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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ol94s-8212 www.ga rfi eld-countv.com TYPE OF GRADING tr MAJOR tr MINOR INVOLVED PARTIES Property owner: Mailing Address: Spencer Charles Holdings, LLC Phone:0 61 80464 300 Mountain Shadows EmailAddress:j usti n@go-re ntals. com Contractor:owner Phone: ( ) Mailing Address: EmailAddress: Brad Jordan ptron", P70 61 86690Architect: Mailing Address: PO Box 1031, Glenwood Springs, CO 81602 Emait Addrerr. bradjord anarch itect@g mai l. com Engineer:N/A Phone: Mailing Address EmailAddress: PROJECT NAME AND LOCATION Project N Go-Rentals Retail, Sto e and Rental Uses Describe Work:Dump approximately 50 loads of clean dirt Job Address. APProx 1 .75 miles East of SE downtown Silt, immediately East of 4000 River Frontage Road Assessol's Parcel Number:217912200660 rr5. Duplice Exemption tot B Block Earthwork (square feet). 1000 Earthwork (Cubic Yards) :less than 2500 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authoritv. This a pplication 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. Lesal Access. A Buildlng Permit cannot be issued without proot of legal and adequate access to the property tor 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 andvoidiftheworkauthorizedisnotcommencedwithinl80daysof 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. 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. F"a/02-27-25 Property Owner Print and Sign Date OFFICIAL USE ONLY f,'..,t Lc 4,X?,1s speciarconditio"*?oo-r o€-Dv ;;r1 colr.tsg-dL / A,4\r-trA.(\) F'Fr:n lt5, --Ril/_- GVri----pftAtl\)ACK- -. D() lvss IFICC€.+>E l)ta\tF\r,r\(.'c' -_I-r1(lr. r./Gl(j.l)qK , Lt-. ^- \ -65.lt I r{*''lL ,./L.r\.( e\.r) \.l'la$tDt Permit Fee:r@.OO Misc Fees:ooTotal Fees: \c)o -"i'fih oo Balance due .-+"=)- Grading Permit: &auu-QoQ+ Zoning: {2- lssue Date: x..z-T-a5BUITDING / PLANNING DIVISION : DateSigned