HomeMy WebLinkAboutApplicationGarfield Coanty
GRADING PERMIT
APPLICATIONRf Cf ruftlnmunity Development Department
108 8th Street, Suite 401
AUt; 1 3 ?U24 Glenwood Springs, co 81601
(9701945-8212
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TYPE OF GRADING
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PROJECT NAME AND TOCATION
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Architect:
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owner: p.;[ce €cni tn -9 Phone:Property 376 _ 6s43&70t
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INVOTVED PARTIES
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ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
an authorized agent. lt the signature below is not that ot the Owner, a separate letter of authonty, srgned by the
Owner, must he 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.
VoidPermit ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof
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 otherdata
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 Regulatron(s)). nll Lounty development requrnng a permrt, except for resrdentral uses, are sub';ect to Artrcle / of
the Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon
notice from the County, if thc location, construction or usc of thc structurc(s) and facility(ics), dcscribcd abovc, arc not
in compliance with County Regulation(s) or any other applicable law.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. lfurther
acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiringthe
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 responsibilityorliabilitybytheCountyof errors,omissions,ordiscrepancies. AstheOwner, lacknowledgethat
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 providpd the required information which is correct and accurate to the best of my knowledge.
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Property Owner d Sign Date
BUTLD|NG / PTANNTNG D|VTSION :
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Grading Permit:Balance due:
ooooFee:Fees PaidTotal FeesMisc Fees:
lssue Date:Zoning:
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