HomeMy WebLinkAboutApplicationGurfield Coanty
GRADING PERMIT
APPLICATION-,...Community Development Department
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TYPE OF €RRD|NG
tr MAJOR YI MINoR
INVOLVED'PABNES
Jason and Sabrina Adams Phone: (-970-)379-0616Property Owner:
Mailing Address:
EmailAddress:
63 Cliff Rose Way Glenwood Springs, CO 81601
irideadams@ hotmail.com
Contractor:BuildAlem, LLC Phone:16
Mailing Address:
EmailAddress:
63 Cliff Rose Way Glenwood Springs, CO 81601
jrideadams @ hotmail.com
Architect:Steven Baczek Phone: G 354-5839
Mailing Address:
EmailAddress:
46 Gleamer Circle. Readinq MA 01 867
@nnmeast nei
Engineer:On Site Structural Engineering Phone:1 72O I 341-7093
Mailing Address:1499 West 120th Avenue, #110
Email Address:irw@ossenor
PROJECT NAME AND TOCATION
Project Name:Adams Residential Build
Date of Completion: 8-1-26
Description of Work:New ennstrrretion
Job Address:203 Wood Nymph Lane, Glenwood Springs, CO 81601
Assessorrs Parcel Number:23905208023
sub. Elk Springs Lot 23 Block 6
Earthwork (square feet):<16,500 Earthwork {Cubic Yards}:€k
ALL iJTiLiTiES MUST BE LOEATED PRIOR TO ANY GRADING
i 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.
Legel {ggg95 A Building Permit cannot be lssued witlrcrrrl lrrnrrf nf legal arrll arlequate access to the property for
purposes of inspections by the Building Division.
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(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 L80 days after commencement.
ICERTIFICATION
I hereby certify that I have read this Application, and that the information contained above is true and correct. I
understand thar thc BLrilding Division accepts the Application, along with the plans and specifications and othcr
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)). 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
Builciing Permit may be suspencied 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 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.
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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, enginccr and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the which is correct and accurate to the best of my knowledge.
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Owner nd Sign Date
OFFICIAL USE
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Special Conditions: :'O<Ji-FC6q-.LhJ€ap5 d- Dt r ?T--r gp-s ELorq-r,\L\FrtArN $0. .
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*[H5'.ctr Misc fc.c:OOTotel Fces:lcx-)Fees Paid:
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Balance due:Grading Permit:
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lssue Date:Zoning:
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(r-24 -?5BUILDINC / PLANNING DIVISION:
Date