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HomeMy WebLinkAboutApplicationGarfield County GRADING PERMIT APPLICATIONCommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (s7ole45-82L2 www.garfield-cou ntv.com TYPE OF GRAD¡NG ¡ MAJOR tr MINOR INVOLVED PARTIES Address: 0115 Boomerang Road, Suite 52018, Aspen, CO 81611 920.3255SCIB, LLCProperty Owner: Mailing EmailAddress:lu ke.gosda@su nriseco. com phone'(970 Emait Addrerr. dockersconstruction @comcast. net 9873527Phone: (970 ) Mailing Address: contractor: Dockers Construction Address: 1002 Old Dutch Mill Road, Colorado Springs, CO 80907 EmailAddress: Mailing Architect: James Woelke Phone: ( ) 704-0311(970 )Engineer:Sopris Engineering - Yancy Nichol Phone Emait Addre5s¡ !rìichol@sopriseng.com Mailing Address 502 Main Street, Carbondale, CO 81623 PROJECT NAME AND LOCATION Describework: Sitework and Foundation Excavation for residence Job Address 399 BIue Heron Drive, Glenwood Spri ngs, co B'1601 Block Assessor's Parcel Number:239501230052 Earthwork {square feet)Earthwork (Cubic Yards)250 Project Na lronbridge Residence tot 52sub. tRoNBRtDGE PUD, PHASE il, FtLtNG 1 & 2 . 2000 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. lfthesignatLrrebelowisnotthatoftheOwner,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 BLrilding Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on tlre 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 1"80 days of 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, lagree that I and my agents will comply with provisions of any fcderal, 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 noticefrom the County, ifthe location, construction or use ofthe structure(s) and facility(ies), descrÌbed 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 Build¡ng 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 thisApplication, including submittals, and inspections of the work bythe 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 andl or builder I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the requ¡red information which is correct and accurate to the best of my knowledge. Lr'áu Bl27 121 Property Owner Print and Sign Date 8-So-zozl OFFICIAT USE ONLY Pd.-cc- ÒElloo.I LtW,sç ,Frî fp¿ta-.tl Kj*¡ rl E- 2-3 z3 ,S< 4toæù /at<*or.v,,Special Conditions'7-\2 B-Þ Permit Feef loo.øè Misc Fees:Total Fees rf /ûô.Do loo,0a PaidFeesf Balance due4tr Grading Permlt GßAÞ i7 øøb _ lssue Date: t-EIso/at .Ét r , lh-( v t¡ Zonlng: BUILDING / PLANNING DIVISION : Signed Date