HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
to8 8ü street, su¡te 401
Glenwood Springs, CO 81601
(970) 94s-8212
www. ga rfi e I d -cou nt'/.ço$
TYPE OF GRADING
tr MAJOR EI MINOR
Property Owner:Zag Built LLC Phone
Mailing Address:2379 W. Ridges Blvd Grand Junction, CO 81507
2619326
EmailAddress:peggy@zagbuilt.net
INVOLVED PARTIES
Contractor:same as above Phone:
Mailing Address:
EmailAddress:
Archlect: Brad Jordan p70 6186690Phone:
Mailing Address 6874 CO 82 Glenwood Springs, CO 81601
EmailAddress:bradj ordanarchitect@gmail.com
Engineer:DB Structural Des¡gn p70 31 95934
Phone:
Mailing Address 1229 Sage Ct. Rifle, CO 81650
EmailAddress:dustin@dbsd.com
NAME AND TOCATION
Project N Sundance Trail Lot 15
Describe Work:excavate to construct a single family res¡dence while
wa¡ting ôn permit to be approved
Job Address:Sundance Trail Lot 15
Assessol's Parcel Number:Parcel 239319112015
,uo. Aspen Glen rot sD1s;Filing 4
{qq z_Block
Earthwork (square feet):Earthwork (Cubic Yards|:
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ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
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Authoritv. This application for a Building Permit must be signed by tlre Owner of the property, describecl above, or
an authorized agent. lf the signature below is not that of the Owner, a separate letter of author¡ty, signed by the
Owner, must be provided with this Applicatíon.
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.
Qther Permlts. 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 Hlghway/ Road Access or
a State Wastewater Discharge Perm¡t.
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 commencement.
FICATION
I hereby cert¡fy 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
,BuildingDivision. lnconsiderationoftheissuanceoftheBuildingPermit, lagreethatlandmyãgentswill 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 regulat¡ons {County Regulation(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)
I 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 ¡nspect the work. I
further acknowledge that the issuance of the Building Perm¡t does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopp¡ng construct¡on
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
I 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 Not¡ce and Certificat¡on above as well as
the required iqformation which is correct and aecurate to the best of my know¡edge.
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Property Owner Print and Sign Date
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Zoning:Balance due
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Grading Permit:
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lssue Date:
BUILDING / PTANNING DIVISION :
Signed Approval
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Date