HomeMy WebLinkAboutApplicationRECEIVETJ
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol94s-8212
www.ga rfield-countv.com
TYPE OF GRADING
tr MAJOR tr MINOR
INVOLVED PARTIES
Property Owner:SCIB, LLC phone: t970 I 920.3255
Mailing Address: 0155 Boomerang Road, Suite 52018, Aspen, CO 81611
EmailAddress . luke.gosda@sunriseco.com
contractor: Dockers Construction p¡ron"' 1970 )
9873527
Mailing Address:
EmailAddress d ockersconstru ct¡on @comcast. net
Architect: James Woelke Phone:
Mailing Address:1002 Old Dutch Mill Road, Colorado Springs, CO 80907
EmailAddress:
Engi n""r. High Country Engineering p¡s¡g.1970 ) 945-8676
Mailing Address 1517 Blake Avenue Glenwood Springs, CO 81601
EmailAddress:ddennison@hceng.com
PROJECT NAME AND LOCATION
project ¡"rn"' Lot 264 lronbridge Residence
Describe Work:Sitework and Foundation Excavation for residence.
Job Address:35 River Vista, Glenwood Springs, CO 81601
Assessor's Parcel Number: 239501 329264
sub. tRoNBRtDGE PUD, PHASE ll, FILING 1 & 2 Lot 261 _Block
Earthwork (square feet) :2000 Earthwork (Cubic Yards) :250
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
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. A Building 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 identified 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.
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 ¡n 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¡f¡cation above as well as
have provided the requ¡red information which is correct and accurate to the best of my knowledge.
/tt/-6122121
Property Owner Print and Sign Date
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