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Home My WebLink AboutApplicationÇarfield Cnu Community Development Department 1088th Street, Suite 401 Glenwood Springs, CO g160l (970) e4s-s212 !ry-wsr sartlç.ld:çqgnLy, ç"q$ lYPE OT CONSTRUCTION Commercial/Multi-Family Manufactured Home (Slngle or Multi"Level) Residential (!r , Dyplex or Townhome) Aqcessory Dwelling Unlt (AÞU)- MAXTMUM S|ZE OF 1,000 SQUARE FEFr I lf-lDemolition Reroof BUILÐING PERMIT APPLICATICIN t I tNvo[vED PARTIES Property owner¡ Jill Mueller Phone: {e'oær?'r } Maillng Address:2413 Edgehill Road, Cleveland Hts , oH 44106 Emal Address. jillkemueller@ gmail.com conrractor: Quentin Fowler Phone: (o'n* ) Mailing Address: Email Address: Architect:Phone: Email Address: Mailing Address: _ Engineer: phone: Mailing Address: Email Address: Manufactured Home lnstaller:Phone: MailingAddress: Email Address: Describewor¡. reroofing g@æ Aprrt Job Address:180 County Road 109 Assessol's Parcel Number:239501200123 Sub. Owne/s Valuatiqn of Work:( Sq. ft. of Bullding: Helght: Class of Work:New lot Block Property Size (Sq. Ft. or Acres) fi of Floors: ition Garage:Attached RemodeUAlteration Detached I pnolrct our¡irs¡- , Septlct j TypeofHeat; Ddveway Permlt: CONTINUEI) Community l I I t ¡tI I I I I I I ¡ I¡ i I II¡t I g * $ lr: 1'. :1r it Gas Propane Electric Perm¡t g: Otherin pt NONCE AuthoriW. This application for a Building Permit must be signed by the ówner of the property, described above, or an authori¿ed agent. lf the slgnature below is not that of the Owner, a separate letter of authorlty, signed by the Owner, must be provided with this Applícation. [e*al 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 Permlts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, t3) another perm¡t required for use on the property identified abovq 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 authorired 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. CCRTlFrcANON I hereby certifo that I have read ihis À¡p¡¡c;tion anu tttat itre iniórmai¡on contåínè¿ abóve is iiue anã lorreci. r understand that the Building Division accepts the Application, along with the plans and specifìcations 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 regulatin6 the work and the Garfìeld 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, construct¡on 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 acknowlerlge that the issuance of the Building Permit does not prevent the Building offìcial from: (1) requiring the correction of errors ín the submittals, if any, discovered after issuance; or (2) stopping construct¡on 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 l¡mitat¡on my architect 9g: igtg ¡,_ glgj l:99! a$l *9 r b u i I d e r. I hereby acknowledge that I have read and understand the Notice and Certificatlon above, as well as,have provided the required lnformation which ls correct and accurate to the best of my knowledge. .¡ll ÀÂJoücv ßä3¿023 Property Owner Print and Slgn Date 3#ea ìoFflctAt usE oÎ{rY Speclal Condltlons: AdJusted Valuatlon:Plan Check Fee:'"iËä:ro Manu. Home Fee Mlsc. Fees: 'töö:"o 6OFees Pald:\cn Balance Due:r BP Nolffi.rcos oltrT5 No; Setbacks:OCC Grouo:-'{c¿/Const. Tvoe:11].:rt BUII.DING /PIANNINC DIVISION: Slgned Approval Oate