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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(9701 94s-8212
www.garfield-countv.com
WPE OF GRADING
tr MAJoR tr MINOR
INVOTVED PARTIES
Property owner: Jimmy & Jennifer Terui pr,one= y'20 f28-0534
MailingAddress:5444 CR 226 New Castle, CO 81647
EmailAddress:jt@tebuilders.net
contractor: TE Builders pnon"ril20 )
428-0534
Mailing Address:417 Main St. Carbondale, CO 81623
EmailAddress:jt@tebuilders.net
Architect:Phone: ( )
Mailing Address
EmailAddress:
Jim Romeo Pt on", P70 )
945-4742
Engineer:
Mailing Address .131 River Vista Glenwood Springs, CO 81601
EmailAddress:jim@jstructural.com
PROJECÍ NAME AND LOCATION
Proiect se Vall 1
Describe Work:Start foundation excavation during review time for Building Permit - BLRE-07-22-7698
JobAddress:TBD CR 237 Silt, CO
Assessor's Parcel Number:212724400382
Sub.Lot Block
Earthwork (square feet|:1921 Earthwork (Cubic Yards):30
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
Legal 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 ¡dent¡fied above, e.g. State or County HiShwaV/ 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.
CERTIFICITTION
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 íssued 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
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 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 construct¡on
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 Cert¡fication above as wel¡ as
have provided the requ¡red information which is and accurate to the best of my knowledge.v 712612022CÜzU.t-t
Print and Sign Date : l: r,ì
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Special Conditions:
Fees Paid:Misc Fees:Total Fees:,:
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Perm¡t Fee:
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Zoning:
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Balance due:Grading Permit:
' I .i, tt | ,í-t-zzlssue Date:
B-l-zz-/il),?ØBUILDING / PLANNING DTVISION :
Signed Approval Date