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Home My WebLink AboutApplicationGørfield County >uF r¡rz, =,i;-r -i - ô- i_-i ã e , .¡ 4E.-.ì l¡. ãÉ,=<F t.9B o UJ UJ (..r E Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 19701945-82t2 www.ga rfield-cou ntv.com TYPE OF GRADING tr MAJOR MINOR INVOLVED PARTIES I Property z-Phone: Mailing Address:2301 tJn +tl rEmailAddress: Contractor: ô*¡ n ¿¿Phone: ( ) Mailing Address: EmailAddress: Architect:L,Phone: tBîlol qA .2q 8/ MailingAddress: 336 Pcr k þr. 6len-'ooô Sf i'r? ¡ , Co 8lt-ot EmailAddress: Engineer:Phone: {fÞ0 ¡?es-t 3os Mailing Address 5ot /5¿ EmailAddress:.coh4 PROJECT NAME AND LOCATION Project Name t Describe Work: Job Address:K Assessol's Parcel Number:Z4b3 a651 oo otz Sub. Lot _Block Earthwork (square çee+ ç W .-Earthwork (Cubic Yardsf :5ôO ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,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 Permits. 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, lagreethat land 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)). lacknowledgethatthe Building Permit may be suspended or revoked, upon notice from the County, ifthe location, construct¡on 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 Rpplication, 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 and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the red information which is correct and accurate to the best of my knowledge. Property Owner nt and Sign Date Pcr*,it ãf 2z^1ç81OFFICIAL USE ONLY PA \D.f OO.oê CK.$85O¿r o1/zs/zaz¿ speciarconditions: ê.a4Lz7 ataølrrb nàk fØ¿? bnrl/rzV pá.rorb ne rybl Fees Paid:f to o.oo M¡sc Fees Total Fees:*loo'ouPerm¡t Fee: S loo.'o Zoning: ßuR,A L7,2z,zz lssue Date:Balance due:*dt Grading Permit: 6R.AÞ - r 689 7.2-22BUILDING / PLANNING DIVISION Signed Approval Date