HomeMy WebLinkAboutApplicationGarfield County
GRADING PERMIT
APPLICATIONCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970l94s-8212
www.garf ield-countv.com
TYPE OF GRADING
tr MAJOR I& vrnon
INVOLVED PART¡ES
Property owner:Jo,n u\{erç.çÁ É-A*lr*r-¡ phone:r4'lr¡ )¿lttB W-t
/uMailing Address:
EmailAddress r. ltr-rú.¡}t.T?¡L.) Ô t ()¡L..t ñ;T. o-:F-r
Contractor:Phone: t Cl"/O I Llô\r 17 I \-
Mailing Address:
EmailAddress:
r)
Çt n*r ^ L¡'t"t ral&\ ¿'JV, . ¿ ù
Architect:
i,.,/l"b cÒ("aflreS DÉLt bll). phone: tr-41a )q{)Lt \? r i-
Mailing Address:
EmailAddress:
Engineer:F¡lrr,Phone: ()
Mailing Address:
EmailAddress:
PROJECT NAME AND LOCATION
Project Name: bL?t3 ó.r,nr.,4 '(Za. l Otl I N(o¡:lotçuÇ ltt-¡
Describe Work:
Job Address:bLØ3 Loçx¡+t V-.c,¡jn,*t 1ÞÞ, C*¡-'fr,e)ANuÇ, Ln
Assessor's Parcel Number:
Sub.Lot _Block
Earthwork (square feet) :lLtt)Earthwork (Cubic Yards):
ALL UT¡LITIES MUST BE TOCATED PRIOR TO ANY GRADING
NOTICE
Ãuttror¡tv. rhisappl¡cationtorJariràingÞerrnümustbátig;;Jbtih;o*n"roftheproperty,describedabove,or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
Legal Access. ABuildingPermitcannotbeissuedwithoutproof of legal andadequateaccesstothepropertyfor
purposes of inspections by the Building Division.
Other Permits. Multiple separate perm¡ts 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 L80 days after commencement.
CERTIFICATION
I hereby certify that I have read this Appllcation 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 applicable 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, 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 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 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 Certificat¡on above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Sign
4 3
Date
OFFICIAT USE ONIY
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Special Conditions:
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lssue Date:Zoning:
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Balance due:
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Grading Perm¡t:
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?¿c-àBUILDING / PLANNING DIVISION
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