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Home My WebLink AboutApplicationGør.field County GRADING PERMIT APPLICATIONRÉCE N0\ s rvÉD \ ?s1$Glenwood Springs, CO 81601 l970l94s-82L2 .earfield-countv.com Community Development Department 108 8th Street, Suite 401 G TYPE OF GRAD¡NG MAJORE MINORtr INVOTVED PARTIES Property owner: HES 51 County Road 223 LLC phone: F18 t407-2280 Mailing Address: 12433 Hwy 82 Carbondale, Co, 81623 Emait Addrerr. lgiroux@hes-usa.com contractor: Heartland Environmental Services LLC phone:(618 ) 407-2286 Mailing Address: 12433 Hwy 82 Carbondale, Co, 81623 Emait Addrerr. lgiroux@hes-usa.com nrch¡tect: N/A Phone: ( ) Mailing Address EmailAddress: Michael Gamba p¡on".1970 945-2550Engineer: Mailing Address: 113 Ninth Street, Suite 214, Glenwood Springs, CO 81602 Emait Address. mgamba@gambaengineering.com PROJECT NAME AND TOCATION Project Nam Giroux Property Describe work: Clearing, grubbing, and placement of gravel driveway and parking area Job Addresr. 51 County Road 223, Rifle, CO Assesso/s Parcel Number: sub. N/A 2177-122-00-243 Lot Block Earthwork (square feet) :43,500 Earthwork (Cubic Yards):1_,732 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterof authority,signedbythe 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 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. VoidPermit. ABuildingPermitbecomesnullandvoidiftheworkauthorizedisnotcommencedwithinlsOdaysof 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 Applicat¡on, 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 permìssion to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln consideration of the issuance of the Building Permit, lagree that land 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)). lacknowledge that the Building Permit may be suspended or revoked, upon notice from the County, ifthe 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 acknowledge that the issuance of the Building Permit does not prevent the Building Officialfrom:(1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) orfacility(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, omisslons or discrepancies. As the Owner, lacknowledge 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 have provided the requ¡red information which is cor accurate to the best of my knowledge. ¿r,/,/c P Owner Print and oÃi OFFICIAT USE ONtY þry'/s7 /,î>?tjô.0 n 'ffiÆ*w*,Soecial O* Þr Total Fees: t lÔo'm Fees Paid DD Misc Fees:Permit Fee: loo.oo nln/nlssue Date:Zoning: c ç Grading Permit bgþ,b -ßsâ\Balance due: -er il_)-2$Ì8BUILDING / PLANNING DIVISION proval Date 4bo.oo/ Ccl