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Home My WebLink AboutApplicationGurfield Coanty REGEIVET} j'':::.: I i '.: .. ' ,1--.1 GARFIELD COUNTY COMMUNITY DEVEI-OPMENT Community Development Department 108 8t! street, Suíte 401 Glenwood Springs, CO 81601 1970194s-82L2 www.garf ield-countv.com Project ÒCFÊ^ Describe Work:NFt¿ t ¿/Zæ't, ßql¿l ûu ø((.&û/Nh- Tr> &fr'¿. ¿Ò, .{þlt¿âv¿a/P4ac€ss GRADING PERMIT APPLICATION TYPE OF GRADING MINOR INVOTVED PARTIES E] MAJOR Property Owner:37{7t fmail Address: Á B,{st/É14ë/e Gtqaz, ¿ofrl Mailing Address: 737 Phone: t?70 I 3 I #4/ã"sf?r s/î?q{ etu€ Phone:Contractor: Mailing Address: Email Address: Phone:l ) <êrt€ - S/Þ-/F <,P2js.ØFArchitect: Mailing Address: Ema¡l Address: Phone:t77Ò t34q.fqAA Email Address:n t l(f @ t o /.o t24 ôoslÊqc rc 2Ê ¿. (ô/*lMailing Address: Engineer: PROJECT NAME AND TOCATION * ô^,../-4.,î, Job Address:C. 2. /oo ¿ jEg Assesso/s Parcel Number: Sub.Nl Earthwork (square feet): A æ Earthwork (Cubic Yards): 3 _Block ì4 3o be signed by the Owner of the property, described above, or of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Leq,al_.l$cess. A Building Permit cannot be issued w¡thout proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other permits. Multiple separate perm¡ts may be required: (1.) State Electrical Permit, (2) County OWÍS Permit, (¡) unot¡"r 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' Authoritv, This application for a Building Permit must an authorized agent. lf the signature below is not that CERTIFICATION ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NO.TICE I hereby certify that I have read this Application and that the i understand that the Building Ðivision accepts the Application, nformation contained above is true and correct. I along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my cert¡fication as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued grant¡ng permission to me, as Owner, to construct the structure(s) and facilìties detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of the Build¡ng Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulat¡ng 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 violat¡on of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Divisio4 do not constitute an acceptance of responsibility or liabil¡ty by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibil¡ty for compliance with federal, state and local laws and County Regulations rest with me and my author¡¡ed agents, incf uding without l¡mitat¡on my architect designer, engineer and/ or builder I hereby acknowledge that I have read and understand the Notice and Cert¡ficat¡on above as well as have provided the required information which is correct and accurate to the best of my knowledge. ala,r let Owner Print and Sign Dâte úOFFICIAL USE ONtY Soecial cond¡tions: -r'-)' cst î¿ +pt¿q -)/zxørug fup %ro-úrfw7ol.K Ð : Þ, Ðpxæ's y'rr¿r.u-tT ,4,tOlzü, Dî. 3zç-" 2F¡- .H rs< Fxq,ø?+Ð "#)'ÅlÅ'. o,'sii1'¿. ooltN Misc Fees:'öï'.Å"ı. to lssue Detè:@tz/u¿l ZoninP: R;ra[ Grading Permit: û.nns- hrgzr Balance due: -#d.t'o BUttDTNG / PLANNf NG DIVISION Date .2oz