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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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www.garf¡eld-cou ntv.com
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Garfield County
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GRADING PERMIT
CATIONAP
LVED PARTIES
Property Owner:SCIB, LLC Phone:70 920.3255
Mailing Address: 01 15 Boomerang Road, Suite 52018, Aspen, CO 8161 1
Emait Addrerr. lu ke. gosda@su n riseco. com
Contractor . Dockers Construct¡on plron"' 1970 9873527
Mailing Address:
Emait Addrerr. d avi d @dockersconstru ctio n. co m
Architect: James Woelke Phone: ( )
Mailing Address: 1002 Old Dutch Mill Road, Colorado Springs, CO 80907
EmailAddress:
Engi n""r. High Country Engineering
Mailing Address: 1517 Blake Avenue Glenwood Springs, CO 81601
p¡on". 1970 945-8676
Emait Addrerr. ddennison@hceng.com
PROJECT NAME AND TOCATION
Project Name .lronbridge Residence
Describe Work:Sitework and Foundation Excavation for residence.
Job Address:378 Blue Heron Vista, Glenwood Springs, CO 81601
Assessor's Parcel Number: 239501329283
sub. tRoNBRtDGE pUD, PHASE il, FtLtNG 1&2 Lot283 Block
Earthwork (square feet):2000 Earthwork (Cubic Yards).250
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authorltv. This applicatlon for a Building Permit must be signed by the Owner of the 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 thls Appllcation.
Legal Access. A Building Permit cannot be issued without proot of legal and adequate access to the property tor
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.
Void Permit. A Building Permlt 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.
CERTIFICATION
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 certificatron 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, lagree that land 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
I may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s)
I 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
Owner, lacknowledge 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.
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Property Owner Print and Sign Date
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7-2ô'zBUILDING / PLANNING DIVISION :
Signed Approval
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Date