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Community Development Department
108 8th Street, Su¡te 401
Glenwood Springs, CO 81601
(9701 945-82t2
www.garf¡eld-countV.com
Gørfield County
MINOR
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. Property Owner:
; Maiting Address:
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Architect:
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Engineer:
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NAME AND LOCAT¡ON
Project Name 4. ¡,,ù*ztluel
Describe Work:tr
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{square feet);l3 31"Earthwork (Cubic Yards):7h^ !
ALt UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. This application for a Building eãimü must be signed by the ownei òf iÀ" piòì".iv, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheowner,aseparateletterofauthority,signedbythe
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 forpurposes of inspections by the Building Division.
Other Permits.Multiple separate perm¡ts may be required: (1) State Elecffical 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
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a State Wastewater Discharge permit.
Void Permit.A Building Permit becomes null and void if the work authorized is not commenced within 1g0 days ofthe 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. Ir understand that the Buílding Division accepts the Application, along with the plans and specifications and other, data submitted by me or on my behalf (su bmiîtals), based upon my certification as to accuracy. Assu mrngcompleteness of the submittals and a pprova I of this Application, a Building permit will be issued gia ntingpermission to me, as Owner, to construct th e structure(s) and facilities detailed on the submittals reviewed by theBuilding Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will complywith provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTSregulat¡ons and applicable land use regulations (County Regulation(s)). I acknowledge that the Building permit
may be s uspended or revoked, upon notice from the County, if the location, construction 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 th e property, described above, to inspect the work, Ifurther 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 constructionor use of the structure(s) or facility(ies) if such is in violation of County Regulation{s) or any other applicable lawReview of this Application, including subm¡ttals,and inspections of the work by the Building Divísion do notconstitute an acceptance of responsibility or li ability by the County of errors, omissions or discrepancies. As theOwner, I acknowledge that responsib¡lity for compliance wíth federal, state and local laws and County Regulatíonsrest with me and my authorized agents, inclu d¡ng without limitation my architect designer,engineer and/ or
I hereby ackn that I have read and understand the Notice and Certification above as well as
have ded red information which is correct and accurate to the best of my knowl edge.
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Grading Permit:
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BUILDING / PLANNING DIVISION :
Signed Approval
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