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HomeMy WebLinkAboutApplication>b l- tllZ='i ', +o_J^' 8ü 'J: Õ rl.!!.'.r J>-Í.i uJ hi-; :z1-(.1 l! n¡ ¡ t=<FrJ3 f5 l¡J lrlo t¡Jg, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 le7ol945-82L2 www.ga rfield-county.com Garfield County GRADING PERMIT APPLICATION TYPE OF GRADING tr MAJOR tr MINoR Property Owner: Mailing Address: EmailAddress: L Phone:8t ts,¿ 5o u Ê-Ë^/9ouTHI INVOTVED PARTIES Contractor: Cßf\'^4Vr¿D D€5t 6 P Bq t Lr) o Phone: 147O¡q 63'3s33 LLLþ c CoMailing Address: EmailAddress:C,R*N FefL¡OÉl Gx:9u t rT) ,ø c¿ßJ-t N ÊT Architect: -ß f<vl +l<c¡¡ ITÈCT u r¿Ë Lc-<Phone: ( 17Òl btg , 43 9Ç Mailing Address: EmailAddress: lè ÐY L*ñÊ G r?üt*Pctlo € ¡vlat ¿-, Lê ttA LLf Engineer: L:R\J VT K eu¿ *K L*N6tt¿t#ttl6 phone:a 1lz7 "zz Mailing Address EmailAddress: LO tt4/h Co L R ,a PROJECT NAME AND LOCATION Project N lÞv>"1¿F Describe work: N È t'1/ l-føA g È .D Job Address:b GÞt>ez'.t fizt¡F K gFM Cl_rcN cø,.91 bz-> Assessol's Parcel Number:z3q9 I q .l ô/ ı5ø SUb. AçPjW GL€M Lot Block N¿ Earthwork (square feet)91Lëú Earthwork (Cubic Yards) :2-qû tl,lbYA 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,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 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. VoídPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement CERTIFICAT¡ON u 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 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 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 fac¡lity(¡es), described above, are not in compliance with County Regulation(s) or any other applicable law. lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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 uilder I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required on ts and accurate to the best of my knowledge. Ml<tftr-E'L Ì14 Rt¿XY dt-utV t=t¿ F z?2-L-' Property Owner Print and Sign Date OFFIC¡AL USE ONLY ?n,tO S loo. o.' er-.* I8-l87 og /zi lzozz ébÐ Special Conditions: ,a- - þ rad)'zq a.h a'//m,9 nþk burdry 7e/m? ret'/tØ FØ¿<I Permlt Fee: f loo. o'Misc Fees:Total Fees:ftoo,a"Fees Paid:$ lÒo,ao Balance due:,+Ø Grading Permit: æ.hD --tt3î /o.3,-î lssue Date:Zoning: P. ú,Þ, BUILDING / PLANNING DIVISION :/o.3.32til,I+h Signed Approval Date