HomeMy WebLinkAboutApplicationGurfield Counîjt
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970le4s-82L2RECEIVED
APR rl? 2019
8.ii5lFi 3- Î-WHH{:: RA D I N G
INVOTVED PARTIES
tr MINOR
Richard and Karen Haff Phone:
46535 Hwy 6 Glenwood Springs CO 81601
7A 945-5704Property Owner:
Mailing Address:
EmailAddress:khaff3@yahoo.corn
contractor: Advanced Underground Construction Phone: P70 )
618-2504
Mailing Address
Email Addrerr. AUCDAVE@msn. com
Architect:Phone: (_)
Mailing Address:
EmailAddress:
Engineer: _ Phone: (-)_-
Mailing Address:
EmailAddress:
PROJECT NAME AND LOCATION
Project Name:Haff Project
Describe work: Grading for expanded driveway further into property and pad
for foundation.
rob Address. 46535 Hwy 6 Glenwood Springs CO 81601
Assessor's Parcel Number 212336100052
Sub Lot _Block
Earthwork (square feet):10,000 Earthwork (Cubic Yards):4500
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. This application for a Building Perm¡t must be signed by the Owner of the property, described above, or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,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 Divis on.
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 ìdentified above, e.g. State or County Higl-way/ Road Access or
a State Wastewater Discharge Perm¡t.
Void Permit. A Building Permit becomes nul: and voìd if the work authorized is not commenced vvithin 180 days of
the date of issuance and if work is suspended or abandoned for a period of L80 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 nre or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approva 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 Permil, 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)1. lacknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the lor:ation, 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 properly, 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 subnlittals, if any, discovered after issuance; or (2) stocping construction
or use of the srructure(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 Certíf¡cation above as well as
have provided the requ¡red inform n which is correct and accurate to the best of my knowledge.
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Owner Print and Sign ortÉ/ / |
..t 66OFFICIAL USE ONLY
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BUITDING / PLANNING DIVISION
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Site Plan: HighwaY Access
46535 HwY 6 Glenwood SPrings
Parcel : 2L2336100052
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