HomeMy WebLinkAboutApplicationGurfield County
GRADING PERMIT
APPLICATIONCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.garfi eld-countv.com
TYPE OF GRADING
tr MAJOR tr MINOR
Project Name 349 Midland Loop Swank Residence
INVOLVED PARTIES
16223 Deer Mountain Dr. Littleton, CO 80127
rtswank@skybeam.net mlswank@broadspoke.net
Todd & Michelle Swank
EmailAddress:
pr,one, P03 ) 795-7085Property Owner:
Mailing Address:
75 Buckskin Dr. Carbondale CO. 81623
pete@janckilacontruct¡on.com ken@anckilaconstruction.com
927-6714
Mailing Address
Contractor:Janckila Construction, lnc.
EmailAddress:
pton", P70 )
8400 E Crescent Parkway, Ste. 160 Greenwood Village, CO. 80111Mailing Address
Architect
EmailAddress:frank@ 1 01 architecture.com
20 881 -1 600. Frank Makek 101 Architecture LLC Phone:
Christopher Shurtliff, Anchor Engineering phone:783-4797fl9-rEngineer:
EmailAddress:ch ris.sh u rtl iff@anchoreng. com
Mailing Address:253517th Street, Denver, CO. 80211
PROJECT NAME AND TOCATION
Describe Work:Excavation for a2 story home on crawlspace with attached garage
Job Address .349 Midland Loop, Carbondale, CO. 81623
Assessotrs Parcel Number:239319205024
Sub.Aspen Glen LotL-24 _Block
Earthwork (square feet) :4000 Earthwork (Cubic Yards) :440
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.
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 Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof
the date of issuance and if work is suspended or abandoned for a period of 180 days after commenccment.
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 arrd 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)). lacknowledgethatthe Building Permit
may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe structure(s)
ancl facility(ies), clescribed aLrove, are not in compliance with CoLrnty 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 the req information which is correct and accurate to the best of my knowledge.
Bl11l21
Property Owner Print and Sign Date
CERTIFICATION
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