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HomeMy WebLinkAboutApplicationGarfield County RE @ . _ Comqrun¡ty Deve¡opment Department ,:ii¡i' ìÌ I .'ii;11 togB,h street, suite 401 GAR F ! E L Ð C O ßFFr9{ fnrl-1s1,_co 81601 c0MMUNtTy nEVEL0pMENT (970) 945-8212 www.garfield-countv.com WPE OF GRADING E MAJoR E MINoR INVOLVED PARTIES Property Owner:Clough Sheep Com pany LLC PO Box 686 Phone:618-7749 Mailing Address EmailAddress . Rifle, Colorado 81650 Contractor:Bargath LLC Phone: Mailing Address: 13781 Pacific Circle Mead, Colorado 80504 EmailAddress;cra¡ g. h a rris@wi I I iams.com 03 775-0527 Architect:Phone: Mailing Address EmailAddress: David Bull Phone: ,113-, 517-0301Engineer: Mailing Address:13781 Pacific Circle Mead, Colorado 80504 EmailAddressr david. bul l@williams.com PROJECT NAME AND LOCATION Project Mobile Meter Skid Describe 1¡6¡¡. sEE ATTACHED SCOPE OF WORK rob Address: 3g.50ggg -1 07.91 6g L2îs7 Ft*y 6 è. Zq . R,.f le Sec 20 6S 94W I I ¡ ! I Assesso/s parcet Number: 217521100022 Sub.Lot Block Earthwork (square feet). 1.18 Earthwork (Cubic Yards):.52 Att UTIIITIES MUST BE TOCATED PRIOR TO ANY GRADING NOTICE Authorltv.This application for a Building permit must be signed by the Owner of the property, described above, oran authorized agent. lf the signature below is not that ofthe Owner, a separate letter of authority, signed by theOwner, must be provided with this Applicatio Legal Access' A Building Permit cannot be issued without proof of legal ancl adequate access to the property forpurposes of inspections by the Building Division. other Permits. Mult¡ple separate permits may be requiredr (1) state Electrical permit, (2) county owTs permit, (3) another perm¡t required for use on the property identified above, e.g. state or county Highwayl Road Access ora State Wastewater Discharge permit. void Permit. A Building Permit becomes null and void if the work authorized is not commenced within Lgo days ofthe date of issuance and if work is suspended or abandoned for a period of 1.g0 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the ¡nformation contained above is true and correct. Iunderstand that the Building Division accepts the Application,along with the plans and spec¡f¡cations and otherdata submitted by me or on my behalf (submittals), based u pon my certification as to accuracy. Assuming completeness of the subm¡ttals and approval of this Appli cation, a Building Permit will be issued grant¡ng perm ¡ss¡on to me, as Owner, to construct the structure(s)and facilities detailed on the submittals reviewed by theBuilding Division. ln consideration of the issuance of the Building Permit, I agree that I and my agents will complywith provlsions of any federal, state or local law regulati ng the work and the Garfield County Building Code, OWTSregulations and applicable land use regulations {County Regulation{s)}. I acknowledge that the Building permit may be suspended or revoked, upon notice from the Co unty, if the location, construction or use of the structure(s) and facility{ies), described above, are not in compliance with County Regulatíon(s) or any other applicable law I hereby grant permiss¡on to the Building Division to enter the property, described above, to inspect the work. Ifurther acknowledge that the issuance of the Buildi ng 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 th¡s Appl¡cation, including submittals,and inspect¡ons of the work by the Building Division do notconstitute an acceptance of responsibility or liabillty 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, inclu ding without limitation my architect designer, engineer andl orbuilder I hereby acknowledge that I have read and understand the Notice and Certification above as well as prov¡ded the required information which is correct and accurate to the best of my knowledge. LZ, Pro Owner and Sign Date OFFICIAL USE ONLV ?fr|D. S roo.C,Cr oe/es/¿ozZ Speclal Conditíons: Perm¡t Fee:-[loo. æ Misc Fecs:00 Fees Paid:$loo.ôì Balance due:+Grâding Perm¡tt G(¿AÞ.T?3* lssue Date:I zz r<. L. Zoning: BUtLDTNG / PtANNtNG DtVtStON t/t'r"*/t Signed Approval 8-8-ZZ Oate