County
ômmunity Dadoprnent Departmmt
108dh gre€t, S¡ite401
Genwood $rinç, @81601
(slol945'8P12
www.oarf ieldounty.æm
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Érthwork (squarefed):Earl hwork (O¡tic Yards) :Y0U a
AIL UNUÏES M UST BE rcOATÐ PHORTO ANYGRADINIG
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nùrioiltv. n¡s æO¡c¿¡on rola AliHing ftmit rul beGltt€d oyitre Cirsns of theproperty, d€s¡bed åo\re, or
arafhor¡ædrug¡t. tfthesgndurebelowisnoltháottlreOúJn€r,asepãdel€ttsofanhority,Sgnedbythe
otvner, rtr¡€l be providsd with thisApplicalion.
L€gd Aæs A B¡ild¡fE Hrút cannol be isü€d withouû proot of l€gd ild dequde æssto lhe property for
purpossof insp€clíonsby the Alilding ClÚdon.
other Þrmits Mu¡¡ploæpadeperm¡tsmsyberequired: (r)gdeEectr¡cd Hmit, (2)Ounty0Â4SRrrnit,
(3) rrgúh€r p€nTÚt required for uæ on the pr@erty ident¡fied åolæ, e.g slale or Ounty Hghway/ hd Áæor
a gde waserrvder tdlãgÞ Hrit.
VoidÞrmit. AAÍd¡rEÞritbønpsnullandvo¡d¡ft]ìonrorkailhoriædisnotornmencedwith¡n180da!Ëol
lhedaleof isslrtæaÉ if trþrkissrЀndedor åadonedfor ape¡iodof lS0dalodter onrrpnænpnû.
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I h€rebyærtifythd I ha,e red thisApplicd¡on Ðd thd the ¡r¡foffndlon @r¡tdn€d áot Þ ¡strue ild @ff€d. I
und€rsild thd the fuilding Dvidon æptsltÞ Application, dong with thê plilsad spedlþaaionsald other
dalas.ôn¡tt€dbyrnoron nrybehdf (sùniltdg, bæd lponrystif¡cdbn æto ærræy. Ass¡ring
oofrp{€t€n€Esof ttps.ÖÍlittdsad eprovdof thisApplicaû¡on, aB¡¡ldiftgRfirit will be¡s¡€d Cilt¡nS
pernisdonto rÞ, asovner, to@nstn¡cf ttloÉtructurq$ ildfatlit¡esdefdþdonthesônittdsre/ie$red bythe
Brildir¡gttvison. ln@ns¡deralionoÍlheisrilæof thefuildingRrnit, lryæthd I ãldrry4ontswill@rl|ply
with providonsof anyfedød, stdeor locd laÀ, r€gulat¡rgthe workild theH¡dd &mty R¡¡ldingOde, OMS
regdat¡onsild 4plicúle land uæ regulatiøs(Ounty Bguld¡on($). I daþwledgpthd the B¡¡ld¡ng ÈrrÚt
may be s¡Sended or rercked, LFon notb from the Ounty, if lhe localion, @n$rud¡on or uæ of the Srudurq$
fldtaitÍtf¡€s), d€qibed óoræ, renot in@rpl¡ilæwithOuntyÈgulaüion(qor anyottrcrQpl¡cólelarr.
I lr€r€by gf art p€rñisson to the A.¡ilding tlvison to €nter the prop€fty, dosøibed åotie, to ¡n€p€d the work I
further dmowledgpthattheis¡amof theBrildingÞrút do€smt prevcntlh€B¡ildngtlic¡d trom: (1)
r€quir¡ngthecorr€dionof errorsintheg.úm¡ttdq if any, diorøed 6fterisslil@;or (4 $oppingænslruction
or lJseof thsslructure(s)orfæ¡lity(ied if s¡dr isinviolat¡onof OuntyÞgLdal¡on(4or llyothsæd¡cÖlêlar/.
Fù|viewof thisÁppl¡cdirn, indudrigsüdttdS ildimpec¡ionsof tlÞnrorkb,lrthe A¡¡UiryÛvidondornt
corÉitu[eflæDgfilrEof r€sponsbilityorlióllitybytheôuntyoferrorqofüSonsordis€paI¡€s Asthe
cì''mêr, I d(f|owlodgp thd r€Ðongbility for ænpliflæ with federd, slate ıìd locd la¡sad Ounty Ègulal¡ons
resl with npatd mya¡thoriæd 4Enle indudingw¡thout l¡ritdion mytóilecl dedgner, €ndrl€ff andl ot
builder.
I hereby acknowleQe thd I har¡e rd and understand the t\¡otiæ and doveaswdl æ
h¿veprovidedtherequiredinforn¡dionwhidr isærrect ıd æJrdetothebe€¡ of myknowledge.
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