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HomeMy WebLinkAboutApplicationCommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.aarfield-countv.com GRADING PERMIT APPLICATION TYPE OF GRADING 0 MAJOR MINOR INVOLVED PARTIES Property Owner: G Phone: (`)' O ) 7 (--O a 9 v Mailing Address: F.0, I w iI03 +,, ,. 0 9164 Contractor: Danny Martinez Phone:( 970.989-5359 Mailing Address: 1335 Village Drive Rifle, CO 81650 Architect: Phone: ( j Mailing Address: Engineer: , L. van +r E■, :n e t Phone: ( 97 G 4 S- 7 Mailing Address: .1Al.c PROJECT NAME AND LOCATION Project Name:___Sereele +J+c Describe Work: C of 11 coo S 241 14 daLirltUAL-- _CA.naHin fbC ttr�o.►�e� ar �.0 .-r. el' '-s d°n aso n,sfekc . Mal I Job Address: Z oz3 I oa. 217{ Assessor's Parcel Number: ' 1-7 7 i 9 1 0 d i I Sub. ,N/A Lot Block Earthwork (square feet):. *7, d o 0 5 r Earthwork (Cubic Yards): Ica udGY ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING �o. NOTICE 1 f Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate 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, 12) County OWTS Permit, 13) 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. CERTIFICATIOM 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, OWTS regulations and applicable land use regulations (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 faciilty(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. 1 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. hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. Prope y Owner Print nd Sign 3� 1 Z Date OFFICIAL USE ONLY Spedal Conditioar s: VEx } T }Rid ft' i t y Q 3,..,,,,„ ?44'. . ovg. `Td 3x ( y A-PA'4- 3©, 2Q/5" Permit Fee:Misc ISOa Fees: Total Fees: GU /O0. Fees Paid: ao BOO. Bala duebo Grading Permit: ssue Da e: 1 Zoning: BUILDING / PLANNING DIVISION : L i •, 3-12-20 Signed Approval Date NI -5' O( ico—° HIGH COUNTRY ENGINEERING, INC. 1517 BLAKE AVENUE, STE 101, GLENWOOD SPRINGS. CO 81 801 PHONE 037019450576 FAX (970) 94.9-2355 WWW.NCENG.COM DANNY MARTINEZ RIFLE. CO 2023 COUNTY ROAD 237 MINOR GRADING PERMIT VICINITY MAP DRAWN BY: ORO SCALE: 1" 2000 CHECKED BY: PROJECT No: 2151009 DATE: PAGE: 2-17-15 1 F1L.E: 215/1009/ ExH/EARTHWORK t fl n 1 1V1831V141 1113 3AO013a r 0 0 n z f 0-5341 vES- JJ AlJ go cN.t obi IU wit n -13 X 33 to 0 r o m n m00 v�rrT) � X 0 m N ,I 0 0(r1 _‹ 0 O 0 co r- Q°Dvn 0 - r m -u 6 p n D gym > M n�oz T1 r�z-Dp 00Orig n M M 0 xin � z z r c N m(ONm• � o m EO r0 Ep cn O N 0 I— n -o 41 NORTH 073 XM 0 52 za ry 0U' Z> Or �rn zo 7m Z D rrn rn o CDm z71 Q ZO SI SI V3ab D38anlsla -I-> 0 �n0<w 1- (7) m (I) z 0 0�0 n� -<07,K_Im • z -0(n M m 0Dm ��oo>0 zrTlr T X10710 n• r*mx' co >0c�m v1m>u)<z OO-rnbr-''I mOIfT10Z(i ozz(no 0• I0 • nzm O rrI,Pm m c--N0M-11M nocF;°n :n rzzz > mo-q'0r*1 rm Orn71 Q 0 >r)0 00 �0 zzK ii>mmz cpm>1Z-< 0 m to • n O -1 Ca ✓ 01 r 7]N 0 Ta rnm o> I O 0 O0 -n m nm -n r73 0 o co m-4 0 m oo . o 0 m a z 0 F r of 0m -0x 71 0-I CZ D0 on m� -< - II- M 0 m0 0 `n m o 0 z Z0 M cx m� M z 0 00 110 n0 z� n 0 S s l/cz/Di* NOW z 0 m 0) 111!11 3DNY8an1SIO ONIOV i r- 0 0 r - z rn anO1NO3 80NIW DNIISIX3 afO1NDD aof vW DNIISIX3 anOlNOD dorvv OdOI 1VI83'd 1N31613S'd3 DNI1SIX3 ) VONn08 DNIISIX3 (6 8.4 DANNY MARTINI? RIFE. CO 2023 couNTV ROAD 237 MINOR GRADING PERMIT SITE PLAN HIGH COUNTRY ENGINEERING, INC. 1517 BLAKE AVENUE. 5TE 101. GLENWOODSPRINGS. CO 81601 PI -10/.1E197019458676 FAX (97019452555 W W W.HCENG.COM ORD NO. DATE REVISION RYMDCTION CALE COMA CFCOLoORDO 13O0-922-1987 OR 33A •OC700 W METRODOWER CALL 2BUSIPES5 BEFOREWila GRCATSACE ADVANCE ExCAVATE FOR THE MAThC?C OF Uf,MERCACC MEMBERl/MYIRF3