HomeMy WebLinkAboutApplicationGarfield County
GRADING PERMIT
APPLICATION
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 94s-8212
www.garfield-cou ntv.com
TYPË OF GRADING
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INVOLVED PARTIES
Property owner: Joseph K & Elizabeth C Tomaswick pnone, F03 ) 303-6229
Mailing Address:PO Box 1594, Silverthorne, CO 80498
Email Address:jto maswick@comcast. net
Contractor:Resort Development Building pnone: P70 309-5740
Mailing Address: 99 Elfin Place, Glenwood Springs, CO 81601
Email Address:soldoffS@aol.com
Architect:David Brown (StrykeriBrown)pt one, P70 )
309-4100
Mailing Address:38 Diamon A Ranch, Carbondale, CO 81623
Email Address:david@strykerbrown.com
Justin Dolezal ptron": r303 )
628-5015
Engineer:
Mailing Address:7332 S. Alton Way #13H, Centennial, Co 80112
EmailAddress:jdolezal@ctlthompson. com
PROJECT NAME AND LOCATION
Project Name 92 Crescent Place
Describe Work:New Single Family Home & Driveway
Job Address:92 Crescent Place LOS AMIGOS RANCH FL 5 PH ll Lot 64
Assessoy's Parcel Number:239305107045
516. LOS AMTGOS RANCH FL 5 PH ll Lot 64 ,¡o.¡ Filing 5
Earthwork (square feet):Earthwork (Cubic Yards):
Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, 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.
Lesal Access. 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 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.
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 (submittafs), based upon my certification as to accuracy. Assuming
completeness of the subm¡ttals and approval of this Application, a Building Permit will be issued grant¡ng
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, ¡f 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 appl¡cable 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 appl¡cable 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
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
CERTIFICATION
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.
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Property Owner Print and Sign Date
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Total Fees:Fees Paid:
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Misc Fees:Permit Fee:
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lssue Date:Zoning:
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Balance due:+/Grading Permit:
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5- 7-Ls>/BUILDING / PTANNING DIVISION :
Signed Approval Date