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HomeMy WebLinkAboutApplicationREcety Community Development Department AA 11 7n1('' 1088`" Street, Suite 401 LD OVt4T lenwood Springs, CO 81601 G R �� DOIELoPHICl3Y (970) 945-8212 caMM�rii�r www.garfeld-county.com Garfield County i TYPE OF GRADING l 0 MAJOR INVOLVED PARTIES g��O Property Owner: N +1I 67,44--1112 Phone: q (csO Mailing Address: 778 Vtainoncf Arganch E. rT Ca rerkge Co Email Address: da V Id gert7raWn • Corm ItGRADING PERMIT APPLICATION I..12' MINOR Contractor: ge'©c-i- "Pave -1 fe&S� 1�iln l Phone: (170 )17013-6740 MailingAddress: Chance j0(Gl'01 55 EI frr� P1' S•c,., Email Address: Soaoff 5 ® a -O(• CD/r1 Architect: 7clk& f r-OLon Arch C Phone: ( 970) 157(3-410° Mailing Address: 2.25 14• lvlr (( fit • e 100 ! AcPpen CO ''l (dl's Email Address: david® frkerbrown •CDr✓1 Engineer: ArCa(ueiti Mailing Address: 2Z5 TJ• 7111 1( it crte 100 4, -,Fen Email Address: A L C E r1 &F& c AoL • GoM Phone: (2 7741) 4(4 - O (c 2* 81(911 PROJECT NAME AND LOCATION Project Name: LOT 2(D CER(cjF-,41�►CI+ Describe Work: Gime FaMck +bre wr cti (ped sora je Job Address: 7. 15 Lar/cJr- Pr• or 259 ue 'en -1 C1 Assessor's Parcel Number: 2.17? 117 27 'Z 04 DZG Sub. Cert' ranch Lot 1CP Block 17h45e Z L Earthwork (square feet): 2400 Earthwork (Cubic Yards): 200 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) 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. 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 have provided the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign coli1/461 Date OFFICIAL USE ONLY Special Conditions:n l.A -,-=, L+ v r 7►�-,i rtog . rikoo ),z-ii�� f� fir c F- tuk r t-tO Pi 047 D iiS .L. f pLt ,1lice 0 ?rte n1P.- c t dim Permit Fee: 100 , DO Misc Fees: Total Fees:Fees 00 , t� Paid: Joo Balance due: cis Grading Permit: Issue Date: Zoning: &IZ '1)- -0 Vii -1-119 BUILDING / PLANNING DIVISION `7- 0/7 :',"� Is ' Signed App oval Date PR. 0100) Cc-, 10 Pi