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HomeMy WebLinkAboutApplicationGarfield Countyt-- =r¡"l =o-oJIU UJo l- ====c)(J t-z o(J o u¡tr É, o Commudt¡ Oanlopncm Oeprtnnm lCtF$rEßt sll¡h¿10[ GlenmodSpirylmttfln l!'mler5.t2t2 würw.qarfield-rq¡¡ ntv.co m TYPE OF GRÀDN$G . fflîilfflfif¡ITr tr MAJoR F¡ milon INVOLVED PARITES j Property owncn ! maiting Address: Flrp:? EmailAddresx contractor:Phæ MailingAddrerr:: Yo &tr ïfff, QulS, ¡- Sitaz EmailAddres* pRoJ ECT NAñ¡ßE AS¡Í¡ tocArlt¡!'l Proiect Iþscribe Worh J-- MailingAddtæ: 'lH eh'r"¿* ffirlr'l' A,t¡\¿ Zø3 $b,Å**a çÐ çlF"*b<{ fftr.fri*â cefik;,rtr åesiou (þ. (afy\ HplE:tq-7Ð13{;{;- tuç6 cfmailAddres: fuü kt tc* fÞs'¡, -Arch¡tect: PhoÍG: tc Er6ineer: MailingAddress EmailAddress þb Address:I Assessot's Pard fh¡rùen 3lertøtoØza Sub.¡ot 7 Block Earthwork (sq¡ncftctÌ:frrrn Eatlnorllcubicvrû$:iøþ 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, r 5ep€rate letter of authorit¡ 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 Permits. Multiple separate permits may be required: (1) State Electrical Permit, (21 County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Híghway/ Road Access or a State Wastewater Discharge Permit. Vold Permit. A Building Permit becomes null and voíd if the work authorized is not commenced wilh¡n 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. Authoritv. This application for cert¡fy that I have read this Application and that the information contained above is true and correct. I uncjerstand that the Euilding 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 âs 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 faeility(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 Bu¡lding Permit does not prevent the Building Official from: (1) requiring the correstion of errors in the submittals, if arrç discovered after issuanee; or (2) stopping eonstructiorr or use of ihe struciure(s) or taciiity(iesi ii such is in vioiation of eounty Regulationis) or any other appiicabie iaw. 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 arehitect designer, engineer and/ or builder. I hereby ALL UTILITIES MUST BE LOCATEÐ PRIOR TO ANY GRADING NOTICE CERTIFICATION I hereby acknowlêdgo that I have read and understand thê Not¡ce and Cêrt¡ficat¡on above as wêll as have provided the requ¡red information which is correct and accurate to thê best of my knowledge. 1 ltq Jzz Property Date èrl € prnnif flâb1OFFICIAL USE ONLY P*rÞ. -* {o6.oo e. e, o-llg/z'.Z ô?- IZ, ren Conditions:Special bu a-ta¿uøuþ /^tbk Total,t Fsss: lao.ooMlsc F¿es:Fees Pald:f too .o." Perm¡t Fesr *tôo.æ Gredlng Pcrmlt: øRAÞ -7b86 7,trî.2L l¡ruc Drt¡! P. u. D. ZoningrBol¡ncc duer +Êf 7,1q.ÜC,til,'rr/'|.'- Slgned Aþprov¡l SUILDING / PLANNING DIVISION : DåtÉ