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HomeMy WebLinkAboutApplicationOCT 1 1 ?jU1 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, 0081601 (970) 945-8212 www.garfield-county.00m GRADING PBS IT APPUCAl1 ON TYPE OFGRAD NG NP MAJOR Ix MINOR INVOLVED D P4R 'IES Property Owner OVs Pct,r- ?A Phone: (� ) 4GC tfr ' Mailing Address: 49, b _ 7\ 1 ' 1 ! FII CD Email Address: � Qom} �� �... � 1 � Contractor: L Mailing Address: G. EmaiI Address: �0-- Phone:( ) ill j �p ,ter Q r, C/ Architect: �' ! 1C JAG J��'j �'�eGJ �4�hone: ( [J � ;r-- Engineer Ci) " L l P iAe V h.S ' T5Phone: (�3} Mailing Address: (.4,1,5' ,�1 i.;, ire' t _ Ave �ro.4116y Email Address: $ COb()I&/!r"7lRG Mailing Address: ' , 1'K V 0IS Email Address: s PRCXECT NAM EAND LDC Tial Project Name: Describe Work: S 1/11 S 6 L D L. b P eA?cc_ cul -1 ,bb Address: g )04C -a) R.P Oma:" IL, co a G c 3 reel Number: at. ids aid Ger t, f' Lot Block Earthwork (square feet): p `4 0Q Earthwork (Cubic Yards): flf P 1 t, ®l.' e, 3 ALL Ull MIES M UST BE LOCAT® PRI OR TO ANY GRADING R Authority. Misapplication for a Building Fbrmit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the 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) Sate Bectrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. Sate or County Highway/ Fbad Access or a Sate Wastewater Discharge Permit. Void Permit. A Building FFrmit 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 commencement. I hereby certify that I have read thisApplication and that the information contained above is true and correct. I understand that the Building Division acceptsthe Application, along with the plans and spedficationsand 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 Kermit will be issued granting permission to me, as Owner, to construd the structure(s) and fadlitiesdetailed on the submittals reviewed by the Building Division. In consideration of the issuance of the Building Ibrmit, I agree that I and my agentswill 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 ((aunty Faegulation(s)). 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 fadlity(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 fadlity(ies) if such is in violation of County IIation(s) or any other applicable law. Review of thisApplication, induding 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 Fbgulations rest with me and my authorized agents, induding without limitation my architect designer, engineer and/ or builder. I hereby acknowledge that 1 have read and understand the Notice and Certification above as well as have provided the required inf armation which is correct and accurate to the best of my knowledge. <-3 io I) Property Owner Print and Sgn � Date Fp. too•00) 60`I ) ID 1( li' Q3edal Conditions: FIT--iliAett 1. 1�7 er 4-1 W S Risk Bc.-; 7--2- kw/0E Gt1 Ibrmit Fee:, W M isc Fees: Total Fees DO Fees Paid:DCr—I Balance due: 0 Grading Permit- 1)If , Issue Date: Zoning: PI/lb ( -,‘ 1 \ 7/ it) t -1- BUILDING/ PLANNING DIVISON : t – lik. /0-12 ` 2 ~ 2.0 ned • .proves Date 1- r--. Fp. too•00) 60`I ) ID 1( li'