HomeMy WebLinkAboutApplicationGørfield County
GRADING PERMIT
APPLICATIONCommunity Development Department
RECEIVED 108 8'h Street, Suite 401
Glenwood Springs, CO 81601
(s70194s-82L2
ARFIELD GOU
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OOMMUNITY 'it'Ër-ö'È-enADtNG
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Project Name Starkey CS
Describe Work:SEE ATTACHED SCOPE OF WORK
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INVOTVED PARTIES
PO Box 370, Parachute, CO 81635
Property Owne ,. TEP Rocky Mountain LLC
Ema it Address: bhotard@terraep. com
pr,on", P70 t263-2754
Mailing Address
13781 Pacific Circle Mead, Colorado 80504
contractor: Bargath LLC
Mailing Address
EmailAddress cra¡9. harris@williams.com
Phone: W )775-0527
Architect:Phone: ( )
Mailing Address
Email Address:
13781 Pacific Circle Mead, Colorado 80504
Email Address david. bull@wi I liams. com
Mailing Address
Engineer David Bull Phone:,119_, 517-0301 _
PROJECT NAME AND LOCATION
39.491 11 -108.0397Job Address:
Sec 29 65 96W
Assessor's Parcel Number: 217133200019
Sub.Lot Block
Earthwork (sq uare feet)2270 Earthwork (Cubic Yards):521
Authoritv. 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 ElectricalPermit, (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 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'
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true
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
compteteness 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 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: (L)
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, omlssions 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 andl or
and correct. I
builder
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTTCË
I hereby acknowledge that I have read and understand the N nd Certification above as well as
have provided the requ ired information which rs an to the best of my knowledge.
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Property Owner Print and Sign D"i{ /
OFFICIAL USE ONLY ?aO StÞo.q" <.c.6g /os /zazz Å,ø*
Special Conditions:
Permit Fee:* lÕb. o-Misc Fees:Total Fees:
.S¡ o6,oo
Fees Paid:
$ r0<t. "o
Balance due:4øí Grading Permitr
ôR *u -?74 Õ
lssue Date:
8-8-zz
Zoning
P.t-,
ûu/,8-g-U-BUILDING / PLANNING DIVISION
Signed Approval
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Date