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Home My WebLink AboutApplication>EF r¡rz= st OH lrJ b==1¡- :¡tx= ıã â f:'ltü äj Þ (\t ¡ì¡ rrloUl :>--u :#l Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 19701945-8212 www. ga rfi e I d-co u nty.çam Gørfield County BUILDING PERMIT APPLICATION WPE OF CONSTRUEïON Com merciaUM ulti-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)I Reroof Accessorv Dwelling Unit (ADU)- MAXIMUM SlzE OF 1,000 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: "Lt e\Phone: Lf3q b6'/ , yy tq Þ- Email Address:5 n^^-1. ¿eØ Contractor:vAJ LA /\)Phone:tQ1ò tU/8 'Gl-f V Mailing Address: Email Address:ê.ty'y-o-'/" Architect:Phone: ( ) ress: Email Address: Engineer:Phone: f ) Mailing Add Manufactured Home lnstaller:Phone: (_) Mailing Address Emai Address: PROJECT DETAITS Describe Work:I ¡Ao ' ìu- 1 t*rLh.r- aL*[/ *' o 5 /;*# Job Address: Assessor's Parcel Number: 2 t zo o Sub.Block Owner's Valuation of Work:Ft. or Acres): 5q. Ft. of Building:Height:# of Floors: Class of Work:New {Remodel/Alteration ition Garage:Attached Detached OWTSSeptic: Electric OtherPropaneatural GasType of Heat: Driveway Perm¡t: i PROJECT DETAILS CONTINUED Exempt Community Permit # NOTICE AuthoriW. This application for a Building Permit or an authorized agent. lfthe signature below is must be signed by the Owner of the property, descri not that ofthe Owner, a separate letter of authority bed above, , signed by the Owner, must be provided with this Application. Lesal 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. Otlìer perm¡ts. Multiple separate permits may be required: (L) State Electrical Permit, (2) County OWTS Permit, (E) r*ttr"r 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 hereby certify that I have read this Application and that the information conta understand that the Building Division accepts the Application, along with the pl ined above is true and correct. I ans 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 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 compliancewith County Regulation(s) orany 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) 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 d er r and/ or builder I hereby acknowledge that I have read and u nderstand the Notice and Certification above, as well as, have provided the uired information which is correct and accurate to the best of my knowledge. r/r3 /z- z- Property Owner Print and Sign Date OFFICIAT USE ONtY tÞ.00. .o e.c./.o65 zz Special Conditions: ñ Misc.Fee: ñ A Manu. HPlan Check Fee:Perm¡t Fee:Adjusted Valuat¡on: BP No: RooF-?5 OWTS No:Balance D 4Fees Paid: $ loo ,oo Total Fees Zon U Const. Type: t . R.c.OCC Group:Setbacks: BUItDING / PLANNING DIVISION I DateAp ø22