HomeMy WebLinkAboutApplicationGørfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ols4s-82t2 www.ea rfield-countv.com 6ßADl,tr¡6 tr MAJOR E MINOR :l*W,$|lilW,PARTlË5 Thomas Fisher/Colleen Hause phone:70 309-0814Property Owner: Mailing Address:1090 Fender Lane, Carbondale, CO 81623 EmailAddress:tomfisher@rocketma i ¡. com Contractor Professional Excavat¡n g Phone: P70 16182872 Mailing Address:0326 CO-133#150, Carbondale, CO 81623 EmailAddress . management@profess ionexcavating.com Architect:Phone: (_) Mailing Address: EmailAddress: l Engineer:Phone: ( Mailing Address: EmailAddress: 'wøwgr $AME AllD tocATloN Project Name:Fisher-Hause Residence, Lot 16 Panorama Ranches Describe work: Grading and installation of driveway, and g rading of homesite Job Address:Homestead 16 Panorama Ranches, Carbondale, CO 81623 Assessorrs Parcel Number:2391 16201016 ,u¡. Panorama Ranches l-ot 16 Block Earthwork (square feet) :1 0000 Earthwork (Cubic Yards):500 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING Author¡tv. ThisapplicationforaBuildingPermitnrustbesigrredbytheOwneroftheproperty,describedabove,or 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 Buildittg 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 identifíed 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 acknowledge that I 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. 7V"øo¿* P Fù//,,, 41512021 Property Owner Print and Sign Date CERTIF¡CANON I hereby certify that I have read this Application and that the informatíon contaíned 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 Pcrmit, lagrcc that land 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), descríbed 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 íssuance; 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. OrHcntUsEoÍ{tv pl Stoo P e!+ tt{5 , oxfzaf7*.u Special Conditions: B.Þ. Pr-rt þurr-ar'<(, Cìu+a¿ç-ç Bv,14-17 ñ &Ú/Et4t. r4u(t- BE /Å/ @^tar23 R ß,,ç ,Pz.pÐzt¿Ç ,ñt s¡-w $rr ^Èxz1/fNu*Lo?E-(, Permit Fee: {(oo.o3 Misc Fees:Total Fees: $ loo."! Fees Paid:* tö0. t9 Balance due:i.r Grading Permit: oÊAq- âsrè lssue Date: oLlfzt /zozt Zoning: E-ut¿A l- BUILDING / PLANNING DIVISION :4'#pt/ Date