HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
1OB 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 e4s-82X2
www.garfield-countv.com
WPE OF GRADING
T] MAJoR E n¡rruon
INVOTVED PARTIES
owner: Jo*J L Locp*t;v NrcHt¡us phone: êú tSbL':--lt3
¡¿¿r"rr,þ5e I l¿. SePUt Z\trr, Þ,rÞ B tç<ø a, f; rGz I
EmailAddress:
Property
Mailing
Jrurr t+o1-t e- NBdd. Co¡,'t
contractor: J;*u t- âùt çv/bnlL6ør?e (-,ø^tsî¿-. phone:
5oG r1ÉSA v,û.uË- Ar/t ó4A}¡>,JDtrLi- ar> g O¿g
EmailAddress:
1'7 o ?G3 3Gt
Mailing Address
Architecr: Ë g*S JæS; /J"¡¡n¡ fia-z,l' tîW¿Pónonez
Address: ?o Lox la3l âu^t,.+þSÞU*çt CÐ glçaZ-
BjL\ù J'ø"¡ þ',tt-c-,-trTtkt- e 4^,r'c,â,u,EmailAddress:
Mailing
7o G6?o
4fto¿ f-b-r5loJ / t,S.l.
ATt¿e- e tvour¿ 5 îfZü¿., apt
Engineer:
EmailAddress:
oPhone:Zoa
rî JMailing Address:LZ
7Gø
PROJECT NAME AND LOCATION
L3q( Z3uo 4o3oAssesso/s Parcel Number
sub. ( -Lt-,<r ?-l\pc*ffi,t i :
Job Address:
Earthwork (square feetf . /o/ 6öô
_Block PUNç L
Nt.l*ocS LLS.b Cr,tô,
U1l L-^a-ç5p..¡ È ÞÈ rVli
lot 3a
Earthwork (Cubic Yards):
Describe Work:
Project Name:
Firefox
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
ÈoTrcE
Authorltv. Thls appticat¡on foi a Building Perm¡t mu$ be signed by the ownei of the properry, descr¡bed above, or
' an authori:ed agent, lf the signâture below ¡:r not thåt of the Owner, å separate letter of authoritv, signed by the
Owner, must be provided wíth this Application.
le¡al Accefg. A Building Permit cannot be issued w¡thout proof of legal and ãdêquate åcces5 to the property for
purpases of inspections by the Euilding Ðivision.
Other Fermltt, Multiple separâte permits may be required: {1} State Electrical Permit, {2} County OWTS permit,
{3) another perm¡t regu¡red for use on the property ident¡f¡ed above, e.g, State or County Highwayl Rcad Açcess or
a 5tate Wa$ewater 0¡scharge Pe¡mit.
V¡id Permt, A Bu¡lding Fermit bÊcomes null ãncl void if the work authorized is not commericed w¡th¡n 180 days of
, the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CEßNFrcANO}I
I hereby certifu thet I hðve reãd this Appl¡cãt¡tÊ snd that the inforrnation contã¡ned ¿bove ¡s true ånd correct. I
understand that the Building 0ivision accepts the Application, alang rvith the plans and specifications and other
dôta subm¡tted by me or on my behalf {submiHals}, based upan rny cert¡f¡calion Íi5 to accuraçy. AssuminÊ
completeness of the submittals and approval of this Âpplication. a Building Permit will be lssued granting
pËrmi9s¡ôn to me, âs Owner, to cÕnstruct the çtructure{sl ånd facilities detailed on the submittals reviewed by the
Building Oivision. ln consideration of the issuance of the Building Ferm¡t, I agree that t and my agents will comply
with provisions of any federal, state or local låw regu¡âting the work and the Garfield County Building Code, OWTS
regulations and âpplicable land ure regulations {Crunty flegulation{s}}. I acknowledge that the Bu!lding Fermit
may be su:pended or revoked, upon not¡cê from the County, if the location, construct¡on or use ôf the structure{s}
and facility{ies}, described above, are not in compl¡ånce w¡th County Regulalion{s) or any other applicable law.
lherehygrantpermissiontotheBuildingtivisiontoentertheproperty.describedabove.tûinspectrhework. I
further acknowlêdge that the issuanee of the Build¡ng Permit does not prevent the Euilding ûfficial from: {1}
requiring the côrtect¡oR of errors in the submittãls. if any. discovered after issuance; or {2) stopp¡ng cûnstructiön
or use of the structur€{!) ôr lacility(¡es} if such is ln v¡olat¡ôn of Cûunty negulâtion{s} or âny other applicable law.
Rev¡ew of this Applicat¡on, including submittåls, and ¡nspectìons of the work by thç Building Division do not
çonstitute an acceptance of responsibility or liability by the County of errors, omissions or d¡screpanc¡es. As the
Owner, I ðüknowlëdge that responsibility for compliance with federal, stðtr and local laws and County Regr-rlations
rest with me and rny author¡¡ed agenls, ìne ludlng without lim¡tâtion my arch¡tèct de:igner, engineer and/ or
builder.
t hereby e€knowledge that I have re¡d
have provided the required ¡nformat¡on
th€ Nothe end Cêrt¡flcation above as well ¡s
to the bêst of my
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Property Owner ?r¡nt ðnd Sign Däte
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Permlt Fe€:{t oo.Q9
Ml¡c fee¡:Total Fees:
* I oo.c '.Tî'åo.cD
Cr¡dlnt P"fmitr
oP,AD-69 ? ?
lssue Dâte:-Ç[¡2le¡¿onlng:
But\lu
8ålance due: -+,6
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D¿te
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