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Home My WebLink AboutApplicationGarfield County Community Development Department 1Og 8th Street, Suite 401 Glenwood Springs, CO 81501 l970l94S-82L2 www.garfieldcountyco.Bov BUILDING PERMIT APPLICATION WPE OF CONSTRUCTION Commercial/M ulti-Fa mily Demolition Manufactured Home or Tiny Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES Property Owner: Mailing Address: gfiqynrtt Aah,UV Bv.;T phone: fr@ S@emmh r ln Cartforrffi b C@ tBlffi tmwtW Email Address:@tthffiut@trEdfmmm Contractor t$0NlU@rrHtudtion phone: tWtrD (ffiffif9 w:re6=7G.73Mailing Address 168\rtllbiwdirsb Email Address:rrftardiffistndtior@ idhud mm Architect:Phone:() Mailing Address: Email Address: Ensineer:Phone: ( ) Mailing Address: Email Address: Manufactured Home lnstaller:Phone: ( ) Mailing Address: Email Address: PROJECT DETAITS Describe Work:Flemncnpd dl€b bhihg ercp$othi'rc't'opBhe#tfringltrffidll herd'wleyment, instal Amtodb/DRC Job Addressr @S@nffihtllillffib@OAf@ Assessor's Parcel Number ,ro.lllfteRffifr Lot Block _ Owner/s Valuation of Work:satw Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:Height:S of Floors:fl Class of Workl New {Remodel/Alteration dition Garage:Attached Detached PROJECT DETAITS CONTINUED Septic:OWTS {Community Type of Heat:{atural Gas Propane {Electric Other Permit #:Driveway Permit: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, nrrtrettflrnrirorl roarrt lf tli-cio,,rl,,r-l'-1,..^,i.,,,,1 ll,-l ,.f ll'-n..,"-' -l-l-ll-,,,f -,,11,,.'i1.,.i.,',-,1 1,.,u JrPu,sr! eu!,,v,,!t, J,b,,!u ey 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. CERTIFICATION 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 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, 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 L^-^L., ^-^-+ -^-*i^-:^- r- rL^ 6,.:ll:--I ilEtsuy E,toIr yErrrJJruil ru urc DuruiltB, utvtSruil LU eillgt Lilc ptupetty, ueSLilueu duuve, tu ilt5PeLt Lltc wutK, 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 responsibilityorliabilitybytheCountyof errors,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 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. q#dblFburt gsn4rn25 Property Owner Print and Sign Date OFFICIAL USE ONtY Special eonditions: Adjusted Valuation:Plan Check Fee:l"xlt"Fi>tLJ() .- Manu. Home Fee:Misc. Fees: Total Fees\oo o()Fees Paid: \OO 99 Balance Due BP No: "cotr-qAry OWTS No: Setbacks:OCC Group:anf 'wlr 5-€-as Date BUILDING / PLANNING DIVISION : ( Signed Approval