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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701s45-82L2 www.Fa rfield-cou ntv.com (turJ ,Fw .<.T} ilIrii rq rn I {-4,. \ Icpc;:l Ff,}r\:qA s+r rTtlv &dr* .-l: t-lz 'J)# :,i '.2q ct rn lTlt-(,,-u 2 mz -t o1 BUITDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercial/M ulti-Fam Demolition Manufactured Home or Tinv Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)I Reroof Dwelling Unit U - MAXIMUM SIZE OF 1,200 SqUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: Email Address: Phone:s o-5a q.6 K<"nC t cre.e L Contractor:L1.,,*-..1 nou{,Phone .,17a 7 q.?ca Mailing Address: \2i: Email Address: Architect:Phone: () Mailing Address Email Address: Engineer:Phone: Mailing Address Email Address: Manufactured Home lnstaller:Phone: (_) Mailing Address Email Address: PROJECT DETAILS Describe Work:.J Job Address 'l?- o, Assessor's Parcel Number: Sub.rot 5L Block - owner,sValuationofWork:sfuPropertySize(5q'Ft.orAcres):n Sq. Ft. of Building Height:l.l lA # olFloors: .2 Class of Work:New Remodel/Alteration Addition Garage:Attached Detached PROJECT DETAITS CONTINUED Septic:SWTS Community ElectricType of Heat:Natural Gas Propane Driveway Permit: Exempt Permit # Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheowneroftheproperty,describedabove, 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION 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 (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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. 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. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, 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 ac provided the I have read and understand the Notice and Certification above, as well as, have which is correct and accurate to the best of my knowledge. U;- 4,d " Zrl and Sign Date {s GOFFICIAT USE ONLY Special Conditions: Adjusted ValuationNIA Plan Check Fee:\t lA Permit Fee:7/nn.w Manu ome Fee: i.\ H I A ^i5 IH' Tot-al fdes:$trn.m Fees Piid:lDtnn.@ Balance Due: od.@ BP No: Y ucTlt--nfi\OWTJNo: r),n Setbacks:lJlR OCC Grouo '"nrur;Zoniris:-t.\..h,l/Ur) 'rtJ ffio/atBUTLDTNG / PLANNTNG D|VIStON :{3,^M.fl.hl Signed Approval l