HomeMy WebLinkAboutApplicationGørfield County
GRADING PERMIî
APPLICATIONCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
19701945-82L2
www.ga rfield-countv.com
TYPE OF GRADING
tr MAJOR T MINOR
INVOTVED PARTIES
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Oø1Phone:
I(o t IEmailAddress:
Property Owner:
Mailing Address:
Phone: ( )Contractor:
Mailing Address
EmailAddress:
Architect:Phone: ( )
Mailing Address
EmailAddress:
Engineer:Phone: ( )
Mailing Address:
EmailAddress:
Sub. Lot _Block
DO\Earthwork (Cubic
N
o
Job Address:
6fı
çßl. CP- t&
Assessol's Parcel Number:
Earthwork (square feet):
PROJECT NAME AND LOCATI
I
Project Na
Describe Work:
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the
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.
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
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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 Perm¡t 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 regulatíons
(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, 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 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 w¡th me and my authorized
agents, including without limitation my architect designer, engineer and/ or builder'
ALL UTILITTES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
I hereby acknowledge that I have read and understand the Not¡ce and Certificat¡on above as well as
required information which is correct and accurate to the best of my knowledge.
23
Property Owner Print and Sign
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Date
OFFICIAI USE ONLY .I
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Grading Perm¡t:
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lÒ-lc-23BUITDING / PLANNING DIVISION
Date