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HomeMy WebLinkAboutApplication>ÐFurZ=(\,1 q O-cù -JôRgs(f) oärsi J¡ u¡ Þ- ô.- Lq'<. Ë=<=(9ü f1 ru ]Uo UJ É, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (9701945-82t2 www.garfield-countv.com GufreIJ County GRADING PERMIT APPL]CATION TYPE OF GRADING tr MAJOR tr MINOR INVOLVED PARTIES Property Owner: Mailing Address: Geoffreyl¡polinar pr,on", P70 t4621401 3030 mohawk ave EmailAddress . Gapolinar@powermotivecorp.com Contractor: ôWt{€P- Phone: Mailing Address: EmailAddress: Architect:P/*Phone: Mailing Address: EmailAddress: Engineer:Phone:( Mailing Address: EmailAddress: PROJECT NAME AND LOCATION Project 0 County road 313 parcel23 Describe Work:Removing scrub Oak for future build site will haul excess timber to landfill Job Add ,"rr, 0 County(oad 313 silt colorado Assesso/s Parcel Number:239925300123 Sub.tot 28 _Block Earthwork (square feet)r20000 Earthwork (Cubic 500 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING I ruonce Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be provided w¡th 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 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. Voidpermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby acknowledge that I have read and understand the Not¡ce and Certi fication above as well as the required information which is correct and accurate to the best of my knowledge. 4-26-22 have Property Owner Print a n Date 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 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 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 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, if the 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 construct¡on 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 Bu¡lding 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. oÈncn¡-usEoNLYzp¡1p { lOO.æ c.C. ollz;lzozz Èt"ã v62€' ,P r/*k Ðþ//re' // buùl'a Fees Paid:/ 4 t00.€M¡sc Fees://Total Fees: .,t I oô. ôàPermit Fee: $ loo .oo Zoning: ÊUßAL lssue Date:(-4-zzBalance due:1ø Grading Perm¡t oPAD -717c. 4-2{o-Z-til,>#..BUILDING / PLANNING DIVISION Signed Approval Date