HomeMy WebLinkAboutApplicationGørfield CountyË
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l'ìÌli; ii.;Development Department
GARFIELD COU¡¡tOf 8rh street, Suite 401
c0 M M Lj N ITY D EVE Lo Éll€ftqúood Springs, CO 81601
(e701 e4s-8212
www.Êarfi eld-county.com
TYPE OF GRADING
MAJOR
INVOTVED PARTIES
E MINOR
Clough Sheep Company LLC phone
13781 Pacific Circle Mead, Colorado 80504
Architect: Phone:
EmailAddress:
.13781 Pacific Circle Mead, Colorado 80504
618-7749
PO Box 686Mailing Address
775-0527
contrector: Bargath LLC
517-0301David BullEngineer:
Property Owner:
EmailAddress:Rifle, Colorado 81650
Phone:1303
Phone:irß
MailinB Address
Email Address:david. bu ll@williams.com
EmailAddress:crai g. harris@wi I I iams.com
Mailing Address:
Mailing Address
PROJECT NAME AND LOCATION
Rulison ressor stationProject N
Describe Work:SEE ATTACHED SCOPE OF WORK
Job Address:39.04942 -107.9078
Sec 29 6S 94W
Assessol's Parcel Number:217522100140
Sub. lot
-
-Block
Earthwork (square feet):1080 Earthwork (Cubic Yards):480
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
i NOT¡CE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,asepãrateletterofauthority,signe{bythe
Owner, must be provided with this Application.
Le¡alAccess. ABuildingPermitcannotbeissuedwithoutproofoflegalandadequateaccesstothepropertyfor
purposes of inspections by the Building Division.
Other Permit6. Mult¡ple 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.
CERTIFICATION
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 and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assum¡ng
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 cons¡deration of the issuance of the Building Permit, I agree that I and my agents w¡ll 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 not¡ce from the County, if the location, construction or use of the structure(s)
and facility(ies), described above, are not i¡ì corìpl¡ance with County Regulation(s) or arly 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 Perm¡t does not prevent the Building Official from: (1)
requiring the correct¡on of errors in the subm¡ttals, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or fac¡lity(ies) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Appl¡cation, including submittals, and inspections of the work by the Building Division do not
const¡tute an acceptance of responsibility or liability by the County of errors, omissions or disffepancies. 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
buÌlder.
I hereby acknowledge that I have read and understand the Notice and Cert¡ficetion above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
¿â/nt/rz,
Propêrty Owner Print and Sign Date
OFFICIATUSEONLY ?AtÐ $toô' oo cc 6/oslzoeåÐt"*
Special Conditlons:
Permit Fee:
* (o o.tta
Misc Fees:"\jffi.*Fees Paid:#,oô. oo
Balance due:+þ(Grading Permit:
G ranp -113j lssue Oat€:8-ß-Z Zoning:
7
ttl¡r*l*8-E-z?BUILDING / PLANNING DIVISIoN
Slgned Approval Date