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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.
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Fees Paid:/
4 t00.€M¡sc Fees://Total Fees:
.,t I oô. ôàPermit Fee:
$ loo .oo
Zoning:
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lssue Date:(-4-zzBalance due:1ø Grading Perm¡t
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4-2{o-Z-til,>#..BUILDING / PLANNING DIVISION
Signed Approval Date