HomeMy WebLinkAboutApplicationGurfield Coanty
Community Development Department
108 8th Sffee-t Suite 401
Glenwood Springs, CO 31601
(970194s-82!2
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Property owner: Larry & Susie Brannon
Phone:805 896-9724
Maillng Address: P.O. Box 2834, Santa Maria, CA g345s
Ema' Addresr. barehunterl 7@hotmail.com
MAJOR El wttwoR
Contractor:MCI Excavation
Phone:
Phone:
970 l 319-4582
2601 County Rd 230, Rifle, CO 81650Malling Address
Emait Address. mciaustin20@gmail.com
Architect:
Mailing Address:
EmailAddress:
502 Main St, Suite A3, Carbondale, CO 91623
Sopris Engineering LLC, Paul Rutledge & yancy NicholEngineer:Phone:
Mailing Address:
970 l 704-0311
Emait Addrer* jpetaisto@sopriseng.com
PROJECT NAME AND LOCATION
grade for new driveway, start excavation for new foundation
main house and detached garage prior to permit issuance
18,538. sq.ft.Earthwork (square feet):
4
Job Address:253 Shore Dr., Silt, CO 916b2
of
Descrlbe work: Cut and
Lot
1494 cu.ydEarthwork (Cubic Yards):
Assessor's parcel Number: 217912401A04
,uo. River View Ranch
Brannon ResidenceProject
Block
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ALL UTITITIES MUST BE LOCATED PRIOR TO ANY CRADING
NOTICE
Permit must be signed by the Owner of the property,described above, oran authorized agent. lfthe signature below is not that of the Owner, a separate letter of authority, signed by theOwner, must be provided with this Application.
CERTIFICATION
Lesal Access' A Building Permit cannot be issued without proof of legal and adequate access to the property forpurposes of inspections by the Building Division,
other Permits' Multiple separate permits may be required: (1)state Electrical permit, (2) county owrs permit,(3) another permit required for use on the property identified abov", ..g. st"te or county Highway/ Road Access ora State Wastewater Discharge permit.
Void Permit. A Buirding permit becomes nuil and void if the work authorized isthe date of issuance and if work is suspended or abandoned for a period of 180
not commenced within 180 days of
days after commencement.
I hereby certify that I have read this Application and that the information contained above is true and correct. Iunderstand that the Building Division accepts the Application,along with the plans and specifications and other datasubmitted by me or on my behalf (submittals), based upon my certification as to accuracy, Assuming completeness ofthe submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, toconstruct the structure(s)and facilities detailed on the su bmittals reviewed by the Build ing Division. ln consideration ofthe issuance of the Building Permit,I agree that I and my agents will comply with provisions of any federal, state or locallaw regulating the work and the Ga rfield County Building Code, OWTS regulations and applicable land use regulations(County Regulation(s)). All County develop ment requiring a permi! except for residential uses, are subject to Article 7 ofthe Land Use and Development Code. t acknowledge that the Building permit may be suspended or revoked, uponnotice from the County, ifthe location,construction or use of the structure (s) and facility(ies), described above, are notin 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 inspectthe work. I furtheracknowledgethat the issuance of the Building permit does not prevent the Building Official from:(1) requiring thecorrection of errors in the submittals, if any, discovered after issuancel or (2) stopping constru ction or use ofthestructure(s) or facillty(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of thisApplication, including submittals, and inspections of the work by the Building Division do not constitute an acceptanceof respo nsibility or liability by the County of errors, omissions, or discrepancies. As the Own er, I acknowledge thatresponsibility for compliance with federal,state and local laws and County Regulations rest with me and my authorizedagents, including without limitation my architect designer, engineer and/ or builder
I hereby acknowledge that I have d understand the Notice and Certificatio n above as well ashave provided the required i ich is correct and accurate to the best of my knowledge.
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Property er Print and Date
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Permit Fee;oo Misc Fees:Fees:oo Fees Paid:oo
Balance due:Grading Permit
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lssue Date:Zoning:
BUILDING / PLANNING DIV|SION I 3-rt-zs
Signed Date
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