HomeMy WebLinkAboutApplicationGørfield County
GRADING PERMIT
APPLICATIONCommunity Development Department
RE c E I v E o",
"tffi :" rï::J'r:,,:ï :î :r,
8 ?fl2t pTole4s-82L2
GARFIELD
TYPE OF GRADING
tr MAJoR
ûflT t
tr MINoR
¡NVOLVED PARTIES
Property Owner:SCIB, LLC Phone:
Mailing Address:0115 Boomerang Road, Suite 52018, Aspen, CO 81611
70 920.3255
EmaitAddrerr. luke.g riseco.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:
Sandlin Services Phone:06 679-7303
Engineer:
Malllng Address
Ema it Address: nick@sandlinservices.com
l
I
PROJECT NAME AND LOCATION
Project Name lronbridge Residence
Describe Work:Sitework and Foundation Excavation for res¡dence.
Job Address . 207 Blue Heron Dr, Glenwood Springs, CO 81601
Assessor's Parcel Number 239501 330056
Sub.tRoNBRtDGE PUD, PHASE ll, FILING 1 & 2 rot 56 _Block
Earthwork (square feet). 2000 Earthwork (Cubic Yards):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
an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the
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
'completenessofthesubmittalsandapproval ofthisApplication,aBuildingPermitwill beissuedgranting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
BuildingDivision. lnconsiderationof theissuanceoftlreBuilclingPerrnit, Iagreethat Iandrnyagerrtswill 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 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.
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 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.
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.
/-t/á-1014121
Property Print and Sign Date
ú&-_-/o-zo-2jBUtLDtNG / PLANNTNG DtVtStON
OFFIC¡AL USE ONIY
a¿-
4er
Permit Fee:
*loCI,oa
Misc Fees Total/ees:
Sloo.oj
Fees Paid:I loo,*
Balance due:+d Grading Pernrit:
0gAÞ --fuQl /0*Ø-ud
lssue Date:Zonlng:
P. u. Þ.
ôub bc* >b Signed tíL Date