HomeMy WebLinkAboutApplicationGarfield Counly
Community Development Department
108 8tr Street, Suite 401
Glenwood Springs, CO 81601
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www. ga rf ieldcountvco. gov
GRADING PERMIT
APPLICATION
TYPE OF GRADING
A MAJOR tr MINOR
INVOTVED PARTIES
Property Owner:Zanetich Phone: ( 85q 4721831
Mailing Address: 8 Oakview Terrace, Swedesboro NJ 08085
Emait Addres, sjz26@comcast.net
contractor: To Be Determined Phone: ( I
Mailing Address:
Email Address:
Architect: Brad Jordan/Jordan Architectu re I nc.Phone: t 970-t 6186690
Mailing Address: PO Box 1031, Glenwood Springs, CO 81602
Emait Address. BRADJORDANARCHITECT@GMAIL.COM
Engi n""r, Steve Edmiston/MTCG Phone:1206 t 9107766
Mailing Address: PO Box 1577, Basalt, CO 81621
Email Addrerr. steve@mountaintowncg.com
PROJECT NAME AND TOCATION
Proj ect Name: Zanetich Residence
Date of Completion:
Description of work: Fine access road grading & building site excavation
Job Address:tbd Mountain Springs Ranch Road
Assessor/s parcel Number: 218528200033
5r5. None Lot glr.k ParcelA
Earthwork (square feet|:Earthwork (Cubic Yards): 500
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.
l-enal 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.
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(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 1"80 days of
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certifiT 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(sland 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
Btlilding Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of
the structure(sland facility(ies), described above, are not in compliance with County Regulation{s) or any other
applicable law.
I hereby grant permissisn to the Building Division to enter the propefi, described above, to inspect the work. I
further acknowledge that the issuance of the Euilding Perrnit does not prevent the Buildlng offlclal from: (U
requiring the correetion of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the strueture{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 liabitity 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 required is correct and accurate the best of my knowledge-
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Property Owner print and Sign Date
OFFICIAL USE ONLY
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