HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-coUntv.com
TYPE OF GRADING
0 MAJOR
INVOLVED PARTIES
CMH Homes
Property Owner:
Mailing Address:
shawn.ruse@claytonhomes.com
11111111111111111111111111111111
GRADING PERMIT
011 APPLICATION
El MINOR
671 23 Rd, Grand Junction, CO 81505
Email Address:
(970) 245-9039
Phone:(
CMH Homes
Contractor:
Mailing Address:
shawn.ruse@claytanhomes.com
Email Address:
David Rasmussen Phone: ((802) )236 2677
Architect:
345 Colorado Ave, #207, Carbondale, CO 81623
671 23 Rd, Grand Junction, CO 81505
(970) 245-9039
Phone: (_-
Mailing Address:
Email Address: yurtstead@gmail.com
Civco Engineering, Vance King Phone: ((435) 789 5448
Engineer: 1256 West 400 South, Suite 1, Vernal, UT 84078
Mailing Address:
vanceking@civcoengineering.com
Email Address:
PROJECT NAME AND LOCATION
West Rimledge Lot#3
Project Name:
driveway, septic leech field/OWTS, utilities, foundation footingslstem
Describe Work:
walls for main house and ADU.
Job Address:
West Rimledge Subdivision Lot #3
TBD County Road 100, Carbondale CO 81623
239324405003
Assessor's Parcel Number:
West Rimledge Lot 3 Block
Sub. 2,200 d3
Earthwork (square feet): 10,000 sqft Earthwork (Cubic Yards): y
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
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) Slate Electrical Permit, (2) County OWTS Permit,
(3) another per reit 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 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.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
ve rovided the required information which is correct and accurate to the best of my knowledge.
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6/1 4/1 8
roperty Owner Print and Sign
OFFICIAL USE ONLY
Special Conditions: G
Permit Fee:
Date
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00.00
Balance due:
BUILDING / PLANNING DIVISION :
Misc Fees:
Grading Permit:
Total Fees:
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Fees Paid:
Zoning:
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Date