Loading...
HomeMy WebLinkAboutApplicationGørfield County,. g J" i.- Þ* [tZ=,! -O-gs i: oH T¡J F- r¡_ 3It.= ıã fl tr¡ UJu ¡Ug, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970l s45-82t2 www.ga rfield-cou ntv.com GRADING PERMIT APPLICAT¡ON Mailing Address: ryPE OF GRADING tr MAJOR tr MINOR INVOTVED PARTIES property owner: WESTPHAL, BRITTNEY M & SULLIVAN, SEAN P phone: (970 ) 920.3255 Mailing Address 19OO WILLITS LANE TRLR 84, BASALT, CO 81621 EmailAddress:lu ke.gosda@su n riseco.com contractor: Dockers Construction p¡on".1970 9873527 EmailAddress:d avid @d ockerscon structio n. com Architect: James Woelke Phone: Mailing Address:1002 Old Dutch Mill Road, Colorado Springs, CO 80907 EmailAddress: Engineer . High Country Engineering p¡on".1970 ) 945-8676 Mailing Address: 1517 Blake Avenue Glenwood Springs, CO 8'1601 Emait Addrerr. ddennison@hceng.com PROJECT NAME AND LOCATION Project lronbridge Residence Describe Work:Sitework and Foundation Excavation for res¡dence. Job Address:330 Blue Heron Vista, Glenwood Springs, CO 81601 Assessor's Parcel Number: 239501 329285 Sub. tRoNBRtDGE PUD, PHASE ll, FILING 1 &2 Lot 285 Block Earthwork (square feet¡: 2000 _ Earthwork (Cubic Yards). 250 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authority. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or anauthorizedagent. lfthcsignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe Owner, must be provided with this Application. Legal Access. A Building Perm¡t cannot be issued without proof of legal and adequate access to the property for purposes of inspections by thc Building Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) ariotlrer perntit required for use orr the property identified above, e.g. State or County Hlghway/ 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. CERTIFICATION lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. 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, lagree 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 Building Permit may be suspended or revoked, upon notice from the County, ifthe location, construction or use ofthe structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I heteby gtartL perrrrission 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 Dlvision 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 information which is correct and accurate to the best of my knowledge. /trÁ"fe"'/a 7122122 Property Owner Print and Sign Date -taOFFIC¡AL USE ONLY 0ôs Special Conditions '"#'io7.oo Misc Fees:ì.llâ +vÅä. oo q3Fees Paid:ú1o0, Balance due: ooó65 GradingrPermit: Ctsb-77o0 lssue Date:Zoning: BUILDING / PLANNING DIVISION Signed Approval Date