HomeMy WebLinkAboutApplicationGaffield County
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OF GRADING
M ¡vrrruonEI MAJOR
INVOLVED P,ARTIES
Property owner: Orchard Creek Ranch LLC Phone: (
Mailing Address:726Cowtv road 137.
EmailAddress:
Contractor: Dous Hayes Phone:( qzo- )rlg-rsrs
Mailing Address:1002 Blake Ave
Email Address: dhayesconstruction@gmail.com
Architect: Dous Rauer Phone: ( 970 1927-1780
Mailing Address:1780 Snowmass Creek Rd., Snowmass Co
Email AddresS: dong@dongragerarchifecfs com
Engineer: Deric Walters Phone:970 252
Mailing Address:923 Coooer Ave. Suite 201. Glenwood Sorinss. Co 81601
EmailAddress: deric@bu-inc.com
PROJECÍ NAME AND LOCATION
Project Orchard Creek Ranch
Describe Work:Driveway and site Gradins for future sinsle familv residence
JobAddress: 0150 Canvon creekroad
lssessor's ParcelNumber 212336200051
Sub
uare
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provicled with this Application.
Lesal Access. A Buildíng Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Mult¡ple separate permits may be required: (1) State Electrical Perm¡t, (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 Perm¡t.
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 cert¡fy 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 cert¡fication as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued grant¡ng
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
Building Division. ln consideration of the issuance of the Building Perm¡t, 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)
requíring 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 Applicatíon, 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 hereby acknowledge that I have read and understand the Not¡ce and Cert¡fication above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
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Property and Sign Date
OFFICIAT USE ONLY
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