The URL can be used to link to this page

Home My WebLink AboutApplication1 Community Development Department l08 8 " Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.Ra rfield-tountv,cam GRADING PERMIT APPLICATION TYPE OF GRADING l ❑ MAJOR MINOR INVOLVED PARTIES Property Owner: MhliViCs..] 1f'60.14f t— Mailing Address: 3 i' (Z►iF,a BBNO t^I A Email Address: QUA r 00V. - tor'►t.r?sT . NEC` Phone: (crtd) 3tQt `i�Q4 Contractor: M(VTA CoNsrtl►►cnoJ A-tro:shut Ida/LAS Phone:(9 ) 9`IIR"IQ 2y Mailing Address: °Vitt Wu1C►. 51%-v{,t �R` O4f a ct) %1bS� Email Address: SA01-T42.1a.S€ C5 .Cowt Architect: CU TWO-5 L 5U Phone: (41'1 ) , r. - l Yt4 5Lai Mailing Address: q�5 Gm.�r� aF rest; sue[? r t'4�CY�g4 ,PQ-W65 W _ Email Address- 6!_141Q GOG14eM F-5 , oorl Engineer: irb Phone: ( C(I } 945b-5QS Mailing Address. to 4f tea %% i __q:,t1., Email Address. I!U!2-Te re Niel NBA1t. ` At1lt.cs .c0/61 PROJECT NAME AND LOCATION .,.. `� �,,:_ -' Project Name: % VA'a NfHt. i3s+..y) 0On't AO5:gamma£ Describe Work. 510141.4 iu1 1 'V: 1.-16Cf ]SI ]{-cL7 c s ►s'R`)U aF r. u6061-r tfiiii La1ri-t We1ucor.a-%— A r84_ a s'6_ Job Address: I ►`i a A Yi $B w04.3 ecii..75 C_O tai boi , Assessors Parcel Number: 2-39 5as 19 21Cpb$ Sub. Lot 408 Block Earthwork (square feet): (3c1STO Earthwork (Cubic Yards): 3C5 Scanned with CamScanner 1 ALL 'UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING DrAw-•.rt . -- 7.,r7ell � r - .st.:1-• 4' i 5°1•'.__t'`' ri^xfy r • •: Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or1 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 thls Application. Leal 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, Vold Permit; A Building Permit becomes null and void if the work authorized is not commenced within 180 days of ithe date of Issuance and i( work is suspended or abandoned for a period of 180 days after commencement, C RTIACA?1QN 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, 1 agree that 1 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 ariy 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. t hereby acknowledge that 1 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. it 45124.2_0 elliterf air V/. w - Property Owner Print and Sign °MULL USE ONi:Y Special Condltlons: ! + Date L4.) 4 ' S -RisS PIC-14-0/4Cy N-4) Pia'11-4'4-Cr RiK-OirQi` Permit Fee: $100.00 Mlsc Fees: Total Fees: $100.00 Fees Pald: $100.00 Zoning: PUD Balance nce due: $0.00 BUILDING / PLANNING DIVISION Grading Permit: GRAD-04-20-6223 PD. $100.00, CC, 4/16/2020 Signed Ap Issue Datt: 4/ 17•/2020 )7-2,020 Date Scanned with CamScanner