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Home My WebLink AboutApplicationGarfield County GRADING PERMIT APPTICATIONRECËDevelopment Department 108 8th Street, Su¡te 401 Glenwood SPrings, CO 81501 GARFTËt-t) cot"¡Ê\}TY leTol s4s-82L2 CCIMM U N iTY DËVE LOPM ã¡f,{ilw.earfi elcl-coun TYPE OF GRADING tr MAJOR MINOR INVOLVED PARTIES Property Owner: Mailing Address: . ltl'ern.artrl0 11 2 Phone:o /6" EmailAddress:e S(g Contractor:/'-4 [È r,csnsf{f t 5f,!o t'l Phone: t?'p I ? øl Al *Z Mailing Address:s EmailAddress: Architect:5 Phone:t?rot3/Y L/3"5 ü,rMailing Address ?.rt 3 o K 2q Æ L¿¿¿Ker ¡/) <À /6 EmailAddress:/t e Engineer: 6+rttuood ç+rt' ld¡ql C, Vttlrt6 Phone:1e2"¡723 O/35 Mailing Address:9,/2 ?,1 K n .(t/,,fir/e 6 /ett¡spo.!-j ø .-z /{a I EmailAddress:C sI .)o PROJECT NAME AND LOCATION Project Describe Work: Job Address: Assessol's Parcel Number: Sub.Lot t_6 BIock Earthwork (square feet):,o Earthwork (Cubic Yards) : tf æ,aoø 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 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 wÌthout 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 ident¡fied above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. lr^¡.¡ D^--i¡ ^ D..ilf i^- ñ^--i¡ L^-^..--- -..il -.- Jrvru rrrr[rf. A ÞuiluiltË, rrf ililr. ucLUilres iluil dilu vutu il Lf te wof K autnonzeo 15 noI commenceo wltnln ]ðu oays or thc datc of issuance and if work is suspended or abandorred for a periocJ of 180 clays ¿[Ler cunrrnencernen[. I hereby certify that I have read tlris Application and that the informatlon 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 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 regulat¡ons (County Regulation(s)). I acknowledge that the Building Permlt may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) 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 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 constrr-rction 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 th red information which is correct and accurate to the best of my knowledge. (f )sca Property Owner Sign Date D' - OoIt- I-<_ CERTIFICATION OFFICIAL USE ONLY oo SpecialConditionsi / - t ll GYuôrpGr t5'TAl'/.I¡>G Çc*æ A( fu€i cuorJC<TL:j cN)P ltSK, B-rc-D\ÈCr fvtt^tç QntÉu LS P€-FJÐìL€- t"'''slnr-.oo Misc Fees:Total Fees: Éloo9Ô Fees Paid:$f6¡-oo oo*5Balance due Grading Perm¡t: e€s,n-7Êqq lssue Date: ¡ r lr l.--'rr-,^r',lJ-L-t/',&Lt)*¡r\ ).t) Zoning: BUILDING / PLANNING DIVISION : Signed Date