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HomeMy WebLinkAboutApplicationGørfield County GRADING PERMIT APPLICATIONCommunity Development Department 108 8th Street, Suite 401 RFCEI\Æfltwood Springs, CO 81601 (9701s4s-82L2 I'. i : lr,'www.earfield-countv.com GARFI c0 r¡fwËYOFUFmsmo tr MINoRtr MAJOR INVOLVED PARTIES Property Owner:SCIB, LLC phone: (970 920.3255 Mailing Address: 0155 Boomerang Road, Suite 52018, Aspen, CO 81611 Emait Addrerr. luke. gosda@su nriseco. com contractor: Dockers Construction Phone: (970 ) 9873527 Mailing Address: EmailAddress:dockersconstruction@comcast. net Architect: James Woelke Phone: (_) Mailing Address 1002 Old Dutch Mill Road, Colorado Springs, CO 80907 EmailAddress: Engineer:Sandlin Services p¡on". ¡806 r 679-7303 Mailing Address EmailAddress:n ick@sa n d I i nservices. com Project Name .lronbridge Residence Describe Work:Sitework and Foundation Excavation for residence. Job Address:114 Blue Heron Drive, Glenwood Springs, CO 81601 Assessor's Parcel Number: 239501230036 sub. tRoNBRtDGE PUD, PHASE ll, FILING I & 2 Lot 36 Block Earthwork (square feet):2000 Earthwork (Cubic Yards):250 PROJECT NAME AND LOCATION Authoritv. This application fora Building Permit must be signed bythe Ownerof the property, described above, or anauthorizedagent. lfthesignaturebelowisnotthatoftheOwrrer',ðsep¿¡dLeleLterolaulhoriLy,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. 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. 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 Perrnit, lagree that land rny agerìts will corrply 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 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. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 and/ or builder. ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING 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. ,/ ttÁn-9114t21 Property Owner Print and Sign Date 7- 20-2Ð 2) Special Conditions: á\5 Â '+Ðþt'-tc-Ðttr:V ,Xq *1 O,¡t(f.e's y', ßx /exozuç /azr47 ß ntltzd.L Permit Fee: 4 too.*Misc Fees:Total+Fees: t()o.o¿(cñ..ÐPaid:Fees-t Balance due: {ø Grading Permit Ge4o--t t38. t 2t lssue Date: lzøzt 7UD Zonlng: BUTLDTNG / PLANNTNG DtVtStON Date