HomeMy WebLinkAboutApplicationGaffield County
GRADING PERMIT
APPLICATIONCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7ol s4s-82t2
www.ga rfield-cou ntv.com
TYPE OF GRADING
INVOLVED PARTIES
tr MINORtr MAJOR
Property Owner:SCIB, LLC Phone:
Mailing Address 0115 Boomerang Road, Suite 52018, Aspen, CO 81611
920.3255
EmailAddress:lu ke.gosda@su nriseco. com
70Phone
Mailing Address:
9873527
Contractor:Dockers Construction
EmailAddress dockersconstruction @comcast. net
1002 Old Dutch Mill Road, Colorado Springs, CO 80907
Phone:
EmailAddress:
Mailing Address:
Architect: James Woelke
679-7303Sandlin Services - Nick Sandlin
EmailAddress:n ick@sand I i nservices.com
Phone: P06 )Engineer:
Mailing Address:
PROJECT NAME AND LOCATION
Project Name:lronbridge Residence
Describe Work . Sitework and Foundation Excavation for residence
Job Address:255 Blue Heron Drive, Glenwood Springs, CO 81601
Assessor's Parcel Number: 239501230055
sub. |RoNBRIDGE PUD, PHASE ll, FILING 1 & 2 EÃ
Lot ru _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,
an aLlthorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by thc
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.
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 L80 days after commencement.
CERTIFICATION
I hereby certifythat I have read thisApplication and thatthe information contained above istrue 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 land my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
regulationsand applicable land use regulations (County Regulation(s)). lacknowledgethatthe 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 pernrissiorl to the Building Divisiorr Lo errter 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
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/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
/rrÁ"Bl27l21
Property Owner Print and Sign Date
OFFICIAL USE ONtY ?á loo.JI
Special Conditions.f '\:4
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Permit Fee:
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Misc Fees:Total Fees:
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Fees Paid:
$ lÕo.to
Balance due:
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Grading Permit:
6R.AÞ -r408&l ß/sn/a t
lssue Date:Zoning:
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Ê,-n-?¿uBUILDING / PLANNING DIVISION
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Date
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