HomeMy WebLinkAboutApplicationGørfield County
GRADING PERMIT
APPLICATIONComm unity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www. ga rfie ld-co u ntv.com
flPE OF GRADING
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INVOLVED PARTIES
Phone:
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EmailAddress:
Property Owner:
Mailing Address:
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Phone:
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({Contractor:
Mailing Address:
EmailAddress:
Architect:
Engineer:
Mailing Address:
EmailAddress:
Phone: (
Mailing Address:
EmailAddress:
PROJECT LOCATION
Sub. Lot *-.-
Earthwork (square feet):
-
Job Address:
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Earthwork (Cubic Yards):
Block
Assessol's Parcel Number;
Describe Work:
Proiect Na
Owner, must be provided with this Application.
Legat 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
Authoritv. This application for a Building Permit must be
an authorized agent. lf the signature below is not that of
I hereby certify that I have read this Application
understand that the Building Division accepts th
signed by the Owner ofthe property, described above, or
the Owner, a separate letter of authority, signed by the
and that the information contained above is true and correct' I
e 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. ln consideration of the issuance of the Building Permit, lagree 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)). lacknowledgethatthe Building Permit
may be suspended or revoked, upon notice from the County, if the location, construction or use ofthe 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 acknowlerlge 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 submittats, 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 d¡screpancies' 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
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
I hereby acknowledge that I have read and understand the Not ice and Certification above as well as
have provided the requ¡red information which is correct and accurate to the best of my knowledge'
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roperty Owner Print and Sign Date
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OFFICIAL USE ONLV
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Fees Paid 0D-Total Fees:
lDo"-Misc Fees:Perm¡t Fee Iuu-Zoning:
?lssue Date:
spolx,<Grading Permit:
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Balance due:
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BUILDING / PLANNING DIVISION
Approval Date
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