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Home My WebLink AboutApplicationGarfield County GRADING PERMIT APPUCATIONCommunity Development Department 108 8th Street, Suite 401 li 1 , i; i: ! ','.:itbnwood Springs, CO g1OO1 1r,f , ii i.! :i.,1,_ lg7ol945-82L2: .r www.garfield-countv.com !:.: ; .j-i;.!..ij,..;i-::, :" 1..1 t,;l rvpe oFGnnDtNc tr MAJOR tr MINOR qu:W-A6V INVOLVED PARTIES Property Owner:6c..rCtia,nR \) \7-Phone:-f{, q o\ Mailing Address EmailAddress: -J lo S' \{-ca O (n Contractor:6scru ?a i<-Phone: tTlL I 311-Ytocl t Mailing Address:lo )r CU EmailAddress: Architect:{orrrn Phone:&1o t9?cr-3b\+ Mailing Address: EmailAddress: Engineer:n (e(t ,t 43St+Wt _tot+ Mailing Address: EmailAddress:w in r PROJECT NAME AND TOCATION Project Name .tr1 -a. T\-AirvLo A& - Describe Work:l..lqr) Can\lur*tc"on Job Address: ta \o lb Assessotrs Parcel Number:2l1q lU lo io ou\ l',,L (ct!ilr \tt,xo(Lot Block Earthwork (square feet) :5 Earthwork (Cubic Yards) : Authoritv. This application for a Building Permit nrust be signed by the Owner of the property, described above, or anauthorlzedagent. lftheslgnaturebelowlsnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be provided with this Application. Lesal 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 Pernrit. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE 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, if the location, construction or use of the 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 ^--l:^^t:^- :-^1.,1:-- ^..L--:!!^l- ^-l:-^-^^r:^-^ ^ltL^.-.^-l- L.-tL^ n..:ll:-- l^ -^r -^^^.i!HIrJiltr.dtt(It, Itt.IttililB 5utIil[tdt\, dilrr It\ltHr.iltrItt rI tile wtrrK rly tItE DlliluIt6 utvt>tuil uu iluL Luil)tttuLE dil dLLtPLdiLE 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. 6*--0 8 '- 20 .-28 P nta Date OFFICIAL USE ONIY d specia I conditi ons: {fu6 I t a+) r.}Jb Dlr 5*f cc,blTeg L fzei . >6?Tta \ s K)dT- 1p cr-u0riD (rl A GfrsgtroG genrr-'f(-- wv*J. D\lr\oe-Dq$ yttrfncs Co'NtE o t- ps<tcuS C^r€FfS. GUr.O rr:Crn glggf,-a.r.rrrnd a/.rJ Rr:C< Furabrc.G PoUr^s [tr-tq.i]G tZearg^, . Permit Fee:\oo.cD Misc Fees:ooTotal Fees:\oo Fees Paid:lcn oG BUILDING / PLANNING DIVISION lssue Date:Zoning R. DateSigned 1-rs -L5