HomeMy WebLinkAboutApplication>5l* rlr ?,::ã .r1 ¡5 { }..J(J I'; c¡HJ>-uJb rL=É,= óã fl tJl l¡Jo t¡JÉ Community Development Department 108 8th Street, Suite 401 Glenwood Sprlngs, CO 81601 l970le4s-8212 www.ga rf¡eld-cou nW.com Gørfield County D3 WPE OF GRADING tr MAJOR tr MINoR PROJECT NAME AND LOCATION Ranch - Lot 10 INVOTVED PARTIES Anthony Alfini 3387 Lakewood Dr I Rockingham,VA22801 Phone: EmailAddress:aalfini@gmail.com f 970 ) 618-7073Property Owner: Mailing Address: Contractor: Giard Homes, lnc.Phone:{ 970 I 230-1536 Email Address:roger.giard@giardhomes.com Mailing Address:1431 Airport Rd I Rifle, CO 81650 Phone: ( I Malling Address: EmailAddress: Architect: Same as Contractor Roaring Fork Engineering (Contact: Anthony Alfini, PE)618-7073 592 Hwy 133lCarbondale, CO 81623 970 EmailAddress:AnthonyA@rfeng.biz Engineer: Mailing Address: Phone: I for new construction of single-family residence in Four Mile Ranch subdivision Job Address:TBD Red Cliff Cir Glenwood Spring, CO 81601 2185274'16010Assessol's Parcel Number: 5u5. Four Mile Ranch Lot 1o _Block Earthwork (square feet|. 10,000 Earthwork (Cubic Yards):300 N/A Authoriw. This application for a Building Permit must be signed by the Owner of the propertç described above, or an authorized agent. lfthe signature below is not that ofthe Owner, a separate letter of authority, signed by the Owner, must be provided with this Application, Lesal 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 perm¡ts 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. 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. ln 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, 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 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 Bu¡lding Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construct¡on 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 w¡th 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. CERTIFICATION ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE I hereby acknowledge that I have read and understand the Notice and Certification above as wellas have provided the requ¡red information which is correct and accurate to the best of my knowledge. 3t3t2021 Property Owner and Sign Date OFFICIAI USE oNtY p{ccoô. spec¡alcond¡tions: Q AnANç Wa /rv''^-r ,8 Æ () Ì*{¿?'S 2l fto,tp-4t, ts< #:ø,rg Fees Pald:f too .'oTotal Fees: Stoo.go Mlsc Fees:Permlt Fee: ^t too. g Zon¡ng: ZU?.AÞ lssue Dãte:Grading Permit:gÈ$Ì.-ú.$Pt-=Balance due:l"s BUILDING / PI.ANNING DIVISION : Date 4'/? -zoA) 04/19/2021