HomeMy WebLinkAboutApplicationGarfield County D7*
nÉgnrugþ Development Department- i0¡ 8th Street, Suite 401
,¡,,' !! ;,Glenwood Springs, CO 81601
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APPUCATION
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TYPE OF GRADINGtr MAJoR tr MINoR
INVOTVED PARTIES
Property owner: Jeff and Becky Zimmerman prrone, É03 I 886-0342
Mailing Address:6936 E Archer Pl Denver, CO 80230
EmailAddress:jzimmermann@designworkshop.com, bzimmermann@designworkshop.com
Contractor:Janckila Construction phone: (970 ) 319-3650
Mailing Address:75 Buckskin Dr Carbondale CO 81623
EmailAddress:pete@anckilaconstruction.co m
Architect:Northworks Architects & Planners, LLC phone:F70 t924-0514
Mailing Address:185 E Hansen Ave Jackson WY 83001
EmailAddress:gsutton@nwks.com
Engineer:Albright and Associates ptrone, P70 )
927-4363
Mailing Address:402ParkAve, Unit A Basalt, CO 81621
EmailAddress:jack@albright-associates.com
PROJECT NAME AND TOCATION
Project 37 Cutbow Ln Zimmermann Residence
Describe Work: Excavation lor a2 story home on crawlspace with attached garage
Job Addresr. 37 Cutbow Ln Garbondale CO 81623
Assessor's Parcel Number: 239329102022
,u¡. Coryell Ranch Iot 22 _Block
Earthwork (square feet):4000 Earthwork (Cubic Yards|.440
Authori$. This application for a Building Permit must be signed by the Owner of the property,
an authorized agent. lf 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 Perm¡ts. 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.
described above, or
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true
understand that the Buildíng 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. ln consideration of the issuance of the Buílding 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, ifthe location, construction or use ofthe structure(s)
and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law'
I hereby grant permíssion to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the íssuance 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 (2l'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 Buílding Divísion 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 lim¡tation my architect designer, engineer andl or
builder
and correct. I
NOTICE
I hereby
have provid
ALt UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
I have read and understand the Notice and Certification above as well as
which is correct and accurate to the best of my knowledge.
313121
Property Owner Print and Sign Date
OFFICIAT USE ONIY
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Grading Perm¡t:
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Date
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Signed Approva
BUITDING / PLANNING DIVISION :
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