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Home My WebLink AboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e7ols4s-82t2 www.garfi eld-countv.com GRADING PERMIT APPLICATION WPE OF GRADING tr MAJoR tr MINOR INVOLVED PARTIES Property Owner: Mailing Address: Brittany & Taylor Melonuk Phone:p05 ) 705-1511 PO Box 1163 Carbondale, CO 81623 Email Addrerr. brittanylacerte@gmail.com, melonuktay@gmail.com Contractor:Tate Fairbanks - Tate Civil LLC Phone:70 212-3760 Mailing Address PO Box 2251 Glenwood Springs, CO 81623 1to 62"147'l Z Email Addrerr. tate@tatecivil.com Architect: Jacob Baglien, PE - Cushing Terrell ptrone, Fo3 t395-1229 Mailing Address 2140 SW Jefferson St. Suite 200 Portland, OR 97201 Emait Addrerr. Jacobbagl ien@cushi ngterrell,com Engineer:Deric Walters, PE - Boundaries Unlimited lnc phone: (g7o t945-5252 Mailing Address: 923 Cooper Ave, Suite 201, Glenwood Springs CO 81601 EmailAddress:deric@bu-inc.com PROJECT NAME AND TOCATION Project Melonuk Residence Describe work: Excavation for new construction single family dwelling. Approx. 550LF driveway off existing driveway. Fire truck turn around and rough grading around residence. More than 1AC disturbance Job Address:960 CR 107, Carbondale CO 81623 Assessor's Parcel Number: Sub.lot -lBlock Earthwork (square feet). 45,000 sF Earthwork (Cubic Yards):1,000 cY ALL 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 anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be 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. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after corlrrnencenrent. iCERTIFICATION 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 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 informatio which is and to the best of my knowledge. iL Property Owner P and Date --)Z OFFICIAL USE ONLY fi&t. Conditions:Special CdrJ NLOLULt hNS DuSf-AkiEa&.FDE}JCr a-Cor)toGr I TEg PJTa$rrq>,q <ortTpr{-S ?sUr4t tr.'€ It}lss\G€-arl L 4'u t-lc^x{ttc elr TQP UA nq(I^JASS l-4;."I3nc3Pet"ga16uS h{.a.rrlfleJ.rf€_NAa.,rs:r(-arP v D6no*csQ,atr7P srGltBK).l* Permit Fee:t4cn f Misc Fees:4rnTotalFees:@ ooFees Paid:t-\oo Balance due: n- Grading Permit: f^lln,qqqA lssue Date:Zoning: R to- E. ?BBUITDING / PLANNING DIVISION : Date