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HomeMy WebLinkAboutApplicationGørfield County ¡a Ia I GRADING PERM¡T CATIONACommunity Development Department 108 8th Street, Suite 401 RECEIIéEÐood Springs, co 81601 (97Ole4s-82f-2 ÂPR Ü I v?ü?ûiarr¡eta-countv.com GARFIELT COUNTY lflËË'ö'FreHÁÊîil8r'' 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. /t /-4lBl22 Property Owner Print and Sign Date OFFICIAL USE ONIY PIID.,ao.o., c.q.¿zil o m zlrhg ah arunæ 1s rt 3 k pezl, b7 Tdrb? ? rev/'erlan/.zzrb2 al/oø Special Conditions: but Total Fees: .i ¡oo.oo Fees Paid: $ to o,æ) Misc Fees:Permit Fee: $ too.o' q-//-zzlssue Date:Zoning: ?. u. Þ. Grading Permit: GRA Þ,743I Balance due +.ú /-//-z Signed Approval BUILDING / PLANNING DIVISION Date Ø,Hú