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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, aiite 401 Glenwood Bprings, 0081601 (970) 945-8212 www.oarfield-countv.com GRADING PERM I T APPL.I CATI ON TYPE OF GRADING 0 MAER INVOLVED PARTIES Property Owner: (\" `A t M ailing Address: --7,50„ Sw1. N5 MINOR 1 Fhone: ( 6i ) 61'6-76 Ysf Contractor: 04 .4-1. N 1 e a'` % 1 w ! ".' Phone: 61 '26't 5r1- Mai l ing Address 2SZtv (45 De- Ardutedt: Ju604/11 J1+D . 'C-�1 vA id Phone: ( _5 9 iJr v 2 Mailing Address: C (( f pl4 Engineer: Mailing Address (6L7 0/kw Phone: (O ) S*1 PST NAM EAND LOCATION Project Name: Zerr 2. Describe Work: Q 414-4(Aalitn ,bb Address 11-7 `� L 5T `T Z- �l'+H3 t 1i)3(- Assessor's Parcel Number/1- 6-3 I s-1 o `f o I o LtD. $JbS e G /e Lot Block Earthwork (square feet): /NR) Earthwork (Qibic Yards): 10 ALL U11 U11 ES M UST BE LOCATED PRI ORTO ANY GRADI NG NCfilCE Authority. This application for a Building larmit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below isnot that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Legal Aooess. A Building FBrmit cannot be issued without proof of legal and adequate access to the property for purposes of inspedions by the Building Division. Other Permits. Multiple separate permits may be required: (1) Sate Bedrical Permit, (2) County OWTSFermit, (3) another permit required for use on the property identified above, e.g. Sate or Cbunty lighway/ Fbad ka ss or a Sate Wastewater Discharge Permit. Void Permit. A Building Fbrmit becomes null and void if the work authorized isnot commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 daysafter commencement. CHR11ROtaleN I hereby certify that 1 have read this Application and that the informnation eontanea aoove is true ano oc:rre;. 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 Flarmit will be issued granting permission to me, as Owner, to construct the structure(s) and fadlities detailed on the submittals reviewed by the Building I]ivison. In consideration of the issuance of the Building Permit, I agree that land my agentswill comply with provisonsof ay federal, nate or local law regulating the work and the Garfield Cbunty Building Code, (]NUTS regulations and applicable land use regulations (county Fagulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, mnstrudion or use of the structure(s) and fadlity(ies), described above, are not in compliance with county Iagulation(s) or any other applicable law. I hereby pant permission to the Building Division to enter the property, described above, to inspect the work. 1 further acknowledge that the issuance of the Building Farmit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping oonstrudion or use of the structure(s) or fadlity(ies) if such is in violation of (bunty fagulation(s) or any other applicable law. Review of thisApplication, induding submittals, and inspedions of the work by the Building Division do not constitute an acceptance of responsibility or liability by the Cbunty of errors, omissions or discrepandes. As the Owner, 1 acknowledge that responsibility for compliance with federal, state and focal laws and County Regulations rest with me and my authorized agents, induding without limitation my architect designer, engneer and/ or builder. I hereby acknowledge that 1 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. Property Owner Print and Sgn Date OFR OAL UUONLY excel Cbndilions F ermir�' tFee: rl 1 V ° 60 Misc Fees Total F 4 n ,. ///�� Fees Paid: 100, O Balanced Galling Permit: G -31 Issue late: Zoning: pvb hell F,pprove! Date