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
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BUILDING / PLANNING DIVISION :
Signed Date