HomeMy WebLinkAboutApplicationGarfield County
t 7 ; Community Development Department
108 8`" Street, Suite 401
Glenwood Springs, CO 81601
SEP 0 7 ml; (970) 945-8212
;F IEL ,) t-" 0UN.lwww.garfield-county.com
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TYPE OF GRADING
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INVOLVED PARTIES
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Property Owner: Eastbank, LLC phone: ( 970
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925-9046
lVedlling N4uress: - —. -• •-• •' • - ••, """" • • "r •..+l..v.. vv WIWI I
Contractor: FUSE architecture + construction Phone: ( 970 ) 618-5831
Mailing Address: P.O. Box 4525, Basalt, CO 81621
Architect: Phone: ( )
Mailing Address:
Engineer: High Country Engineering, Inc. Phone: ( 970 ) 945-8676
Mailing Address: 1517 Blake Ave. Glenwood Springs, CO 81601
PROJECT NAME AND LOCATION
Project Name: Roaring Fork Equine Hospital
Describe Work: demolition of damaged concrete drives, site preparations for future building
which include misc re -grading and site utilities
Job Address: 3927 County Rd 154
Glenwood Springs, CO 81601
Assessor's Parcel Number: 2185-354-15-002
Sub. EASTBANK, LLC MINOR SUBDIVISION Lot Lot: 2 _block PARCEL 2A,
Earthwork (square feet): approx. 15,000 sf Earthwork (Cubic Yards):
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
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.
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.
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 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.
y acknowledge that I have read and understand the Notice and Certification above as well as
ed the
ed information which is correct and accurate to the best of my knowledge.
'r6perty Owner Print and Sign Date
O'EN tAII'M IC1Nlil
Special Conditions: QlK4 �
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Permit Fee:
Misc Fees:
Total Fees:
Fees Paid:
Balance due:
Grading Permit:
Issue Date:
Zoning:
BUILDING / PLANNING DIVISION:
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Date
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