HomeMy WebLinkAboutApplicationRECEIVED
SEP ' 3 2019
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970). 945-8212
www.garfield-county.com
GARFIELD COUNTY
COMMUNITY DE M "GRADING
0 MAJOR
INVOLVED PARTIES
Property Owner: J 014- AI Ge SS
Mailing Address: '/7 to roANTY /<_b 335 N Eto ofsr-LE
Email Address: 301A%, 0 SS O C. c xo rrti Ca S �. h e
MINOR
Phone: (3_7(2) 9jg. gy03
Contractor: FfS H -E, CON ST72, NiGTI.9 k)
Mailing Address:
Email Address:
CD 4311,97
Phone: (fib7
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ex- G. corn
gd,11
Architect: .}LUNG e -S CA -Ai Ai .S
Mailing Address:
Email Address:
.•
C t.
Phone: (t7O) -Cc? Ya51a
VIL.L
7 i rcnL f.. COI►I
Engineer:
/'Z►J le /1LJP Phone: ( `170) 371 73(1
Mailing Address: 3AD /v1A Hof Sig 2O3, C<Fitso/Jb -E, Co a i0a 3
Email Address: e_14,0 o�yr c • Co ,r,.
PROJECT NAME AND LOCATION
Project Name: -a-:oC--o SS re.S Tel e -n G e_
Describe Work: /Z. 0 if J r,, A -c ' S C L i v s r r i j[ L tki-1 r4 A n e w
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CJob Address:
4aF33 Co y /2 gas-)
Assessor's Parcel Number: oZ 1 g 10 4 LI 00.26;7
Sub.
V{7 S
Earthwork (square feet): 110
Lot 1
Block
Earthwork (Cubic Yards):.550
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Autlio , This applicatiort fora Building Permit must be signed by the Owner of the property, described above, or
an a;;tharized agent if the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, mutt be provided with this Application.
Lel &c+zss• A Building Permit cannot be issued without proof of legal and adequate access to the property for
p,:rpoise5 of inspections by the Building Division,
(Mgr }L Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
) another permit required for use on the property identified above, e.g.. State or County Highway/ Road Access or
a State Wastewater Discharge Permit,
Y�l P4r+.Lti, A Building Permit becomes null and void if the work authorized its 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
hereby certify that I have read this Application and that the information contained above is true and correct,
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 certlficatian 35 to accuracy.
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission w me, as Owner, to construct the structures) and Iacilities detailed on the submittals reviewed by the
Building Division, In consideration of the issuance of the Building Permit, I agree that t and my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWT3
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 factltty(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) stepping 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 Divi.sior do riot
constitute an acceptance of rrtsponsibif)ty w liability by the County of errors, omissions or discrepancies, As the
Owner, I acknowledge that responsibility for compliance with federal, state and local taws and County Regulations
rest with me end my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
I hereby acknowled;y:. that I have read and understand the Notice and Certification above as well as
have provi • ; • the required information which is correct and accurate to the best of my knowledge,
q/3 --4Q °Z-91
warty Owner Print and Sign Date
OFFICIAL USE ONLY
Speasi Condit3ans;
Grading and excavation at Owner's risk pending building permit review/approval. Prior to review and
issuance of building permit, Owner to submit Engineered foundation design and Engineered septic system
design as per Sillivan Subdivision Exemption plat notes.
Permit tom; O 0
----
!Miami du¢:14
IUILOING I PLANNINAi AWMMON
L.
r15.$ loo.00 , V it-- 25(0, 61113rr�
Nu Fees:
T�l:Af
700 6641:4:17595.
>a,n:59 bial26iICI
_ n
Sienrd Approve
Fees Paid:
1
oo --
0/25/Xfit
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