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Home My WebLink AboutApplicationGa$dd Coanty Community Development Department ": 'L.r.i;: ir;1;1 , 1088thStreet, SUite40l Glenwood Springs, CO 81601 MAR !9 ttl?5 pTots4s-szLz BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Com mercial/M ulti-Fami ly 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 INVOIVED PARTIES a Phone: ( ) Email Address: Property Owner: Mailing Address: d fl 70tContractor: Mailing Address: Email Address: Phone:Architect: Mailing Address: Email Address: Engineer: Phone Mailing Address: Email Address: Phone: ( ) "n 1i 'i. r^.{'r ' .,"i",... '* Manufactured Home lnstaller: Mailing Address: Email Address: AdditionClass of Work:New Remodel/Alteration Attached DetachedGarage: PROJECT DETAILS Describe Work: I Job Address: Assessor's Parcel Number:lla-2:? Sub.Block Owner's Valuation of Work: S fu rrob Property size (sq. Ft. or Acres): GI Ac^nce .Ft /-L.LV /a. flAS Iot Sq. Ft. of Building 2 tol Height:f of Floors PROJECT DETAILS CONTINUED Septicl CERTIFICATION l., t q .1ltlti I hereby certify that I understand that the Building r data submitted by me or on my be ness of the submittals and approval of this Application, aAr;ilding Permit will be issued granting permission to me, as ir---^-.--- --r-{-.-rr--!r!r!-- ---L,-.-L--:';-r^-^--:^'...-JL..rL^n-.:ll:--^:J:^:^- r-rJwner, \o.consLFuct krle.struclurels, dnu rdcilrLre5 qet?ilFu on Lrle sulJrnrLLdJs revrcweu uy rilE Duru]ilrB urrr5ruil. ilr co4sidg;ation of the issuange of thg Building perm'it, i agree lhat I and Jny-agqnts will gomply wiih provisions of a ny federal, stat6, or iocil lu*,regulatitrg tlte.ivor* anU'tti6 Garfield Cbrniv Building.code; @WTS regulations and applicable land use 4eeulations (C6unty Regulatiqnls)). nll qitrnty developeent requiripg.a.pggnrlit, gxcept for residential uses, are subject t6 Article 7 of the Land Use arid Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe 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 correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use ofthe 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 designer, engineer and/ or builder. 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. 24, Al f:t'o D.*\t^ drrhrrs Q..K- l?-.rs ll Type of Heat:ral Gas Propane Electric Driveway Permit: Exempt Community Permit #: Other Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Leeal 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. NOTICE IProperty Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions:.;.. i $ , : t4.^,t -t. :; " r {.1t'\ ^, *r'1p51 ..tr r, 'r,!.r .',.-, Ar{ir rctor{ Vnlr rrf inn.-ka -l'A -'"Flrn fhnrk Foo:'{Jr-iiltti::'Pnrmit Fio. '" ' $/6b1c".. *Minu. H6meiFee:' "''',L.lIfil:r"$.'tjiisi."Fees: '" " Total Feeb:-$/nn &'lEffi'o,Balance Due:$(}'"o .BPNol: .,.' ri ?FTr:Qlq4 OWTS No:\) lA Setbacks \3'''l'A o'Y-ttoa-t$'ilf;.,i . Ziinind: "w' ' i! "P\J-f,> L 6,^^h n lrBUILDING / PLANNING DIVISION : Signed Approval ),'. , ,, ilfri"" '