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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970194s-82L2 www.ga rf ieldcountvco.gov BUILDING PERMIT APPLICATION WPE OF CONSTRUSTION Com mercial/M u lti-Family Demolition Manufactured Home (Single or Multi-Level)I Gas Piping Residential (SF, Duplex or Townhome)Reroof Accessorv Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Phone: &a,rnQ-Email Address Property Owner: Mailing Address: Phone: 07o:GZ5-5278 4cxtn 4 ox Contractor: Mailing Address: Email Addressl PROJECT DETAIIS Describe Workl Gas Pipe Length/ Diameter: flo Lot Block /( Unler h.tko 6il-r, 44/ Job Address ces Serviced By Gas Line (list all, include BTU) Assesso/s Parcel Number: Sub. AdditionClass of Work:Eh"'Alteration !ruaturateas PropaneType of Heat: NOTICE Authority. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby 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. O.thef-Pefmits. 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. V-SjqPgnj!.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 180 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 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)). I acknowledge that the Rrrilding Permit may he sLrspended or revoked, urpon notice from the CoLrnty, if the location, constrlrction or Lrse of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I L^-^L.. --^-! -^--:--:-- r- rL- h..:ll:.-- l---.-:L-l -L---^ !^ tL^ --.^.-l- |riltsr tsuyB,rdilLptrrililssruilLUUrEDuruilrE,urvtstuilLUeilLetLileptupctLyrucsLilucuduuve,LUilrspcLLLt tewurK. 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) stoppinB 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 constitutc an acccptoncc of rcsponsibility or iiabiiity by the County of crrors, 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 which is accurate to the best of knowledge 4-q Property Owner Print and Sign tOFFICIAT UsE ONLY Special Conditions: Adjusted Valuation N/A Permit Fee:lffi &Misc. Fees: 'ibZT'.oo rees ratq: \cJo oo Baiance Due:tu ffib,qffi tou' BUILDING / PLANNING DIVISI Signed Approval Date