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Home My WebLink AboutApplicationGarfield County Community Development Department 108 a Street, Sulbe 401 Glenwood Springs, Co 816M (970) 9454= www.aarflerdcou ntvco.ttov 7YlEOF 6fJJ10M1G 13 MAJOR MINOR IihlowlFns- .�,,�I` Property0wmer. f�Y C✓Aa-t L Phone: � 13 ) $ S Z. Mailing Address: & 30 4 PILILetNS 5T U.Jri - %E LSI f%X % ]GYM% EmallMdress: G��R� ri�l'cs C yhl 0.(_pM Contractor (oD Dy a-tL H a�D F..(L Phone: 19% 1 q+,P> -] D +* Mailing Address: d -460 441-&o015 A74, Lo (Cv 2 3 Email Address: _ �� r B �L �- e /lti/�/l.r �M Architect: bpj hD C,pz." Phone•f I701�Al�(Dlo9t% Mamng Address: Po 6,)( 1 fl3 (, lit c.t,us c� 1, (LJ ±1b S _Ca 6 f &.o Z- EmallAddraa: _&&bJ-x-zA, tk p..Go rtT C IL Engineer. Mks $Jl�t1G t4 phone !ip 70 Mailing Address• _0605 ll r e— 6C Po r P i Email Address: it N ►J 1c L �-t 17 t� l C� ti% C SC P aAS , C.J F-1 PRRQJEZT NAIIIlIKAW WrAMIN }.. Project Name: i�� S 1�- � S t D� r, T L IL Date of Completion: J U I--`-( 3 l 20 21 Description of work: Job Address: 2 Z5 5 A-Z D l.L,9A-C- , - Assessor's parcel Number: _ Z 3 �i 5 13 - - o /9 017 Sub. A s p Ea 6 L f La / L, Nock Earthwork (square feet): _''- Aoco Earthwork (CubIcYards): 6-OG ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING Agftft. This application for a Building Permit must be signed by the Owner of the Prop", an authorized agent If the signature below is not that of the Owner, a s p �' described above, or Owner, must be provided with this Application separate letter of authority, signed by the IM-1 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 DINTS 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. Vold 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 180 days after commencement. 1 hereby certify that I have read this Application, and that the inforrnaHon contained above is true and correct. I understand that the Building Division accepts the Application, along with the pains and specifications and other data submitted 6y 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 it the submittals reviewed by the Building Division. In 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 Cade. 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structures) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. 1 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 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 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 admowlefte that I have reed and understand the Notice and Certification above as well as have provided the required Mfonn8tiOn which k correct and aoatrate to the blast of rrly knowledge. Property Owner Print and Sign knee FeLTH: Fee: I Misc fees. tV li V V, oo i o.011 W Valance due. Grading PerrnlC l ! Isuee Diane: / Zoning: 7 _.._C'S / 5l Bull M / PLUAM WI M. Jd" 11_ 9 —1j — Zc SlgnedI Dam