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HomeMy WebLinkAboutApplicationGørfield County GRADING PERMIT APPLICATIONCommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ol94s-82L2 www.garfield-countv.com (ñ TYPE OF GRADING INVOLVED PARTIES Property Owner:SCIB, LLC Phone:920.3255 Mailing Address: 0155 Boomerang Road, Suite 52018, Aspen, CO 8161 1 MAJORtr tr MINOR Emait Addrerr. luke. gosda@su n riseco. com 9873527 EmailAddress:dockersconstruction@comcast. net Phone: (970 ) Mailing Address: contractor: Dockers Construction 1002 Old Dutch Mill Road, Colorado Springs, CO 80907 Phone: (_) EmailAddress: Mailing Address: Architect: James Woelke 1517 Blake Avenue Glenwood Springs, CO 81601 EmailAddress:ddennison@hceng.com Mailing Address: Engineer:High Country Engineering Phone: (970 ) 945-8676 PROJECT NAME AND LOCATION Describe work: Sitework and Foundation Excavation for residence 206 River Vista Glenwood Springs, CO 81601 . 2000Earthwork (square feet) Job Address: Project Na lronbridge Residence . 250Earthwork (Cubic Yards) sub. TRoNBRIDGE PUD, PHASE ll, FILING 1 & 2 Assessor's Parcet Number: 239501329256 Lot 265 Block 3 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. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofaLrthority,signedbythe Owner, must be provided with this Application. Leeal 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 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, 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 Perm¡t may be suspended or revoked, upon not¡ce 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 hcrcby grant pcrmission 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 Building Official from: (1) requiringthe 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 Certification above as well as þa.vq p"ro.vifled the required information which is correct and accurate to the best of my knowledge. Owner Print and Sign Date 1"7 " )cA) l l l ! I 1.. u¡ Ê, t¡l-Ä =(i' Ia^w,p¡f¡ÖlAüusE oN[y Pd. $ loo.oo cc oq/o't/tarl cSrÞ speciarconditions: Grr*a^ç tr 0o*æ¿3 Ru^ ?rtpr +Ð**n+ Ç,à-*",r,ur 2ø,r^1. Permit Fee: tlôp.æe Misc Fees:Total Fees:f lCIÞ.ûø Paid IJËJ ^a\ Fees*ft Balance due .& Fl=r b¿'á Grading Permit mt1Âf\, î l tr6ry{\rl,¡' ['\t d lssue Date: ollorIzozt Zonlng: flr ¡ Trr vlf, BUTLDTNG / PLANNTNG DtVtStON Date