HomeMy WebLinkAboutApplicationGarfield County GRADING PERMIT APPLICATIONCommunity Development Department 108 8th Sreet, Suite 401 Glenwood Springs, CO 81601 l970l94s-82t2 www.sarfield-county.com A wtruontr MAJoR LLC Y Phone:n|L{ | LlUr-'t?So EmailAddress:qc ",*tat o...{oG l.-*.^Jq ,v nrl^ ^ ('r\A-r- 0l Bw t frnonclci- IProperty Owner: Mailing Address: I J* a Phone:6ql ) 9/ 1 -o t1oContractor: Mailing Address: EmailAddress: 5osPhone: rrA-t I \ Architect:DC 34- o .firr rRS Q zo&? 37 39 Mailing Address: EmailAddress: - /Jae- 5w,ol C-- Phone:Engineer: t c.rn^.ct n SNMailing Address: EmailAddress: NAME AND T,OCATION Job Address: n t c_r\I 5ec-twjLsre* I ar tet l"rJ oov\fY-o- I '3r CLn Assessor's Parcel Number: Describe Work: Project d{ t lA* 5"k1.irD; tt ct ft Earthwork (square feet): €uh. ()CJlr- Earthwork (Cubic Yards): $o f,1". , ','l-. T.o.\=* I ( ovr J ) .+-rt,x'l eJ a ,t. Jbn a,nJ < r..<*5\ 'iS 2a$ \,t/ . ) A tr<c-Ll \ ervtp ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING ryoI!cE Authoritv. 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. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within L80 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 applicable land use regulations (County Regulation(s)). 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 with me and my authorized agents, including without limitation my architect designer, engineer and/ or builder and understand the Notice and Certification above as well as ich is correct and accurate to the best of my .L3 P Print and Sign Date OFFICIAL USE ONLY I specialconditions: furgg nr y'cuA- o.,J Lt , E-rtr-orNc- Pu:tznn"tT Pe*lU Fer,'rerl-), Cdpla-6L ;lorra,S t,rl€eDs , Col<ge-D6T, flAlpfa,rFJ DP{}JW Permit Fee 'oot@, Misc Fees '"i?iH'.oo Fees Paid:VN @ Balance due: _6.- Grading Permiti 6?.Lb -?[o,bs lssue Date:Zoning: R, f-toBUILDING / PLANNING DIVISION Date