HomeMy WebLinkAboutApplicationGørfield County
RECEIV!Community Development Department
:-,¡-r.ì 4.À áå .ì,:.,ì: 108 8th Street, Suite 401
f Y:m L Ê" " ' Glenwood Springs, co g1601
cARFIELD Ç'.; rir!.|'Y- (970) 94s-8212
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GRADING PERMIT
APPLICATION
WPE OF GRADING
E] MAJOR tr MINOR
INVOTVED PARTIES
PROJECT NAME AND TOCATION
TJ JoinerProperty Owner:
Mailing Address:78 Upland Carbondale CO 81623
.+258 ê -..,.'/, coEmailAddress: +
970
Phone: (ÐDl 37q'63O0
EmailAddress:
Phone: ( )Contractor:
Mailing Address:
Phone:(-?[1 ) 331 €Zl I
108 Diamond A Ranch RoadMailing Address:
Architect:Alius Design Corps LLC
EmailAddress:michael@aliusdc.com
EmailAddress:
Engineer:Oddo Engineering Phone: ( )
Mailing Address:
Joiner ResidenceProject
Describe Work:Single Family New residence
Job Address:H37 Aspen Glen lZt E¿d Jl. b æclr- llr. (^^.V,,nL,-lp
Assessor's Parcel Number:23qS t34 os o r ?
Sub.A,r?ett Ql¿n Ft-ø. G lot l-Ì - 3 ?
-Block
Earthwork (square feet):3,000 Earthwork (Cubic Yards):
AtL UTITITIES MUST BE LOCATED PRIOR TO ANY GRAD¡NG
NOTICE
Authoritv. This application for a Buildinf Þermit mJst be signed by ihe Owner of itre 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.
Lepal 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 cert¡fy that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Appl¡cation, 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 Applicatíon, 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 provisíons 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, if the location, construction or use of the 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 Buílding 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 ¡nspections of the work by the Building DivisÍon do not
const¡tute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, I acknowledge that responsíbility 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 information which is correct and accurate to the best of my knowledge.
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Date
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ûü,'.r%3-3-202L
Owner
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Soecial Condítions:
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Total Fees:
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Fees Paíd:
* ¡96.oo
Permit Fee:f roo,æ
/,'Misc Fees:
3-Z- 2022
lssue Date:Zoning:
P.u.>.
Balance due:1ø Grading Perm¡t:
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BUILDING / PTANNING DIVISION :
Sígned Approval Date