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Home My WebLink AboutApplicationGarfield County Comm unity Development Department RËCË|VEÐ 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701945-82L2 GARFIË[_Dcou@ COMMUNITY NEVELOPMENT TYPJ OF GRADINGll vrRroR tr MINoR INVOLVED PARTIES Property owner: CAn-/ é Trzaa 4 S/N/ Tzãe- phone:6t+ ßq'-7 -¿4êâ MailÍng Address: EmailAddress: z6 ô (rá 0 ¿) ô àt?-t ¿- Ep. ç W ìTz€F- e 6rn ÀlL . C,an/) Contractor:FA T¡z tcþ m Á¿81 Phone: (47o ¡3o'1 -1t çç Mailing Address: EmailAddress: ¿7 aZ ALT 9têzt ATnt¿ þ 4L ì3ø /LiÐrtØ, Oar4 Architect: lEæ I þ Pø¡l pþ. I v (F- * pvçt éN\ phone: ( 17o¡cl\{j" ¿lø4o Mailíng Address:--¿4?ëa ð IV Rl?'5^tÍ.:€6 BASA¿T CC) EmailAddress:t€ê-t L e, kA *Dtgçt6^l woþ-/¿'9 Engineer:R qe ENuNÉFØS/sncurz?ap$ , /a/G Phone:1 ?03 ¡15A-6"'V3Õ Mailing Address N- tzth Ava"Sv rye 4ta Þa¿ Uea_ca Sozcsel EmaitAddress: TaDD ' ç ^n l'Til @ plz6N€'lNeê?5, Aô$t PROJECT NAME AND LOCATION Proj ectName: 9t¡J tT='ep- f¿J6S (llr>N öt-=- DescribeWork: €X¿,<vAT€ |câNT? ßeLou) ExtSD^lâ GlLÅDÇ-, oDA 1 S' NEt: Éçs4 Iz . //o LINì?îL- WtLL Bf USçÞ, Pa¡tA W¡UL ß€ /?l¿,t-tçþ w t TH 6t2-auNb fM.d7çre- , Job Address: 4a FtfiN ra"Á< Fxrz-rn 5 F o ^ p CAn-ßaa) Ð,ðL€ t Cê Ð lâz'3 Assessol,s parcel Number: ZZ 'ì I 7 t zl ?s t ê 6 sub. 51. F tNN /3Ån_ pAamS Êlot .'Block Earthwork (square feet) :Earthwork (Cubic Yards),2,bql L,Y. AtL UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING NOTICE I hereby acknowledge that I have read and understand the Not¡ce and Certification above as well as have orovide ed e required information which is correct and accurate Property Owner Print and Sign to the best of my knowledge.l& la>o't. ' I Authoritv, This application for a Building Permit must be signed by the Owner of the property, described above, or anauthorizedagent, lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be provided with this Application. Legal 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: (L) 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. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within i.80 days of 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 submitta ls a nd 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, lagree that 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)), 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 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: (L) requiring the correction of errors in the submittals, if any, discovered after issuance; or (21stopping 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, 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. OFFICIAL USE ONLY Special Cond¡t¡ons:I I /m.q)Fee:Permit4 Misc Fees:'S¿m,"oFees Paid: 4Lnn Balance due ooóø Grading Permit:w \,21 tnl22 lssue Date:Zoningla BUttDtNG / PTANNtNG DtVtStON : II Date -22