HomeMy WebLinkAboutApplicationGurfield County
GRADING PERMIT
APPLICATIONCommunity Development Department
108 8th Street, Suite 401 ÃF^F
Glenwood Springs, co 81601|(truE
l970l94s-82t2
www.garfield-cou ntv.com
GARFIELD C
TYPE OF GRADING vv¡tlrlrv¡!r t
E MAJOR tr MINOR
INVOLVED PARTIES
I PROJECT NAME AND LOCATION
0155 Boomerang Road, Suite 52018, Aspen, CO 81611
SCIB, LLCProperty Owner:
Mailing Address:
EmailAddress:I u ke. gosda@su n riseco. com
phone: t970 ) 920.3255
9873527contractor: Dockers Construction p¡on".1970
Mailing Address: _
EmaiiAddress:d ocke rsco n stru ctio n @com cast. net
. 1002 Old Dutch Mill Road, Colorado Springs, CO 80907
Phone: (
EmailAddress:
Mailing Address
Architect: James Woelke
Address: 1517 Blake Avenue Glenwood Springs, CO 81601
Emait Addrerr. ddennison@hceng.com
Mailing
Engineer:High Country Engineering Phone: (970 )
945-8676
Describe work: Sitework and Foundation Excavation for residence
Job Addresr. 83 River Vista, Glenwood Springs, CO 81601
tRoNBRtDGE pUD, PHASE il, FtLtNG 1&2 Lot262
239501329262Assessor's Parcel Number
. 2000 Earthwork (Cubic Yards):Earthwork (square feet)
Project Name lronbridge Residence
Sub.Block
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, or
anauthorizedagent. lfthesignaturehelowisnotlhatoftheOwner,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 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.
I Void Permit, A Building Permit becomes null
l
, the date of issuance and if work is suspended
and void if the work authorized is not commenced within 180 days of
or abandoned for a period of 180 days after commencement.
CERTIFICATION
r nãiuuv .à,tiit iÀ;i i h;;;;;;d ir'¡iÀpólì.'tion and that tl'fe information contained above is true and correct. I
understand that the Build ing 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 Build¡ng 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
regulationsand applicable land use regulations (County Regulation(s)). lacknowledgethatthe Building Permit
i 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 hcrcby grant pcrmission to the Building Division to enter the property, described above, to inspect the worl<. 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
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 required information which is correct and accurate to the best of my knowledge.
B/31t21
Property Owner Print and Sign Date
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OFFICIAL USE ONLY oo
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Conditions:Special /æ¿,fFf'þ
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'il,åä'. r,)'liTh Total Fees:I lon. oo "öìÅi,ï.'o
Balance due:
$d.ou
Gradin! Permit:
MÆD-hqLI oq/tq/zozl
lssue Date
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Zoning:
1- ß.)oLlBUtLDtNG / PLANNTNG DtVtStON
Date