HomeMy WebLinkAboutApplicationGørfield County
GRADING PERMIT
APPLICATIONnity Development Department
t08 gÛ sÜeet, Suite 4ol
Springs, CO 81601E\(97Ols4s-82t21Ñ
Þ.qs
OF GRADING tr MINORtr MAJOR
INVOLVED PARTIES
Buchman, Edward and Michelle Phone:504-6133Property Owner:
Mailing Address:P.O. Box 667 Carbondale, CO 81623
EmailAddress . ed.buchman@gmail.com
Terralink Structures, ltd Phone: t979-l 379-3741
Contractor:
Mailing Address:P.O. Box 1242, Carbondale, CO 81623
EmailAddress . andy@terral inkstructu res.com
Hagman Architects Phone: P79-l 379-5521
Architect:
Mailing Address:618 Sopris Avenue, Carbondale, CO 81623
EmailAddress:ti m@hag manarchitects. com
Engineer:Roaring Fork Engineers Phone:p7o ) 340-4130
Mailing Address:
EmailAddress:
592 CO-133, Carbondale, CO 81623
PROJECT NAME AND LOCATION
Project Name . Buchman Residence
Describe Work:Clear and Grub, commence with foundation excavat¡on
Job Address 574 Crystal River Road, Carbondale, CO 81623
Assesso/s Parcel Number:246304109013
Sub.Rock Creek Subdivision Lot 12-13 Amended 13 _Block
Earthwork (square feet) :Earthwork (Cubic Yards):
48 of 88
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or
an âuthorized agent. lf 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 Permil (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 certifo 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 th¡s 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. ln 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 Garf¡eld County Building Code, OWTS
regulations and applicable land use regulations (County Regulation{s)). I acknowledge that the Building Perm¡t
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 pefmission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Buíldíng Permit does not prevent the Buildíng Offícial from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or lêl 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
const¡tute 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 wíth me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
ALL UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
NOTICE
I hereby acknowledge that I have read and understand the Not¡ce and Certificat¡on above as well as
have which is correct and accurate to the best of my knowledge.
and Sign uc
u
Date
ol1,l0 o oo.,
OFFICIALUSEONTY
Ðzrr"/Ga
^./fnm¿r
Special Cond¡t¡ons:i )1,,r<
RpüFt¿.
N FA fi.roqnçnb//nç Å-T 0^
Burcvr¡4
Total Fees: ¡
lD0 Do
FeesPaid:
ßo. ooPermit Fee: .
lü0 0ô
Misc Fees:
Zoning:
K
Balance due:,ú Grading Permit:
GUa>,sLß \
BUILDING / PTANNING DIVISION :
lssue Date:
o
Date
FD tg