HomeMy WebLinkAboutApplicationGørfi,eld County
GRADING PERMIT
APPLICATIONnñ#ïäyJff 3J.:iTJ;åi"'""'gto 81601
E MAJOR E¡ MINOR
INVOTVED PARÎIES
Property Owner:
Mailing Address:
Crystal River Ranch Company Phone:(
555 17th St. Suite #2400 Denver, CO 80202
EmailAddress:
ïE Builders Phone:v20 )
428-0534Contractor:
Mailing Address: 7338 County Rd. 100
Emait Addrerr. jt@tebu ilders. net
Architect:Brooks Design-Build Phone:870 I 846-3216
Mailing Address: PO Box 2749 Basalt, CO 81621
Emait Addrer* brian@brooksdesignbu ild.com
Engineer:Michael Ehrlich Strcutural Engineering Phone:p7o )879-3866
Mailing Address PO Box 772392 Steamboat Springs, CO 80477
EmailAddress:
PROJECT NAME AND LOCATION
Project c I River Ranch - P ette Residence
Describe Work:Excavation of site and driveway to proposed residence.
Proposed residential structure is approximately 3500 sq. ft.
rob Addres s. 1443 County Rd. 1 08 Carbondale, CO 81623
Assessol's parcet Number: 239332100378
Sub.lot __Block
Earthwork (square feet):Earthwork (Cubic Yards):
AtL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOT¡CE
Authoriw. 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.
Lesal 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. Mult¡ple 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.
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 and correct, I
understand that the Building Division accepts the Appl¡cation, 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 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, 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 Bu¡lding 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 wel¡ as
have provided the requ ired information which is correct and accurate to the best of my knowledge.
ro Ån/aæálSusanAnchutz Rogers
,IProperty Owner Print and Sign Date
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Fees Paid:
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lssue Date:
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Zoning:
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Balance due:Gradihg Permit:
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BUITDING / PLANNING DIVISION :
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Date
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