HomeMy WebLinkAboutApplicationGørfield County
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GRADING PERM¡T
CATIONACommunity Development Department
108 8th Street, Suite 401
RECEIIéEÐood Springs, co 81601
(97Ole4s-82f-2
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GARFIELT COUNTY
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tr MAJOR tr MINOR
INVOTVED PARTIES
Property Owner:SCIB, LLC phone' (970 920.3255
Mailins Add ,"rr, 0115 Boomerang Road, Suite 52018, Aspen, CO 81611
EmailAddress . luke. gosda@su nriseco.com
. Dockers Construct¡on Phone: P70 )
9873527Contractor
Mailing Address
EmailAddress:d ocke rsco nstru cti o n @co mcast. net
Architect: James Woelke Phone: I )
Mailing Address 1002 Old Dutch Mill Road, Colorado Springs, CO 80907
EmailAddress:
Engi n""r. High Country Engineering Phone: (970 )
945-8676
Mailing Address:1517 Blake Avenue Glenwood Springs, CO 81601
EmailAddress:ddennison@hceng.com
PROJECT NAME AND TOCATION
Project Name lronbridge Residence
Describe Work:Sitework and Foundation Excavation for res¡dence
Job Address:1796 River Bend Way, Glenwood Springs, CO 81601
Assesso/s Parcet Number: 239501230021
sub. tRoNBRtDGE PUD, PHASE ll, FILING 1&2 Lot21 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
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
Lesal 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 certifythat I have read thisApplication and thatthe information contained above istrue 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 Perm¡t 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, lagree 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
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 th is Application, including su b m itta ls, a nd inspections of the work by the Bu ild ing 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 requ¡red information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Sign Date
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Special Conditions:
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Total Fees:
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Fees Paid:
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Misc Fees:Permit Fee:
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q-//-zzlssue Date:Zoning:
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Grading Permit:
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Balance due
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Signed Approval
BUILDING / PLANNING DIVISION
Date
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