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HomeMy WebLinkAboutApplicationGarfteÍå CoanÍy REüEBV IÞreloprænt nærbrler* 1{t8 8th Street, Suite/fi}l Glenwood Springs, CO 81601 ,í*r: I !,. : ¡ i.,c.r ¡i,l i'r fg70lg45€2fl i, ( ; ;.f t, : I I I i i i.'r' !: \ i Ì'. I ¡r i: i!4 U,lifUrgr*arfi"ld*Un**.* TYPEOF 10 PrwtTfhmet: ãlHûryåddres: ErnallÂd&tss:. - . Contracbr Püoile mailinsâdffi:Þ Ema,ilAddress: Pbae:Architech - Ptffi¡e: JobHdreæ AssædsParæl NtutÈen sub. Lot- Bbdr-- a I 5 ¿t EmailÃddress: .. Manr¡f'acrurd Home lnsÞlþr MaifirgÀdlss: - , Ertailåddræ: mcJrcTDerilts o fEcrihtlorls: a @ ì Ðemolition Manufach¡red Home or RerooforRsidential üslo$rEÞPAnmEs Engineer: Plste: lVlailit¡gAddræ: EmailA&ress: O¡snef s Valu*ion of ltorlc r¡g PrcrrtT she :I. Ft ûr Acresh |' PROJECT DETAII.S GOilililUED owTs Community Exempt NOTICE 4lthoritv. This application for a Building Permit must be signed by the Owner ofthe property, described above, Owner, a separate letter of authority, signed byor an authorized agent. lf the signature below is not that of the the Owner, must be provided with this Application- Leqal 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. btherpermits. Multiple separate permits may be required: (1) State Electr¡cal Permit, {2} county owrs Permit, ¡:¡ another permit required for use on the property identified abovg e-g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. void permit. A Building perm¡i becomes null and void if the work authorized is not commenced within 180 days of the dete of issuance and if work is suspended or abandoned for a period of 180 days after commencement' CERTIFICAT|ON I hereby cert¡fy that I have read this þplication 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 certif¡cât¡on as to accuracy. Assum¡ng completeness of the submittals and approvalof this Application, a Building Permitwillbe 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, OWIS 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, if the location, construction or use of the structure(s) and facility(ies), described abovg are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Division to enterthe 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 (Zlstopping construction or use of the structure{s)'or facilMies) 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 responsibitity for compliance with federal, state and local laws and county Regulations rest with me and my authorized agents, including without limitation my architect or builder. I hereby acknondedge that t have read and understand the f{otice and Certification above, as well as, have prouided the informstion which is correct and accurate to ttrc best of my knowledge' Property Print and Sign Date ConstTyPe: Sept¡c: Otherl_l ElectricI empaneI Natural GasType of Heat: Permit #:Driveway Permit: oFFlcl,At usE otltY l. Special Conditions: ""¡uTFi'c,PermitPtan Check Fee:Adjusted Valuation: flue: \ Fe€s oFees:oo Setbacks:OCCGTouP:ffiL au-'lLu