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Home My WebLink AboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 lpTols4s-82L2 www. ga rf iel d-cou ntv.com BUILDING PERMIT APPLICATION ryPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)t Reroof Accessory Dwelling Unit (ADU)- MAXTMUM SIZE OF 1,000 SqUARE FEET INVOLVED PARTIES Property Owner:Thomas Dubois Phone: ( 970 \987-2632 Mailing Address:712 Huebinger Dr - Glenwood Springs, CO 81601 Email Address:thmdub2@comcast.net Contractor: Phone ) Mailing Address: Email Address: Architect:Phone: I ) Mailing Address: Email Address: Engineer:Phone: { ) Mailing Address: Email Address: Manufactured Home lnstaller:Phone ( Mailing Address Email Address: PROJECT ÐE:TA$ Describe Work: caps. lnstalled Remove &shi les. lnstall ice & water shield &tn ust ge n orn ng ons proper hin & ridne trim shinoles. I ncfall nar¡¡ nino iankc R nontinun¡ rs ridoe vent Job Address: 71 2 Huebinqer Dr - Glenwood Sorinqs, CO 81601 Assessor's Parcel Number Sub. Lot -- Block Owner's Valuation of Work:s 9,348.00 Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:2460 - roof area Height:18'f of Floors 1 Class of Work:New Remodel/Alteration Addition Garage:Attached Detached Driveway Permit: PROJECT DETAIIS CONT¡NUED xempt Permit # NOTICE Authority. This application for a Building Permit must be signed bythe Ownerof the property,described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Lesal Access. A Buildi ng 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 L80 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement' CERT!FICATION I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have províded the required information which is correct and accurate to the best of my knowledge. Thomas Dubois -5t21t2021 Property Owner Print and S¡gn Date CommunitysWTSSeptic Electric OtherPropaneType of Heat Natural Gas 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 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, lagreethat land myagentswill 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, 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 correct¡on 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 desi er ineer and/ or builder oFFlctArusEoNrY pá +10O.€3 Cc 6/z*/to¿t Special Conditions: Adjusted Valuation:Plan Check Fee:Permit Fee:Manu. Home Fee: ¿l¡- Misc. Fees: Total Fees Fees Paid: I loo .ç9 Balance Due:BP No: Roof.GtLê OWTS No: -ñ7s Setbacks:OCC Group: I t¿.C, Const. Type: tÈc Zoning: Pu Þ os/z\lzr¿;t Date BUILDING / PLANNING DIVISIO Signed Approval