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HomeMy WebLinkAboutApplication>iFulZ= Hã! c.' oH(\ J>, ll¡L:.3 ¡¡- 5'--"! É.= óã o t¡J lr¡() l¡lÉ Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l94s-82L2 www.ea rfiel d-cou ntv.com Gørfield County GRADING PERMIT APPLICATION TYPE OF GRADING tr MAJoR tr MINOR INVOLVED PARTIES Property Owner:SCIB, LLC Phone:0 920.3255 Mailing Address: 0115 Boomerang Road, Suite 52018, Aspen, CO 81611 Emait Addrerr. luke.gosda@sun riseco.com contractor: Dockers Construction p¡on".1970 ) 9873527 Mailing Address Emait Addrerr. david@dockersconstruction.com Architect: James Woelke Phone: Mailing Address: 1002 Old Dutch Mill Road, Colorado Springs, CO 80907 EmailAddress: Engi n""r. High Country Engineering Phone:70 945-8676 Mailing Address: 1517 Blake Avenue Glenwood Springs, CO 81601 EmailAddress:ddennison@hceng.com PROJECT NAME AND LOCATION Project Na lronbri e Residence Describe work: Sitework and Foundation Excavation for residence Job Address . 375 Blue Heron Vista, Glenwood Springs, CO 81601 Assessor's Parcet Number: 239501329282 sub. tRoNBRtDGE PUD, PHASE il, FILING 1&2 Lot2B2 Block Earthwork (square feet):2000 Earthwork (Cubic Yards):250 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING . NOTICE 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. 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 llighway/ Road Access or a State Wastewater Discharge Permit. 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. CERT¡FICAT¡ON 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 Appl¡cation, 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 pernrission to the Building Divisiori to erlter 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 Courrty 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 requ¡red information which is correct and accurate to the best of my knowledge. 7122122 Property Owner Print and Sign Date /tttát +qóOFFICIAT USE ON '" ä¡¿¡.*@Total Fees: 6/(Ya êradrhT d,na þw 4/2/.2M9nç /drry ferrn? L rÞy/þúú Special Conditions: Misc Fees:Fees Paid:+lrll. oo Balance due:#r^-*Gradlng! Permlt A3ÊÞ,-7Ttt - a/ toÞ/'¿Ø'¿2 lssue Date:Zonlng: ?UD 7'2ô.2BUILDING / PLANNING DIVISION ü/,','v% Signed Approval Date