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HomeMy WebLinkAboutApplication - PENDING (1)Gørfield County GRAÐING PERMIT APPLICAîIONCommunity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 19701945-82t2 www.ga rfield-cou ntv.com TYPE OF GRADINGI vruon tr MINOR tuat INVOLVED PARTIES Property Owner: Mailing Address: EmailAddress:h) L',f-'Q-. Àt tn ^, ¿.Jrr-J.¡ ,'1-otv, t6t?l7o8 Le Phone: tclùlo I .k:Ç -5*LQQLll- tÀt å.L"'åle, G\ E Phone:fl70 fl-'14,?'4tz- EmailAddress:\^Jh;* ræ 1/4.JrñC,'Õl ,tno"ltl Mailing Address: Contractor: EmailAddress: ugz¿Phone: Mailing Address: Architect: Engineer: Phone: (-)- Mailing Address: EmailAddress: PROJECT NAME AND LOCATION ¿lJob Address:¿-ô Ê- f7^rn J/R-r, -. o-f , Earthwork (Cubic Yards): Assesso/s Parcel Number: Earthwork (square feet): Sub. Describe Work: Project N Lot Block ALL UT¡LITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Author¡tv. 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. Voidpermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby acknowledge that I have read and understand the Notice and Cert¡fication above as well as have provided the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date 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 Sranting 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, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant perm¡ssion 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 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. OFFICIAL USE ONLY t( ll' . Special Conditions:I r-- Perm¡t Fee:øu(t@ Misc Fees: L) ln '#ffi6ø '""1t1p.* Balance dueTó¡¡.oo Grading PCrmit: @Æ)-7t93 lssue Date:Zonins:a BUITDING / PLANNING DIVISION : Signed Approval Date Framing plans for each ffoor level and rool All beams, columns, Joists, tafiers and br¡sses specified. Pre-manufactured struciures require the engineers damp, signalure and date. Framing /connEction details, braced wall lines, shear wall echedule, location and hold downs. NOTE: lf any required information is missing, delays in lssuing the permit are lo be expected. lf determined by the Building Official thçt additional informalion ls necessary to review the application and/or plans fur cômpliancè, the apþli.cation may be placd on hold untilthe required informatlon is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Revier¡r fee at time of application submlttal. The permit fee, as well as any Road lmpact fees will be collected when the permit is issu€d. Ïhe permit application must be signed by the owner or by person having written authotity from lhe owner to act as their representative. Building cannot be occtpied untila Certificate of Occupancy (CO) is issued. Using the building without a CO ì¡vill be considered an lllegal occr¡pancy and may ba grounds for vacating fte premises. (FinaUCO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge I have read,¡rnderrtand and wlll ablda by tfte requirements of thls a a checklist Property Owner Pdnt and \",, t Q<c' AeVt,dc I L 4L i¡ I,i: ilI I I JI ;l I :l II I 1 \ ',. I \ ItSeptlc: Typc of HÊrÈ Natural Gãs ]Pronane Electrlc Other Authorltv. Thls applicatlon for a Suilding Permlt must be signed by the Owner of the property, descrlbed above, or an authorired agent. lf the slgnature below ls not that of the Osrner, a separate letter of authorlry, slgned by the Ovvne¡, must be provlded wlth thls Appllcation. lc¡al Access. A Suilding Permit cannot be issued wlthout proof of legal and adequate acçels to the property for purposès of f nspections by the Buildlng Divislon. Other Perrnlt¡. Multiple separate permlB may be requlred: (11 State Electrlcal Permit {2) County O\ /TS PêrmlÇ (3) another perrnít requlred for use on the property identified abovg e.g. State or County H¡Bhway/ Road Access or a State Wastewater Dlscharge Permlt, Vold Permh. A Suilding Penn¡t becomes null and vold if the work autho¡í¿ed is not commenced within 180 days of thê date of ¡ssuance and if work ls suspended or abandon€d for a perlod of 180 days after commencement. flPermhð: Drlycw¡y Pcrmh: æüñÊr-aG understand that the gu¡lding Divlslon accepts the Appllcatloç along with the plans and specifications and oth€r data submftted by me or on my behalf {submittal¡}, bared upon rry certlfication as to accuracy' Assuming completeness of the submittals and approval of thls Applicat¡on, a Building Permh wíll be ls¡ued Erantlng permiss¡on to me, as Owner, to construct the structure{sl and facilíties deta¡led on the submittals reviewed by the Building Division. ln conslderat¡on of the issuance of the Euilding Permitf ¡atree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield C¡unty Building Oode OWTS regulations and appllcable land use regulationl (County Regulation{sff . I acknowledge that the Euilding Permit may be suspended or revoked, upon notice from the County, if the location, construction or use ofthe st¡ucture(sl and facllity(les), descrlbed above, are not ln compliance with County Regulet¡on(s) or any other applicable law. I hereby grant permission to the Buildlng Dtv¡slon to enter the pfoperty, desc¡íbed above, to lnspect the work I further acknowledge that the lssuance of the Building Permit doeÍ not prevent the Building Offrcial from: (1) requiring the correction of errors ¡n the subm¡ttals, if any, dlscovered after lssuance; or (2) stopping construct¡on or use ofthe strusturets) or facility(iesl ifsuch is in violetlon of County Regulatlon(s) or any other apgllcable law, Rcview of tlr's þplícatidn, lncluding_submlttals, and inspectlons of the nork by the Building Díyision do not const¡tute an acc€ptance of responslblllty or liabilíty by the County of errors, omlsslons or discrepancíes. As the Orvner, I aðknowledge that responsibllity Íor compllance whh federal, state and local laws and Oounty Regulations rest w¡th me and my authorí¡ed agents, including wlthottt llmltatlon my arch¡tect I hereby that I hâve read HrlsAppllcation and thatthe lnfonnation cónt¡rln€d above is true and correct. I orbullder I hereby acknowled¡c that I haYc read understand the Notlsc ls correct ¿nd ¡ccur¡te to the best of nry knowledge. ¡boYe, rt well a¡, havc i ,I 'i I I I I I I 1 I.1 I 'i t,J ,l t'i I ': ì 4 J I ì I I I II i 1 I ! r ulzl zu Property Owner Pdnt ¡ndSlSn Date Speclal Condhions: Ml¡c. tees;Manu, Home Fee:Permlt Fee:phn cfeclr FyiAdJusted Valuatfon: OWTSNO:lI-Sg,:Balance Due:Fees Pel*Tot¡l Fee¡: ZonlngtConst TyPe:OCCGTouP:Setb¡cl¡: BUr.JltHG I PlåNNlr{G O¡VlSlOlU ; Sl¡ned Approval D¡te