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Home My WebLink AboutApplication'E 'rl F- :iLl*; {-aUJ I ;,'l ., ullU " -l i::u .1 ILLr j.l ;, E : '-;-1 \ \,.t nj Yi .!" Zir' a1i-"! ;:) Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81501 (s7ol94s-8212 www.ga rfieldcountvco.gov INVOLVED PARTIES Garfield County BUILDING PERMIT APPLICATION Demolition TYPE CONSTRUCTION Commercial/Multi-Family or Multi-Level Reroof Manufactured Home or Ti Home Residential Du or Townhome)E Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET Property Owner: Mailing Address: Email Address: @ 3o Phone:6lztqee -4)7) t cQ 916"Iuoo&(Co a 5qn"3 P*t Ser ( k"( t 14.a,'l ,CooutSct{ o 7 AiyaS Q,cl anble {\oa(:ngContractor:Phone:(c Ce, 6 l63t tV @ Y q.f fct rfuq-J fret ;q.ble. 6st-t Mailing Address: Email Address: &,4s | 7gb Qoqn7e ct;;Ct^./ Ct Architect: Phone: Email Address: Mailing Address Engineer: Phone: (-)- Mailing Address: Email Address: Manufactured Home lnstaller: Phone: Mailing Address: Email Address: ( PROJECT DETAITS 6q Lot Height: I o rizss co, I,l' h4cnr 7 Sea Describe , torY, T€A{ Sub te ol * 4la.r le" Block Assessor's Parcel Number Property Size (Sq. Ft. or Acres) # of Floors:- Job Address:I o'/Cuuurt W Owner's Valuation of Work: S Sq. Ft. of Building: o( { otd tu,a( ertd v&L+Lf a4L ntv Str rll /WA 6 lzn anro / s}'c wilh ice ditionNewRemodel/AlterationClass of Work: DetachedAttachedGarage: ( PROJECT DETAILS CONTINUED ral Gas Propane NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the 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: (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. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I herebycertifythat I have read thisApplication and thatthe information contained above istrue 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 bythe 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 regr.rlations and applicable land use regulations (County Regulation(s)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Developnrent Code. 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 herehygrant nermission tothe Building Division to enterthe property, described above, to inspectthe 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 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. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided required information which is correct and accurate to the best of my knowledge. lo / tS lrS Property Owner Print and Sign Date Septic: Type of Heat: Driveway Permlt: Community OtherElectric Permit # Special Conditions:,t frlq'ffi"r'"tion' Plan Check Fee: lS rA 'Slti{"fr,Manu. Home Fee:utn 'f,\'Tfr t:lt'rr,"^T: a* '+, I(t l.e"yH'b.* t"ts#'Fi.,i 'b u,t- -''BP No:? Q-mFl'|.s4fr OWTS No: mTn 'fi$rh "truL (,o"'*.fff ,_ Zonirftrl BUTLDTNG / PLANNTNG D|V|SION Signed Approval rc/t"si{' oale r *\