HomeMy WebLinkAboutApplicationRECEIVEü
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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www.ga rfield-cou ntv.com
TYPE OF GRADING
tr MAJOR tr MINOR
INVOLVED PART¡ES
Property Owner:SCIB, LLC phone: (970 ) 920.3255
Mailing Address 0155 Boomerang Road, Suite 52018, Aspen, CO 81611
EmailAddress:lu ke. gosda@su n riseco. com
contractor: Dockers Construction Phone 1970 ì
9873527
Mailing Address
EmailAddress:d ockersconstru ctio n @comcast. net
Architect: James Woelke Phone :l )
Mailing Address:
EmailAddress:
1002 Old Dutch Mill Road, Colorado Springs, CO 80907
High Country Engineering p¡ron"' ¡970 945-8676
Engineer:)
Mailing Address:1517 Blake Avenue Glenwood Springs, CO 81601
EmailAddress . ddennison@hceng.com
PROJECT NAME AND TOCATION
Project Na Lot 265 lronbridge Residence
Describe Work:Sitework and Foundation Excavation for residence.
Job Address . 11 River Vista, Glenwood Springs, CO 81601
Assesso/s Parcel Number 239501329265
Sub.tRoNBR|DGE PUD, PHASE ll, FILING 1 & 2 Lot 265 Block
Earthwork (square feet):2000 Earthwork (Cubic Yards).250
AtL 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 Perm¡ts. 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 Perm¡t.
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 subm¡tted 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 Buildiñg 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.
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Property Owner Print and Sign Date
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'Yiöio,'6 aoFeesPaid:
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Zoning:
ÞttrrGrading Permit:
BUILDING / PLANNING DIVISION :
lssue Date:due:oo I
DeteSigned
Balance