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,
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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
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Property Owner Pdnt and
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]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:
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Pcrmh:
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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
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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