HomeMy WebLinkAboutApplicationRECEIVED
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
{9701 94s-8212
wwwrå?-rf i e I d - co u nW. co m
TYPE OF GRADING
N MAJOR tr MINOR
, Property Owner:Zag Built LLC phone: flt _l 2619326
Mailing Address:2379 W. Ridges Blvd Grand Junction, CO 81507
Garfteld County
I EmailAddress:peggy@zagbuilt.net
Contractor:same as above Phone :l
Mailing Address:
Email Address:
Architect:Brad Jordan pt one, P70 6186690
Mailing Address:6874 CO 82 Glenwood Springs, CO 81601
EmailAddress:bradjo rdanarchitect@gmail.com
Engineer:DB Structural Design 870 3195934
Phone:
Mailing Address:1229 Sage Ct. Rifle, CO 81650
Email Address:dustin@dbsd.com
ECf NAME AND TOCATION
Project Sundance Trail Lot 14
Describe Work:excavate to construct a s¡ng le family res¡dence while
waiting on permit to be approved
Job Address:Sundance Trail Lot 14
Assessor,s parcet Number: Parcel 2393194 12014
,uo. Aspen Glen Lot sDJ4 Filing 4
Earthwork (square feet):æ'Earthwork(Cubic Yards):t7? u
ALt UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
ì Nç)flCE
, Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or
, an atlthorized agent. lf the signature below ¡s not that of the Owner, a separate letter of authority, signed by the
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 Perm¡ts. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property ¡dentified above, e.g, State or County Highway/ Road Access or
ð State Wastewater Discharge Perm¡t.
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.
J CERTIFIGATION
' 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 Applicat¡on, 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 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 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 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
I Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations
1 rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder,
I hereby acknowledge that t have read and understand the Notice and Certificat¡on above as wel¡ as
have the required information which is correct and accurate to the best of my knowledge.
Property Owner Print and Sign Date
a0OFFICIAT USE ONLY
00Fees Paid:
'D l0n"wöh.r,0Ô*'5*fm Misc Fees:
Zonlng:Rtb4_/ 22/ Ø-LL-
lssue Oate:Balance due:
6d. 00
Grading Permit:
Gfi¿Ff:N- fhSI
Signed Approval Date
Mlnyt/nBUILDING / PTANNING DIVISION :