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HomeMy WebLinkAboutApplicationGørfield Counly Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Itg7ol945-82L2 www.garfield-cou ntv.com TYPE OF GRADING tr MAJOR tr MINOR ¡tAl fr INVOTVED PARTIES Property owner: Robin Boggie Phone w t602-5122 Mailing Address:4351 County Rd 115 GWS, CO 81601 EmailAddress:orianal 06T@yahoo.com contractor: Domoplex, LLC pnone: P7o ) 987-2353 Mailing Address 2550 Hwy 82, Unit 108A, GWS, CO 81601 EmailAddress . slawek@domoplex.com Architect:Phone: Mailing Address EmailAddress: Engineer:Phone: {) Mailing Address EmailAddress: PROJECT NAME AND TOCATION Project N Single Family New Residence Describe Work:Driveway Cut, Grubing & Clearing Lot Job Address:Woodruff Road, GWS, CO 81601 Assessol's Parcel Number 239305208037 sub. Elk Springs Lot 37 _Block Filling 6 Earthwork (square feet):5000 Earthwork (Cubic Yards) :250 < ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authoritv. This application for a Building Perm¡t 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 thìs Application. Legal Access. A Building Perm¡t cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division' Other Perm¡ts. Multiple separate permits may be required: (1) State Electrical Perm¡t, (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. CERTIFICATION 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, 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 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. I hereby acknowledge that I have read and understand the Notice and Cert¡fication above as well as have provided the required information which is correct and accurate to the best of my knowledge. Vt'awak Lvoicrurh 511912021 Property Owner Print and Sign Date OFFICIAT USE ONLY Pd Sloo.€ ce. øíþt/zozr SpeciatConditi""t G A Æryq þuzrÞr*ç ?æ*--T t)o*ü'S Å,tr< /uæ,Æ? 8 nú)'-') Perm¡t Fee: $ too.d Misc Fees:Total Fees:t too.êa Fees Paid:* toce.* Balance due:,p+ Grading Permit: GBAp,. 196?,, lssue Date:-6trv1/zozt Zon¡ng: Pr/Þ BUILDING / PLANNING DIVISION Signed Date 2