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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www.garfield-countv.com
Gurfrcld County
TYPE OF GRADING
tr MAJOR tr MINOR D6
INVOLVED PARTIES
Property Owner:
Mailing Address:
ABEL ESTEBAN GOMEZ Pt on", P70 3669210
464 N MIDLAND AVE, NEW CASTLE, CO 81647
Emait Addrerr. AE@l M PSEG.COM
Contractor:Phone: (_)
Mailing Address
EmailAddress:
Architect: GABLE STEEL Phone: (_)
Mailing Address: 15502 Stoney brook WPkwy #104-580, Winter Garden, FL34787
Email Addrerr. info@gablesteel.com
Engineer:STEVEN R. EDMISTON Phone:P70 )
5100773
Mailing Address
EmailAddress:
1040 Main Street, Carbondale, CO 81623
PROJECT NAME AND TOCATION
Project Name ,Storage Building
Describe work: Metal building
Job Address: TBD CR 214
Assessor,s parcet Number: 218105101296
sua.2181051 01296 tot2 _Block
Earthwork (square feet):3600 Earthwork (Cubic Yards):300
ALL UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
NOTICE
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the requ which is correct and accurate to the best of my knowledge.
0612112021
Date
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
Leeal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor
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 ¡dentified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICAT¡ON
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, lagree 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, 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 (2l,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
const¡tute 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/ ar
builder.
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Special Conditions:
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Permit Fee
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Misc Fees Total Fees:
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Fees Paid:* t oo.9c
Balance due:
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Grading Permit:Zoníng:
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Date