Loading...
HomeMy WebLinkAboutApplicationGørfield County >t; Z= -O-ı3oH oHJ¡-ll, F r¡-- 3 ff, :;'-llu :,.-:': uJ st'1 o Í:i'.;UJ { !:,U ::) _:,.1. Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 ls7ol94s-82L2 www.ga rfiel d-cou ntv.com GRADING PERMIT APPLICATION 6 E OF GRAD¡NG,E MAJoR tr MINoR ¡NVOLVED PARTIES Property owner: Grace & Philip Falkowski phone: t970 ) 920.3255 Mailing Address 8 Pine Ridge, Basalt, CO 81621 EmailAddress:I u ke. gosda@su n riseco. com contractor: SCIB, LLC Phone: (970 ) 920'3255 Mailing Address 0115 Boomerang Road, Suite 52018, Aspen, CO 81611 EmailAddress:luke. gosda@sun riseco.com Architect: James Woelke Phone: I ) Mailing Address:1OO2 Old Dutch Mill Road, Colorado Springs, CO 80907 EmailAddress: Eng ineer: High Country Engineering Phone: (970 ) 945-8676 Mailing Address:1517 Blake Avenue Glenwood Springs, CO 81601 EmailAddress:ddennison@hceng.com Project Name lronbridge Residence Describe Work:Sitework and Foundation Excavation for res¡dence. Job Address . 14 RIVER VISTA, GLENWOOD SPRINGS, CO 81601 Assessol's Parcel Number:239501 329266 Sub.tRoNBRtDGE PUD, PHASE ll, FILING 1 & 2 Lot 266 _Block Earthwork (square feet). 2000 Earthwork (Cubic Yards):250 PROJECT NAME AND TOCATION ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofarrthority,signedbythe Owner, must be provided with this Application. Leeal 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 OWIS Permit, (3) another permit required for use on the property identified above, e.g. Statc or County Highway/ Road Acccss or a State Wastewater Discharge Permit. I Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within L80 days of I the date of issuance and if work is suspended or abandoned for a period of L80 days after commencement. ] CERTIFICATION 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 subnritted 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 constructthe structure(s) and facilities detailed on the submittals reviewed bythe 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, 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 cntcr thc propcrty, 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, 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. /t"/-BlBl22 Property Owner Print and Sign Date OFFICIAI USE ONLY PA tD . f I o o . oo c. c.oE/, Òlzêzz-{]$o,,ñ 9 rtbk zan' q ,/ Soecial Conditions:)Pecrar'""""'"""êrø//h ? at a¿un* ba//,h1 Frn/Ê T fey't'Øtß Permit Fee: $ lf,;f-i."'" Misc Fees:Total Fees: * ¡¿"¡6.1 , n,n' Fees Paid: .$ [ {:-r ¡;. {"r' Balance due: 4t f.tf Grading Pernrit: Ç"¡R¡'\Þ - ¡ t"hd-¡ lssue Date: 3-lo-zL Zoning: L¡ l¡ r. ¡ r ii¡¿?: BUILDING / PLANNING DIVISION â/¡;r-4 8-/Û-zL Signed Approval Date