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Home My WebLink AboutApplicationGøffieId County Commu nity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.ga rfield-cou ntv.com INVOIVED PARTIES Property Owner:J Phone:g Ð Mailing Address: SYos gr-n ¿oÞ¿-l a-¡ *F'(-L-€,tJL¿o ø f) 'L É MtNoR TYPE OF GRADING tr MAJOR EmailAddress:il I \ A< ltzcvÉı4,À^,á Contractor:CRut",r G\*=s Phone: I I Mailing Address: EmailAddress: t Architect: EmailAddress Aut t f DRÀÉf- ßFXILil Mailing Address:L'|fr NcD"fl.t ¿n 5(l5or út¿,€,i NL t lotl l¿ÊÅtoö ñrrñcTr,c.J Phone:t4?c )z,C 39J'l Phone: ( C,lo I 4o I . ¿lç11Engineer: Mailing Address: EmailAddress: Describework: á(<rl'UÂ-fr oÀJ PÈãP c"fcl¿*K [:oR ¡ 'e--¿^l PROJECT NAME AND LOCATION ¿3qStfSttqo3 3\>Earthwork (Cubic Yards): i,-Pf Sub.r>AÉ- ottFÂùo.^¡ 5 ßøArl C.o\JJob Address Project Name Lot 3 Assesso/s Parcel Number: Earthwork (square feet) : Block zzz ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE 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. legalAccess. ABuildingPermitcannotbelssuedwithoutproof ol legal andadequateaccesstothepropertyfor 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 Buildi ng 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. CERTIF¡CATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect, 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 (subm¡ttals), 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 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. lherebygrantpermissiontotheBuild¡ngDivisiontoentertheproperty,describedabove,toinspectthework, 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 (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 and Certification above as well as have provided the requ¡red information which rate to the best of my knowledge.a '>'Þ 7,1Ç,/ Property Owner Print and Sign Date OFFICIAL USE ONTY G¡ 4øe 9 P¡n''^r, þT R A¿ymI î,.to grl-rrlr"tSpecial Condit¡ons: EÒrP<JÐ-ro,* FeesTotal Fees:Misc Fees:Permit Fee: Zoning:/'alnlssue Date:Gradine Permit: GftBn g¡raBalance due: BUITDING / PLANNING DIVISION Date 6"