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HomeMy WebLinkAboutApplicationaiCE1 Garfield County SEi' s 1015 Community Development Department (;ot.IN'ot 108 8`" Street, Suite 401 GRFff"f Glenwood Springs, CO 81601 tuRNIUNf?Y Ot. (970) 945-8212 www.garfield-county.com TYPE OF GRADING ❑ MAJOR ® MINOR INVOLVED PARTIES Property Owner: David Eisenson 2012 Trust Phone: ( 508 ) 505-1809 Mailing Address: 453 Settlement Lane, Carbondale, CO 81623 Contractor: T.B.D. Phone: ( Mailing Address: Architect: Blu Homes - Carolyn Kimbro Phone: ( 707 ) 563-9590 Mailing Address: 1245 Nimit7 Ave , Vallejo, CA 94592 Engineer: Boundaries Unlimited Inc. - Deric Walter Phone: ( 970 ) 945-5252 Mailing Address: 923 Cooper Ave.. Ste. 201. Glenwood Springs. CO 81601 PROJECT NAME AND LOCATION Project Name: Eisenson Residence Describe Work: Clearing, grubbing, excavation and construction for utilities and driveway along with placement of forms and rebar for a new single-family residence. Job Address: 657 Schooner Lane, Carbondale, CO Assessor's Parcel Number: 2391-294-05-015 sub. Stirling Ranch, PUD Lot 15 Block Earthwork (square feet): 9,300+/ - Earthwork (Cubic Yards): 600+/ - ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE 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, (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. 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. CERTIFICATION 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 land 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 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) 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 h eby acknowledge that I have read and understand the Notice and Certification above as well as ha e pro,ided t e required information which is correct and accurate to the best of my knowledge. Propeyty Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: sre'e9v,°74r;-f 6 .57/1Y4 t•4 1/Q( J f7/�urX11/5 A5-4 , Permit Fe� 09� • Misc Fees: Total Fees:Fees Paid: Balance due: 16GRAD Grading Permit: .'3Ci°I°I Issue Date: 1 is Zo g: D Ili BUILDING / PLANNING DIVISION : .47''') ?//0,5, Signed Approval Date 14.loo.ov, ✓iidti3,1 10llc -Carbondale Basalt -„, . • • 04O0«.'4;),.2} C4 'j ,tiTFRVAL 40 024 44 C 1,39 442 ,142 UDR SA.A 149 4) 5 92000439,. 20fWEY, 20101442)) W22r, 04 RU:TON: V12004,4 22092Mcf,t, 14 AVALAN.: 44149404)4' c.ARD:441...)ALE.. COW 49I2),142 4-024 4:...0..,4,91:41:44)) 3:90 Surveying & Beyond Civil Engineering tc'cl I n c • 923 Cooper Avenue Suite 201 Glenwood Springs, CO 81601 tele: 970.945.5252 fax: 970.384.2833 Scale: 1"=2000' Date: 8/27/15 Proj #: 15011 File: 15011-c-base.dwg David Eisenson Section 29, T.7S., R.87W. Eisenson Residence Vicinity Map