HomeMy WebLinkAboutVoided ApplicationREGEIVED Community Development Department
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TYPE OF GRADING
tr MAJOR 'tr MINOR
¡NVOLVED PARTIES
CMH Homes
Property Owner:
Mailing Address 671 23 Rd,rand Junction,81 50
EmailAddress:richard.ruse@cla nhomes.co
CMH Homes
Contractorl
Mailing Address
EmailAddress:
671 23 Rd, Grand Junction,
Architect:
Mailing Address
EmailAddress:
yu
PROJECT NAME AN
P ne
970 245-9039
245-903e
Project N
Describe
that i
richard.ruse@cla nho
David Rasmussen 02)236-2677
345 o oA 623
g
tng (435)
Phone: l' )
Vernal, UT 84078
untain Shad P
r[h work will be done for the foundations, oart of the "road
lot, fill atntiated with thi a icul walls,r
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JobAddress TBD Mountian Shadows Drive Gle o fln s, CO 81ó01
Garfield Coungt
g rneer
Civco Engineeri
Engineer:
1256
Mailing Address
vanceking
Email Address:
Assessor'sParcelNumber: 211934320001
sub. Mountain Shadow Place Lot Lot 1 Block
Earthwork (square feet):
10,000 sqft Earthwork (Cubic Yards)
2,200 yd3
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NCITICE
Authoritv.This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorízed agen[. lf the signature below is not that of the Owner, a separate letter of authority, signecl by the
Owrrer, rnust be provided with this Application.
l¡:gal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor
purposes of inspections by the Building Division.
Other Permits. Multiple separate perm¡ts may be required: (L) 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. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof
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 tl¡ls Application and that the information contained above is true and correct. I
undcrstand that the Building oivi[ion fccepfs the Application, along with the plarrs ar.rcl specifications and other
data submitted by me or on my'behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals anti approval of this Application, a Building Permit will be issued granting
permission to me, as Owner¿to constrq:t,the structyre(s) and facilities detailed on the submittals reviewed bythe
Brrilding Division, ln consiclerationiof the isfirance of the Builcling Permit, I agree that I and my agents will comply
with provisions of any.[grddÞal, state or locãl law regulating the worl< and the Garfield County Building Code, OWTS
regulations and applicable lanÇ use regulations (County Rçgulation(s)). lacknowledgethatthe Building Permit
may be suspended or revıke$r¡pon notice fioln tne Csú'ìrty, if the location, construction or use of the structure(s)
and facility(ies), described abtote, aie not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to thë'Elildirtg Division to enter the property, described above, to inspect the work. I
ariç,of l1
in thq su6
further acknowledge that the issu e Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors mittds, if any, d
or use of the structure(s) or facility(ies)IN VIO ation
Review of this Application, including su
íf such is
bdllitats,
iscovergd *after issua
of Cüunty'Regu.fatio
a nd inspections of'thq"rùor:k
ility by the Countyof,eifofs,
nce; or (2) stopping construction
n(s) or any other applicable law
constítute an acceptance of responsibility or'liab
Owner, I acknowledge that responsibility for co
rest with me and my authorized agents, including with
by the Bùilding Division do not
omissions or discrepancies. As the
mpliance with federal,s,tate and local laws and County Regulations
limitation my a [ch itect desifner, engineer and/ or
builder
I hereby acknowledge that I have read and the Notice and Ccrtification abovê as well as1 ..É
rrerf dhd
a
12/7 /18
ded the required information which is co accurate to the best of my knowledge.
perty Owner Print and Sign Date
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OFF]CIAL USE ONLY
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Special Conditions:
Permit Fee: .ÍDo oo
Misc Fees:Total Fees: ,
fDD 0o
Fees Paid:
loo,oo
Balance due:
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Grading Perm¡t:
6sAò- ssls
lssue Date:Zoning:
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BUTTDTNG / P|"ANNtNG DIVtStON
Signed /\pploval Date
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