HomeMy WebLinkAboutApplicationGørJieId County
R.ECE[Vt: i-i Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
GARFIËLÜ ÜÜtli\¡T"Y le70-1.945-82t2
ð'Ñrìi,*iî'i n'rvni-c¡pNr:nr www'earfield-countv'com
GRADING PERMIT
APPL¡CATION
TYPE OF GRADING
tr MAJoR tr MINoR
INVOTVED PARTIES
Property owner: Ecodwelling, LLC Phone: &-l 3943020
Mailing Address: 16400 NW 15th Ave, Unit B, Miami Gardens; FL 33169
Email Addrerr. fernando@ecodwelling.us
Contractor:Kuersten Construction, LLC Phone:(e70 )
61 8951 I
Mailing Address:PO Box 1530 Rifle CO 81650
Email Addrerr. john@kuerstenconstruction.com
Architect:N/A Phone:
Mailing Address:
EmailAddress:
Engineer:SGM - Jeff Simonson Phone:3794691
Mailing Address: 118 W. Sixth Street, Suite 200 Glenwood Springs, CO 81601
Email Addrerr. leffs@sgm-inc.com
PROJECT NAME AND LOCATION
Project Name Emergency Access Road
Describe work: Build Emergency Access Road across this property for the Marketplace
Subdivision use. This was a condition of approval on the Marketplace subdivision.
This parcel will be annexed and developed in the near future and those improvements
will provide permanent secondary access to Marketplace with new improved street.
Job Address:301 West 16th Street, Rifle, CO 81650
Assessol's Parcel Number 217709200045
Sub.Lot _Block
Earthwork (square feet):1 8000 Earthwork (Cubic Yards). 400
ALt UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
I hereby
have p
Owner Print and Sign
I have read and understand the Notice and Certification above as well as
information which is correct and accurate to the best of my knowledge.
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Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthoríty,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. Multiple separate perm¡ts may be required: (1) State Electrical Permit, (2) County OWTS Permít,
(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 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 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, lagreethat land myagentswill 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 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 construct¡on
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 respg4sibility for compliance with federal, state and local laws and County Regulatlons
rest with me and my avthoryà gfents, including without limitation my architect designer, engineer and/ or
builder. ---4, /
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Special Conditions:
*iöö"3"Misc Fees:,Vì.ffi *Fees Paid:6rn-Ø
Balance due Gradins Permit:'JiØ,ú lssue Date:
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Zoning:
2-v.23BUITDtNG / PIANNtNG DTVTSION
DateApproval