HomeMy WebLinkAboutApplicationGaffield County
GRADING PERMIT
APPTICATIONCommunity Development Department
RECEIVED t08 8ü Str€et, Suite ¿l{11
Glenwood Springs, CO 81601
ll,i; : ,l litii? leTole4s-8212
GARF¡ELDcouNT@
COMMUNITY
TYPE OFGRAÞING
E MAJOR
@
EI MINoR
INVOTVED PARNES
Kevin L. Patrick & Andrea M. Wendel Phone:
229 Midland Ave., Basalt, CO 81621
379-54s8Property Owner:
MailingAddress:
Emait Addrerr. patrick@waterlaw.com
contractor: Decatur-Wilkie Phone:927-4226
Mailing Address:525 Basalt Ave., Basalt, CO 81621
Emait Address. mark@decaturwilkie.com
Arch¡tecr: Jeffrey Lewin Phone:908-1424
Mailing Address: 1005 lngrham, Del Ray Beach, FL
Emait Address, ieff@redevpro. com
Engineer:Adrienne Prosser, SK Peightal Engineers phone:927-9510
Mailing Address PO Box 410, Basalt, CO 81621
EmailAddress:skpe.structu ral@gmail.com
PßOJECT ñIAME AND TOCATION
Proþct tu"rn", P"!tig-W"nd"l Lot
Describe Work:
Excavation and grading associated with construction of a single farnily residence
Job Address:1002 Skipper Land, Carbondale, CO 81623
Assessor's parcet trtumber: 239130405001 (R009776)
,16. Stirling Ranch PUD tot I Block
Earthwork (square feet):Earthwork (Cublc Yards) :
AtL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NONCE
Author¡W. This application for a Building Perm¡t must be signed by the Owner ofthe property, described above, or
an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with 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 perm¡t requ¡red for use on the propefi identifìed above, e,g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Void permit. A Buildíng 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.
CERTIFrcAflON
I hereby cert¡ry that I have read this Application and that the information co ntained above is true and correct. I
understand that the Building Division acc€pts the Application, along with the plans and specífications and other
data subm¡tted 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 Bu¡ldíng Permat, 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 perm¡ss¡on to the Building Division to enter the properry, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Offìcial from: (J.)
requiring the correct¡on 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 líability 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 l¡mitat¡on my architect designer, eng¡neer and/ or
builder
I hereby acknorrledge that I haye read and understand the Notice and Cert¡fication above as well as
have provided the requ¡red ¡s to the best of my knowledge.
Print and Sign Date
oFFlclAL USE ONIY PA lÞ t ta,,êo e.e, o7//t/¿o zéþra,
Special Conditions: ?êra/r'n7 a/zøøÈ r/6/+
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Total Fees:f , oo."
Fees Paid:I loo tMisc Fees:Permlt Fee:
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Zoning:
P. u. Þ.7*/4-ZZ:
lssr¡e Date:Balance due:t9/Grading Permit:
6RAD -16C5
7-/*22
BUIIDING / PTÂNNING DIVISION i
Signed Approval Dat€
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