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HomeMy WebLinkAboutApplicationGørfield County GRADING PERMIT APPUCATION- _,Community Development DepartmentRECEIVEfug e* Street, Suite ¿t01 ! , r .€lenwood SPrings, CO 81601,.,:.,: p7Al94S_92L2 GARFIËLDc@ COMMUNITY DEYELOPIIENT TYPE OF GRADING E MAJoR M MINoR INVOLVED PARTIES Property Owner . Jason and Crystal Schm¡dt pnone: P70 t379-3445 Mailing Address:PO Box 2063 Glenwood Springs, CO 81602 EmailAddress . K2.jason@yahoo.com Contractor:Jason Schmidt (Owner/builder)phone: {970 t379-3445 Mailing Address:Same as above EmailAddress . Same as above Architect:The Drawing Board (Rob Classen)Phone:870 ) 945-5025 Mailing Address:818 Colorado Ave. Glenwood Springs, CO 81601 EmailAddress . Drawbd@rof.net Engineer:lron Mtn. Eng ineering, lnc.Phone: P7A t274-2343 MaitingAddress:607 W. Harvard Dr. Glenwood Springs, CO 81601 Email Address . Jetf @ ironmountaineng.com PROJECT NAME AND LOCATION Project Name:Schmidt Residence Describework: New si le fami home robAddresr,24 Hidden Valley Dr. Glenwood Springs, CO 81601 Assessol's Parcel Number 2711 { o{ o7 o{t 5u6. Springridge Reserve Lot 48 _Block Earthwork (square feet):10,000 Earthwork (Cubic Yards) : Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be provided with this Application. Legal Access, ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor 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 1-80 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATTON 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 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 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. NONCE AtL UTITITIES MUST BE LOCATED PRIOR TO ANY GRADING Property Owner Print and Sign Date I hereby acknowledge that I have read and understand the Not¡ce and Certif¡cat¡on above as well as have provided the requ¡red information which is correct and accurate to the best of my knowledge. æþh 5t1st21 OFFICIAL USE ONLY ?l I f o O.Ql cê cE th/æu speciarconditions: Gzprry +r 0,¿*aa3 Rra< þutr>,u1 à^r*,- Rr",ùtR¡.) O | -"-,tÐ/r¿ç Permit Fee:I too.s Misc Fees:Total Fees: ltoÒ,oo Fees Paidr* too,4 Balance duer/Grading Permit: OR/{D - 68€Or lssue Date: .ot7aofzo2t Zoning: PUD f-'n.....) y' Dat€ BUILDING / PIANNING DIVISION r Approval