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HomeMy WebLinkAboutApplicationGørfield Coanty GRADING PERMIT APPLICATIONn e êgwt¡¡itV Development Department 108 8th Street, Suite 401 Jtjl.. 1 4 Çl$.ffwood Springs, co81601 f,fiili,lFiRfffi TYPE OF GRADING tr MAJOR tr MINoR INVOIVED PARTIES Property Owner:Josette Greechan, Pentti Niiranen prrone, P14 ) 715-8845 Mailing Address: 11 Shippen Rd. Armonk NY 10504 Email Addrerr. josette. greechan@gmail.com contractor: Janckila Construction phone: {970 ) 319-3650 Mailing Address:75 Buckskin Dr. Carbondale CO 81623 Email Addrerr. Pete@lancki laconstructio n. com Architect: ModFin Design Build phone: P7o t274-1344 Mailing Address: 233 Elk Valley Ln New Castle CO 81647 Email Addrerr. hannawit@outlook.com Engineer:Ernie Kollar phone: (970 ) 963-3223 Mailing Address:320 Main St #203 Carbondale CO 81623 Emait Addre.r. erniekollar@gmail.com PROJECT NAME AND TOCATION Project 480 Larkspur Describe Work:Excavation and grading for a new single family dwelling Job Address:480 Larkspur Dr. Carbondale CO 81623 Assessol's Parcel Number:239133204038 ,rO. Cerise Ranch Sub Div Lot 38 _Block Earthwork (square feet):4163 Earthwork (Cubic Yards):350-400 ALL UTITITIES MUST BE TOCATED PRIOR TO ANY GRADING NOTICE I hereby acknowledge thet I have read and understand the Notice and Certification above as well as have p the requ Property Owner Print and Sign ired information which is correct and accurate to the best of my knowledge. ), Date Authoriw. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf 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 Dívision. Other Permlts. Multiple separate perm¡ts 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 commencement. CERTIFICANON 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 Applicatíon, 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)). I acknowledge that the Buílding Permit may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe structure(s) and facility(ies), descríbed 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 Ínspect the work. I further acknowledge that the íssuance 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 líability 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. OFFICIAL USE ONLY PAtD. +l0O.os c.c. a7^t,/aszz 1% Special Conditions: ./ê.a/,y at¿u)/4aÈ nsk án, //rçz f ef,Ø/f re //'a¿/ þa Permit Fee: {loo.oo Misc Fees:Total Fees:*loo. oo Fees Paid: S ¡ ¿6.co Balance due:*.6 Grading Perm¡t: GRAD . 7 ¿19 lssueDale: 7-lg-ZZ Zon¡ng: Ru R.ô l- &t),í^iln,7-/g-zLBUITDING / PLANNING DIVISION : Slgned Approval Date