HomeMy WebLinkAboutApplicationGarfield County
R.ADfli'iIG,P.ER:BIT.EF
Ar ,-PiL:ICAT'1o$'Community Development Department
108 8th Street, suite 401
Glenwood SPrings, CO 81501
l970ls4s-82l,2
www.Fa rfield-cou ntv.com
WPE OF GRADING tr MINORtr MAJOR
INVOLVED PARTIES
Andrew & Kamehl Reeves
PO Box 24 Silt, CO 81652
reeveselectric. com or a n d rew@reevesel ectric. com
618-5366Phone:70
kamehl@EmailAddress:
Property Owner:
Mailing Address:
kamehl@reeveselectric.com or andrew@re
618-5366OwnerPhone:
PO Box 24 Silt, CO 81652
eveselectric.com
EmailAddress:
Mailing Address:
Contractor:
Mailing Address:
EmailAddress:
NA PhoneArchitect
Mailing Address:
EmailAddress:
NA Phone:Engineer:
PROJECT NAME AND LOCATION
5u6. Lot
Earthwork (square feet):
-
Reeves Pole Barn
217909100012
Earthwork (Cubic Yards)
Block
Project Na
Describe Work . Grade out property for new pole barn.
Job Address:11 1 W Main Street Silt, CO 81652
Assessor's Parcel Number
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,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.
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.
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 rrry belralf (subn'ritLals), based upcln my ccrtificatlon 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
A^^li^^+i^^ ;^^1..1:-- -,.L*:..^l- ^^J :---^-r:^.Alj[ilicarlon, lncluqlng SUpmiiralS, ano lnsfiecTlons r:rl tnF wilri( hy tt)e BLtilciing 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, lncluding without limitation my architect designer, engineer and/ or builder.
I hereby certify that
CERTIFICATION
ALt UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
NOTICE
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
z,
Property Owner Print an Datc
OFFICIAT USE ONLY
Special Conditions: -z-('K*t;\\r
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c,f\/T-te -nrf€ Dr,-qr;te Ve a,,.,*rf (> ISSuC$
*'i5b .lo Misc Fees
TJ,T'oo lo.ooFees Paid
Balance due:#Grading Permit
9Rl.tt.E 3\C-t-
Zoning:
.L'-21BUIIDING / PLANNING DIVTSION :
lssue Date:
Date