HomeMy WebLinkAboutApplication.pdf~ Garfield County RE CE I ,L''' ''''''''''",.m,'' OCT 1 6 1013 108 8th Street, Suite 401 Glenwood Springs, Co. 81601 GARfiELD COUNTY (970) 945-8212 .i\\, ;~ ! r! ':'/F.LOPMENT www.garfield-county.com
ffiPE OF GRADING _______ J~_ MINOR _________________ J ~ MAJOR ------~--. INVOLVED PARTIES P 0. Blue Heron Properties, LLC roperty wner: Phone: L~~.J 384-0630 M T Add 430 Ironbridge
Drive, Glenwood Springs, Co. 81601 a' ong ress: Contractor: Gould Construction Phone: ( 970 ) 945-7291 Mailing Address: 6874 Highway 82, Glenwood Springs, Co. 81061 Architect: Phone:
( _ ) Mailing Address: . High Country Engineering, Inc Engoneer: Phone: L~.J 945-8676 M T Add 1501 Blake Avenue, Suite 101, Glenwood Springs, Co. 81601 a' 'ng ress: PROJECT NAME AND
LOCATION P . t N lronbridge Clearing and Grubbing rOlec arne: D 'b W k Top soil removal on a 30' wide, 800'Iong, l' +/-deep section of proposed roadway escn e or : (Big Wing Drive) for
use of topsoil on site for small maintanace projects on the Ironbidge site and to prep the roadway for future construction. I b Add 430 Iron bridge Drive, Glenwood Springs, Co. 81601
o ress: Assessor's Parcel Number: 1fb Sub. Ironbridge Lot Block Earthwork (square feet): 24,000 SF Earthwork (Cubic Yards): 889CY ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE ~ Authority. This ap~on for a Building Permit must be signed by th;~of the property, describ; d ; bove,-or i an authorized agent. If the signature below is not that of the Owner,
a sepa rate letter of authority, signed by 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. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County 1505 Permit, (3)
another permit required for use on the property identified above, e.g. State or County Highway/Road Access or a I State Wastewater Discharge Permit. I, 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 180 days after commencement.
0; \ --i ' CERTIFICATION " . , '&_~.~'-"1 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. 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, 1505 regulations and applicable land use regu lations (County Regulation(s)). 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 facility(ies), described above, are not in compliance with
County Regulation(s) or any 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) req uiring 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 re sponsibility 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 re information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign ~ /?~(. OFFICIAL USE ON~Y Special Conditions: Permit Fee: 00 $ft1O, ~ Balance
dUD ~ _.><-0..---J LI...;tt.. -7~L,-/{N,·y R..{Yln Ootl Date BUILDING /PLANNING DIVISION: =4~-;;;=f~of2(~-----------10-14-13 Date , , The fin~nc ial securit~ sha ll be held by G'l.rtield
County until vegetation has been successfully reestablls.hed accordH1~ t,o, the Reclamation Standards in the Garfield County Weed ~'1a nagernent Plan , , II lS the respons,btl llY,of
lhe ~pplicanl to contact the County, upon successfu l re-vegetation establishment, lo request an InspectIOn for security release consideration, Contacl person" Ste\'e Anthony, County
Vegetation Manager, ph: 6~1 " Cf'h~ -/? 77 ;i:x 4 )0.">