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Home My WebLink AboutApplicationDocusign Envelope lD: 921 FF328-F26U6D2-A4tr A4AB2F3CE770F Community Development Department 108 8tt'Street, Suite 4{11 Glenwood Springs, CO 81601 {e70194s-82L2 wunlr.ea L[el d-cou nfi.qom CEIVEN ? 3 l(l?4 LD CCLJ!{I"Y :y il:.v1 )ptulENT Garfield Coanty GRADING PERM|T APPLICATION IYPE OFGRADING MAJOR MINOR INVOLVED PARTIES Property owne*S,.rilult*f r/l{."r-sr tu {.,g 5s-toI hl tLMtr.,{'Tor.J. DE ll9 A a L1 I+ trLL LfuLW( Mailing Address:eSl lrrrt-€ FprlrLl pslvr'E t|lara a. bsa +n &Roa*L?*tf,,/oA Phone: MailingAddress: .. - .. . .. EmailAddress: .. _ .... -.. - -- ., Architect:PLD,I lLccr.rr L 'nJ , (3- LL(.Phone:t - url Mailing Address;P Eo a g1 6atr Bt0z\ (G., c o t14Email Address:{).r 5a t xl Yrr*v'- Engineer:Phone:{l MailingAddress: Email Address: PROJECT NAME AND TOCATION 4 2a LJ l-eu /e ih6il 6 Project Describe Work:&I blJ &oX ttuv*-fe tvdJ Fl &ar Ktl e,-t 0 U I ltrt' e.n*J_ ,Ngi_aLL fr&)Jco 0 Job Address:ba q1 CA- 32a R:|LL Lo 8//5b Assessoy's Parcel Number:Zt ?SLL {ofi t77 Sub. Lot --Block (square feet!: -71-l\ {-/-Earthwork (Cubic Yards):T8v Docusign Envelope lD: 921 FF328-F26C46D2-A4EA-4AB2F3CE770F ALt UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE 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 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)). 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 ofthe 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 Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. ,l , t" Haroldstevenson,VicePresident /l't/41t July L9, 2024 Property Owner Print and Sign Date OFFICIAT USE ONIY cJ- Special Conditions: p (Lrr U qa.^.Ay Parr.^,r Vg4-v,e,^FD L;l.rrt I% tO +6etok CJq fDu:[doc.rTYZc>L \s QZO:g r rLED F\r.>ta,FLt c{.- DCA P€.6 Permit Fee:\cro.oo Misc Fees "'t'6L oo Fees Paid:\en.oo Balance due:Grading Permit: Ao-xs-qqos lssue Date:Zoning: g... )7-A2+ I BUILDING / PLANNING DIVISION : Date