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Community Development Department
108 8th Street, Su¡te 401
Glenwood Springs, CO 81601
(970194s-82t2
www.garfi eld-countv.com
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TYPE OF GRADING
MINORtr MAJOR
INVOLVED PARTIES
Property Owner:
Mailing Address:
EmailAddress:
z-Phone:
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Contractor:h(ø ¡oy''Phone:I
Mailing Address:
EmailAddress:
Architect:,\.// -Jo À-n"^¿4
Mailing Address:l3L €,--+ .*tA ¿{J. çl'n I Co
EmailAddress:
Engineer:l'l lvin ßa(or"s hi Phone: t77>¡"4X )7 4l
Mailing Address
EmailAddress:
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PROJECT NAME AND LOCATION
Project Name:
Describe Work:l tr
Job Address:l e rLp,L t
Assesso/s Parcel Number
Sub. l¡ onìt r tÅ72 , Pk. 3 ,Flg. I Lot SO Block
Earthwork (square feet): r r, o o o Earthwork (Cubic Yards):2 Çoø
ALL UTIL¡TIES 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.
Lega! Access. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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 andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
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 issuanceof the Building Permit, lagreethat land myagentswill 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 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 Build¡ng 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 inspections of the work by the Building 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
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is and accurate to the best of my knowledge.
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Property ner Pr¡nt and Sign Date
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Special Conditions:
Perm¡t Fe€:
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M¡sc Fees:Totâl Fees:{loo.aa Fees Paid:
$ I oô.DD
Balance due:
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Grading Perm¡t:
oRAÞ ,1î49
lssue Date:5_bZL Zoning;
P. rrt, Þ.
I 5-ü-zzBUILDING / PLANNING DIVISION :
Signed Approval Date