HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l943-8212
www.ga rfield-cou nty,com
TYPE OF GRADING
E MAJOR EI MINOR
Project Name Access Road
INVOLVED PARTIES
Address: 1419 Airport Road Rifle, Co 81650
625-4182
)Property owner: Shelton Properties LLC
Mailing
EmailAddress:wsdi@rof.net
ptroner P70
contractor: TBD Phone: { }
Mailing Address:
EmailAddress:
Phone: ( ìArchitect:
Mailing Address:
EmailAddress:
Engineer:Phone: I )
Mailing Address:
EmailAddress:
PROJECT NAME AND TOCATION
Describe Work:providing an access road between lots 2 and 3 of the proposed Shelton Minor Subdivision.
property is flat with a 3 or 4 areas that will require small amounts of fill material to properly
construct a 14'+ wide gravel access road.
Job Address:TBD Hwy 13 approximately 7.7 miles North of Rifle on Highway 13
Assessor,s parcet Number: 2129-152-00-056
Sub.Proposed Shelton Minor Lot2&3 _Block
Earthwork (square feet):Minimal Earthwork {Cubic Yards}:40
rIL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
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-áïilorfiv. fhis apolication for a Building Permít must be signed by the Owner of the property, described above, or
j an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the
j Owner, must be provided with this Application.
reqa¡ Àccess. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes oT rnspecttons by the Building Division.
¡Jther 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.
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 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, OWTS regulations and applícable land use regulations
(County Regulation(s)). All County development requiring a permit, except for residential uses, are subject to Article 7 of
the Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon
notice from the County, ¡f the location, construction or use of the structure{s) and facility(ies), described ãbove, 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 construction or use of the
structure{s) or facility(ies) if such is in violation of County Regulation(s) or äny 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 andl or builder.
I hereby acknowledge that
have provided the required
I have read and erstand the Notice and Certification above as well as
is correct and accurate to the best of my knowledge
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Property Owner Print and Sign Date
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Total Fees:oo Paid:&ooMisc Fees:it Fee:oo
Zonlng:Issue Date:Grading Permit:Balance due:
6-tt-4BUtLDING / PI-ANNING DIVISION
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