HomeMy WebLinkAboutApplicationGarfield Counryt
Gommmity Development Department
lm 8tl'Street, Sulte 401
Glenwood Springs, CO 81601
(9701 94s-8212
wrr.garfi eldcou ntyco.gov
Unlt - MAXIMUM SIZE OF FEET
Phone: fiSOt ZH'1092PropertyOwner:
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ll&ldress:
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BUILDING PERMIT
APPLICATION
Demolition
Gasfiilanrfactured Home or
ReroofIor
tlescrfre Wodr:
JobAddruss:
tume,rin3ttrl,l Diameter:
Servlced By Gas
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Aseseo/r Parcel Number:en6n3L+nr).l 2q
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eudto*f. Ihis apf,katim $or a 8rf Hing Pennft nnust be Sgn€d bV fte Owner of tilre property, descr{bed ab(nre,
orr am autltotired apnt lf the dgna$rrc bdffi ls not drat of dE Ourn€r, a s€parete lertter of authodty, r*ned bry
dee Owner. inurt be provided with this Applhatbn"
ItlC A.6. A Bu{ld mg Perrnft cannd be is$ed wiilrout proof of leeaH and adeq{Ete aae$6 to tfire pruperrty for
purpces of inspecticrns by the Bulldirg Disfrsilon-
O[s krltrts" Mult ele separate peflnits rnay be ruquiined: (1] State Clecukal FermiL {2} County Ollffs Permit
(3f anotherpermit ruquiredforuse orntfie proprtyirlentified abore, e€- State orCounty llitrway/Rd A@ss
oir a Stab Wastewat€'Oisdmrge permit"
ltdC.ggmilA Euilding Permit beomes null ard voiri frlt tflle worf( authorized k not ommernc€d ruithh lgl drys
of tfte date of issuance and il'f rrork is suspended or abarrqdoned tor a per*od of lflt days after omnoenoenent
I hercby qtifiy drat I haye read ttCs Application arrrd tlrat the infonnatiorl contahed above is ffue and conect I
mderstand that the Euilding tlhdCon accepts the Applicafion, abrg witlr fue plans and ryecificadnns and o&en
deu srbmitted by rne or on nry betralf (rubmittdsf, bred upon rny ertifrcatiorrrr ai b a6tracy. Assuming
oampleterress of tire $bmittak and apprwal 61 96fo Appli,catinn, a Building Pennit wiil be issued granting
permissbn to me, as Osdner, b onstruct the structwe(sl and tcifities detaifled on tiae glbmittab raniwed by
fie Eu|ldhg Dlvis*on. n conslderatbn of the *ssuance of the Buildimg Pem*L | 4ree that I and mV agens sill
omplywith providouasof anyfederal, state orlocal hw rquhtilrgttlework and tlrcCarftdd Cqrnty EuiH[ng
€ode, OWIS rqulations and applkable hnd use reguhlons {Countf Regrhdon(s}f. I ackrowlledge ilrat t}E
Build[rry Fermit nmay he suspended or mvrrked, uprrn notirce frnm ttn Cflrdty, if ttre flocation, constnrctixr or rre
of ttp srructurc{sl and facilliqd$esl describ€d ahore, are not in omplhnce wift County Re$r[ation(s) c any
otherapplicable law.
I @ gnant permksion to tfie &llHing Oivis{on to emter the propei'ty, d€s€r{b€d abore, to anspect drc *ork I
further acknowledge {mt the issuance of the &rMing Penrnit dces not prercnt the Euildilng Official fronr: (1}
requidng the mnrectiom of errors in the submittds, if arrny, diwvered afterr issuane; or {2} stop$rry
c.lnslrnrction rr use of lfte structure(sl or facility{tsl ff such 'g$ frn violatinn of Corlnty negnlation(sl or arrry otlrer
appllicabh hw- Rev[*' d tftEs Appl[cation indrdflrag submittals, and inspectiom of the work @ the &dHing
Diririrn do noi conriliuts an acceptorlce d rcxponsitfdity or fheilitV iry t'rc eounty of errorc, onisskrns or
dscrcpam{es. A$ the 3$mer, I adnwledge that respor'rsibilfrtyfor comf,hnce wtrh federd" state and local hws
and €owfi Regulaticns r6t wift me and rmy authorized agents, indudirq rrtthout limitat{on my arddtect
Ues$ner, engimeer an{ on bultder.
I hstbt ectnorle{e fiat I harc read ard underrtand ltlrc fWce and Certifrcadon abour, s rcll a+
lgre trE 6rr€ctildaerffebdte oj tn@e"
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