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Project Address Garfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601 - Phone: (970)945 -8212 Fax: (970)384 -3470 Parcel No. ermi Permit NO. GRAD -1 -13 -2730 Permit Type: Grading Permit Work Classification: Minor Permit Status: Active Issue Date: 1123/2013 Expires: 07/22/2013 I Subdivision Section Township Range four mile RD GLENWOOD SPRINGS, CO 218534300023 Owner Information Address Phone Cell Williams Zilm 13 Sunlight DR Glenwood Springs CO (970)945 -5778 Contractor(s) Gould Construction Phone (970)945 -7291 Primary Contractor Yes Proposed Construction/Details Grading depression placing fill FEES DUE Fee Amount Minor Grading Fee Total: $100.00 $100.00 Valuation: Total Sq Feet: $ 0.00 3000 FEES PAID Inv Total Paytype Amt Paid Amt Due Inv # GRAD -1 -13 -22237 $ 100.00 Check # 060003 $100.00 $ 0.00 Required Inspections: For Inspections call : 1(888)868-5306 Inspection IVR See Permit Record Building Department Copy Wednesday, January 23, 2013 2 GARFIELD COUNTY GRADING PERMIT APPLICATION 108 8th Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970 -945 -82121 Fax: 970 - 384 -3470 / Inspection Line: 888 -868 -5306 www.garfield- county.cons STAFF USE ONLY Special Conditions: /_ r /j . r ��ry ,t ce z L3) } 6 a (do d t� Cw-111 L Parcel No: (this information is available at the assessors # 7lii 5341 30 ©© ,,,1 office 970 - 945 -9134) .� 'O U�7 Sw>n11 i it gvrkvoa ,� please provide Cr, Hwy or Street Name & City) or an legal description %,...., ,p, A- - ilia lt 6:44.1,11y co f6e 4. Y0 Balance Due: Job Address: (if an address has not been assigned, ilVlt ie i7 l.:G 3 Lot No: Block No: Subd./ Exemption: 4 Owner: (property owner) ti dU t i+v, ; ( i ce , Mailing Address atilt Sw,it` k il- 6.1614400 (1. 5er Ph: t o ray* _ 5718 Alt Ph: S Contr or: r Oa kC/ b!/L Mailing Address 0 3t i3o & WA (506 5 tIw .. + d i 1 Alt Ph: 6 Architect / Engineer: Mailing Address Ph: Alt Ph: T Sq. Ft. of Grading: tOi n vci Pi. Cu. Yd. of Grading: 3c cao 8 Describe Work: GrGAS vl., Peprezi Om ?k.t f'iI AL UTILITIES MUST BE LOCATED PROR TO ANY GRADING Authority. This application for a Grading Permit must be signed by letter of authority, signed by the Owner, must be provided A Grading Permit cannot be issued without proof of legal NOTICE the Owner of the property, described above, or an authorized agent. if the signature below is not that of the Owner, a separate with this Application. and adequate access to the property for purposes of inspections by the Building Department. Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or Discharge Permit. is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 CERTIFICATION contained above is true and correct. I understand that the Building Department accepts the Application, along with the plans based upon my certification as to accuracy. a Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Coda, 1 acknowledge that the Pennit may be suspended or revoked, upon notice from the County, if the location, construction or with County Regulation(s) or any other applicable law. described above, to inspect the work. I further acknowledge that the issuance of the Permit does not prevent the Building if any, discovered after issuance; or (2) stopping construction or use of the stnicttve(s) or faeility(ies) if such is in violation of work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without THE NOTICE & CERTIFICATION ABOVE: Legal Access. Other Permits. Multiple separate permits may be required: (I) State County Highway/ Road Access or a State Wastewater Void Permit. A Permit becomes null and void if the work authorized days after commencement. I hereby certify that I have read this Application and that the information and specifications and other data submitted by me or on my behalf(submittals), Assuming completeness of the submittals and approval of this Application, submittals reviewed by the Building Department. In consideration of the issuance of the g Permit, i agree that I and my ISDS regulations and applicable land use regulations (County Regulation(s)). IBC of the structure(s) and facility(ies), described above, are not in compliance I hereby grant permission to the Building Department to enter the property, Official from: (1) requiring the correction of errors in the submittals, County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the or discrepancies. As the Owner, I acknowledge that responsibility for limitation my architect designer, engineer and/ or builder. I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND 972 OWNERS SIGNATURE DATE ' STAFF USE ONLY Special Conditions: /_ r /j . r ��ry ,t ce z L3) } 6 a (do d t� Cw-111 L Fees Paid & Date: /00 ' Permit Fee: /Oi Balance Due: Grading Per it: PA .� - 1-13,7th Issue Date: 10 +OD 43 Build ng & Plan '' _ Dept: APPROVAL DATE Go _)gle earth i feet meters 2000 700 A Page 1 of 1 More LIVE Maps GIS Home County Home Help Garfield County Base Map Find Sec- Tipp-Rn0 Find Subdivision Find County Rd Find Road Name Find Lekesr Rivers, Streams Print (-2,191 Go 1 `'4 19i ,t/ frbi i it i Results c Map Contents 8 R]BaseMap ▪ [,,1 ectlon- Tawnshtp -Range ▪ WI' [,%] Water Resources 8 R] Political Boundaries Cf] Airports 0 []Subdivisions ffD []Public Lands ® [,%] County Lines http:// gisniaps .garfield- county.cornlbasemap/ 1/18/2013 Gerais earth feet,-- {{{{km S � G p�Wh N l �� 64- '6c.1,41- PbNc( _ Ue5 Few &c4- ek c. sec. 3000 1