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Home My WebLink AboutApplicationGørfield County GRADING PERMIT APPLICATION*."Êtwffiilrrp_i.iJj,1ïtÐepartment Glenwood Springs, CO 81501 .t î #,ilFlp. t,¿****jll#, "', Í].ff 1i.."' WPE OF GRADING E MAJoR E tvllruon INVOLVED PARTIES Property owner:â*t24ççvø ILO phone: ñ10 t7-t14UÓf Mailing Address:?.Doû{, zmq bþ\aú co ølt6Ll EmailAddress Tor.nL@ . CDA^ Contractor:lO¡,t1 lX¿'=fYP-Phone: fl70 )blat 4ubó Mailing Address 7b ?tvçtØ oP<tL3 l*q,É lÆxrr co ØlULl EmailAddress:-TDM|,-@16IWv Éb.IT . ct¡rn Architect: Phone: Mailins Address: EmailAddress: Engineer:M,l¿ btæ Phone: fl70 t SLolt ^!q0Mailing Address:lll t. hpry ?vçw (n â)trøzôL EmailAddress:ID PROJECT NAME AND LOCANON Project Name --7-$te Describe Work:u Job Address: _Lffió 0111 ôVt DAWÉ, Mv^fÀvq-. co ØilozV Assessol's Parcel Number:2bqt24?"o âDo6 Sub.ã1ØlLJtA Lot b _Block Earthwork (square feet): -7rbr */-Earthwork (Cubic Yards):25ñ AtL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authoritv. This application for a Building Perm¡t must be signed by the Owner of the property, described above, or anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthorìty,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. Multìple 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. CERTIFICAT¡ON I hereby cert¡fy 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 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, OWIS 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 facìlity(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Dívision to enterthe property, described above, to inspectthe 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 req uired in which is correct and accurate to the best of my knowledge. t(.l, ¿-aLL Property Owner Print and Sign Date \h^ $OFFICIAL USE ONtY oo ?rçt- ft,tr-otr-rG Rp+^.( ?*r.Owl"-,- b,tcrt¡r- tSpecial Conditions '*ili&Ð '"ïffi,oMisc Fees:ìùlÈ,.r9rfu* ìN¿TfTì \\ ltLt/2t lssue Date:Zoningr PttI-)@ Perm¡t TQOS t(- t{-?-LBUILDING / PLANNING DIVISION : DateApproval