HomeMy WebLinkAboutApplicationGørfield County
GRADING PERMIT
APPLICATIONCommunity Development Department
tO8 8ft Street, Suite 401
Glenwood Springs, CO 81601
l970le4s-82L2
www.qarfield-county.com
WPE OF GRADING
tr MAJOR MINOR
INVOTVED PARTIES
Property Owner:
Mailing Address:
Phone: (_)
EmailAddress:
PROJECT NAME AND TOCATION
Project Name tlþi/(+
u(Q lnrvny'Ís Phone: ( )Contractor:
Mailing Address:
Email Address:
Phone:Architect:
Mailing Address:
EmailAddress:
Engineer:
Mailing Address:
Email Address:
Describe Work:3.
Job Address:E
Assessol's Parcel Number:
Sub.tot e,Block
Earthwork (square feetf :&Earthwork (Cubic Yards): _
AtL UTITITIES MUST BE TOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. lf the signature below is not that of the Owner, a separate letter of author¡ty, signed by the
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 Pgrmits. 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 Permlt. A Building Permit becomes null and voíd 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 certifo 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 deta¡led 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
regulat¡ons and applicable land use regulat¡ons (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the location, construct¡on or use of the structure(s)
and facility(ies), described above, are ñot 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 an¡ discovered after íssuance; or (21stopping 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 acceptence 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
have the ation which is correct and accurate to the best of my knowtedge.
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Owner and Date
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Misc Fees:Total Fees:
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Fees Paid:
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BUrrD¡NG / P|ANNtNG DIV|S|ON
Date
