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Home My WebLink AboutApplicationr:i t.. L: :,ia:, C)rJ -:F $-- fi ',..11 :itiJ "..': ,' ) .) '! til L) i".i .-j trl rl4l r ';JM :::i :i': I.,{ (.? F Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701e4s-8212 www.garfieldcountvco.gov F Garfuld County BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Commercia Demolition Manufactured Home or Ti Home or Multi- Residential (SF, Duplex or Townhome)I Reroof Accesso Dwell Unit DU - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOTVED PARTIES Property Owner:Phone:t97o ) 9R 7- /qv3 Mailing Address Email Address: t s o Contra .la Phone:/d Mailing Address ?uo F -,t t/tla D. <'l -/4-- ?11 12 Email Address: Architect:Phone: ( ) Mailing Address: Email Address: Engineer:Phone: Mailing Address: Email Address: Manufactured Home Installer:Phone: (_) Mailing Address: Email Address: ' ' PROJECT DETAITS Describe Work:fr.. nFF,/tZ* PooC Job Address:(a e .o1t tv1"-,/t,,1 viau/AL^*-o/ F/e a / Assessor's Parcel Number: Sub.Lot Block Owner's Valuation Sq. Ft. of Building: of Work:lo, t27 Property Size (Sq. Ft. or Acres)r Height:# of Floors:_ Class of Work:New Remodel/Alteration Addition Garage:Attached Detached Septic: Type of Heat:Natural Gas Propanel Driveway Permit: v PROJECT DETAITS CONTINUED Community Electric Other 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 provlded with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purpuses oI irrspeuliorrs 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. 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 bythe Building Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any tederal, 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 ind 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 facilitV(ies), described above, are not in compliance with Countv Regulation(s) or anV 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 nformation which is correct and accurate to the best of my knowledge. er Owner Print and Sign Date OFFICIAL USE ONI.Y @ Speciai eonciitions:a t\ustftvaruation:l\\l A Plan Check Fee:Permit Fee: $ ina "oa 'fi)H'"'""'Misc. Fees:il iltr Total Fees: $lry1 o0 Fees Paid: *tne-h Balance Due 'Id.oa OWTS No:TTE Setbacks:ruln OCC Grouo::f?c-7 '"f;fll'.t'Zoni'trr Ti-\ BUILDING / PLANNING DIVISION : Signed Approval I D t