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Home My WebLink AboutApplicationGurfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-8212 www.garfield-cou ntv.com BUILDING PERMIT APPL:CATION TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)I Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES Phone:Property Owner: Mailing Address:d Email Address: contractor:.L*t tc Q'tl r-t-Phone:-3Oq-Cor7 Mailing Address \') !'t)3 Email Address: Architect:Phone: Mailing Address Email Address: Engineer:Phone: ( ) Mailing Address Email Address: Manufactured Home lnstaller:Phone:I Mailing Address Email Address: PROJECT DETAILS Describe Work:?c -'Tte,cr€ Job Address: Assessor's Parcel Number: Sub.Lot Block Owner's Valuation of Work:Property Size (Sq. Ft. or Acres) Sq. Ft. of Building Height:\€\<arV^# of Floors: Class of Work:New Remodel/Alteration Addition Garage @i>Detached Septic: Type of Heat:i l_Jowrs Natural Gas Propane PROJECT DETAITS CONTINUED Community Electric Other Driveway Permit: Exempt Permit # NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by 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. 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 L80 days after commencement. 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 strr.rctr-rre(s) and facilities detailed on the sr.rbmittals reviewed by the BLrilding 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. I h^.^h,, ^,-h+ ^^,'-i..i^^ +^ +L^ D,,;lli^^ ni.,i-i^^ +L^ ^-^^^-+., l^-^-iL^,J ^l-.'^.,^ +^ ;-.^^^+ +h^ ..,^.1, Ir rrcrEUy 5'o"L Pcr rrilJJrvrr ru Lrrs uuiluil15 urvrJrurr LU srrLEr Lrrs PruPcr lyr ucJLr ruEu owuvc, ru ilrJPcuL rrrs vvvr N. r further acknowledge that the issuance of the Building Permit does not prevent the Building Officialfrom: (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. CERTIFICATION I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. Owner and Sign Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuationr PlanlCheck Fee:it Manu. Home Fee: - Misc. Fees: 'i^ffi'P '[A'8i'."o earry?ue:OWTS No:--------- Setbacks:OCC Group Const. Type:,"'ryLI b1M4BUTLDTNG / PLANNTNG DTVTStON Signed Approval Date