Loading...
HomeMy WebLinkAboutApplicationGarfteld County neceveS"ïiY,?ïii,ï;;l"o;;;*'*n' sEP 12 2018 Glenwood Springs, CO 81601 (s7ols4s-82r2 c WPE OF GRADING tr MAJOR EI MINoR INVOLVED PARTIES Property Owner:David Rosenfeld Phone:1719) 139-3335 Mailing Address:3800 Old Lodge Rd, 85, Glenwood Springs, CO 81601 Email Address:drosenfe@hotmail.com Contractor:Craig Chance Phone: d970) 930-2029 Mailing Address:1471Walz Avenue Email Address:craigcha nce@yahoo, com Architect: David Rosenfeld Phone:1e)39-3335 Malling Address; 3800 Old Lodge Rd, 85, Glenwood Springs, CO 81601 EmailAddress:drosenfe@hotmail.com Engineer:Alex Ewers Phone: {(970) p84-9076 Mailing Address: 118 W Sixth $t, Suite 200 Emait Addrerr. alexe@sgm-inc. com PROJECT NAME AND TOCATION Project Rosenfeld Residence Desgibe Work:Excavation and grading to prepare for construction of a new si ngle family residence JobAddresr. 81 Crescent Place, Glenwood Springs, CO 81601 Assessol's Parcel Number:2393051 07027 tus. Los Amigos Ranch (Elk Springs)tot 65 Block Earthwork (square feet):9660 Earthwork (Cubic Yardsf :167 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authorlw. This application for a Building Permit must be signed by the Owner of the property, described above, or an author¡zed 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. Lenal 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 ã State Wastewater Discharge Permit. Void Permlt. 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 CERTIFICATION I hereby certify that I have read this Applicatíon and that the information contained above is truÊ and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data subm¡tted by me or on my behalf (submittals), based upon my certif¡cat¡on 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, 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, OWÏS 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 lssuance of the Building Permit does not prevent the Build¡ng Official from: {1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (21stoppíng construct¡on 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, incf uding submittâls, and inspections of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissíons 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 reed 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. E)ryrE> Property Owner Print and Sign ø1u/ø Date J Q-t e<OFFICIAT USE ONTY û.a)t¡t I G\r+o,uç lîT 'CÞîrf4's R,s< "þ*p*ç B.>. /h^ozSpecial Conditions¡ 8 ro,þ,Ð - Misc Feesr Total Fees;€loo.co Fees Paldr --#loo.oo Permit Feel4lPD'oö Grading Perm¡t3 àrzça <qsp lssue Datè\ \Pt -T) Zon¡ng!Balance due: .ö- î-ttlprgBUil.DTNG / PLANNING DrVrSrON : Datè 1 ,l .,í