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Home My WebLink AboutApplicationGarfuId Countlt Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 (e70) e45-82t2 www.ga rf ieldcountvco. gov BUILDING PERMIT APPLICATION TVPE OF GONSTRUETION Com mercial/Multi-Family Demolition T Manufactured Home (Single or Multl-Level)I Gas Piping Residential {SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOIVED PARTIES Property Owner: Mailing Address: Gabriel Garcia , 07Mt7.4337 _ Phone: ( ) 5387 County Rd 154 SP#29 Email Address: contractor: Top Gun Plumbing Phone:9703795741 Mailing Address:PO BOX 1 197 Glenwood Springs CO 81602 Email Address:topgun pl umbing@comcast. net PROJECT DETAII.S Describe Workr test existing gas system so the gas can be turned back on to home Job Address 53B7 County Rd 154 SP#29 Assessor's Parcel Number: Sub.Lot Bloclr Gas Pipe Length/ Diameter:40ft I 314" Furnace and Water hedtrir Appliances Serviced By Gas Line (list all, include BTU): Class of Work:Alteiation Addition Type of Heatr atural Gas Propane NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby tho Owner, must be provided with this Applicotion. 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. Qlhef lelmits. 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. V-Sid-eqm!!_,q Building Permit becomes null and void if the work authorized is not commenced within 180 days ofthe date of issuance and ifwork is suspended or abandoned for a period of 180 days after commencement. CERTIFICAT]ON 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 wlth 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, 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 mav be suspended or revoked, upon notice from the County, if the location, construction or use of the 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) stoppirrg 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, omissiorrs 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 ired information which is correct and accurate to the best of my knowledge 9-lq-tu€ rty Owner Print and Sign Date oFFrerAL usE oNLY { Special Conditions: Adjusted Valuation N/A Pe II ,MW Misc. Fees Total Fees: ^^\oo.w Fees Paid: I c\(1 , Balance Due:*#BP Nnnl At (a N-^(VANTh rZoning:.' ( .(-. Q-tF'K Signed Approval Date BUILDING / PLANNING DIVISIO