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Home My WebLink AboutApplicationGarfield Counly GRADING PERMIT APPTICATIONCommunity Development Department "i 'j * "Glbnwood Springs, co 81601 '',',''' r{"|-\igZOt 945-82112 C0 tv,.;: ; !*t i Y t, ti' i: L .h,MhilL" rfi "ld-.ou ntt TYPE OF GRADING tr MAJOR tr MINOR INVOTVED PARTIES Property Owner:Rp nk &,^L ibLeorr Phone:( 4-ro ) e? q.q}o4 Mailing Address:o EmailAddress:trlrrnJi0 k5 -0 nnr*n ce-Si G\^ . c€l'rn Contractor:K5 s*rrrc.*rort Phone: (q1O I qs I Mailing Address:P. D,€.'Qlw \t 50 EmailAddress:No.t^/"r'O t(5- Cons\rur*r'on . cSlv\ Architect:Phone: ( ) Mailing Address: EmailAddress: Engineer:Phone:o .o5 Mailing Address EmailAddress: PROJECT NAME AND LOCATION Project Na Describe Work: Man Job Address: Assessol's Parcel Number:2RIILL 662q€ Sub. lot _Block Earthwork (square feet):Earthwork (Cubic Yards) : ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE CERTIFICATION I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required which is correct and accurate to the best of my knowledge. n q 2-b nt and Sign Date 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 Division' Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (S) .noti'"r 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. Authoritv. This application for a Building Permit must be an authorized agent. lfthe signature below is not that of signed by the Owner ofthe property, described above, or the Owner, a separate letter of authority, signed by the local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulationslCounty Regulation(s)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. 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 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 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 oi 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. ined tsbove atrue correct.ndthndtheatninformatiocontadreathisanherethathaveApplicatiocertifyby ifications othernd datawiththensanadtheaonspecBuildDivisiaonobplication,derstaun nd thhat e ccepts Applng ofumAssucortificationcetoasaccmpletenessbasedracyngmonorbeuponmyha lfbmittedsu (submittals),by my s toOwneronrssrtoBuildiwillPermitbessuedme,thisof a permgrantingsubmittathealsandngpprovalApplication, ofnconsiderationDivision.reviewed Builditheoniledethusmittabls ngnfacdlitiesdetabytheconstructstructure(s) orhofnsafederacoIwitstate,I,rm ree that na provisio nymplydcenofBheuPemygentshetssuait,lding OFFICIAL USE ONLY speciar condit,ont' UTTg lfy ;e a5ifif- / 5 8 tt ) <saJW4rL No.(r"u> t|lR$t fustrtW busf <al.rT\zc)i- Fees Paid:oo'"T'6b -a'oMisc Fees:Permit Fee:oo Zoning:Esue-Q,alc:Grading PermitrBalance due BUILDING / PIANNING DIVISION : Approval Date /o- |-2+