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HomeMy WebLinkAboutApplicationGurfield Coanty Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (e70) 94s-8212 www.garfi eldcou ntvco. gov G} 'Tr C, nffi2. trtrclC!m r\> i!]o<:u s+ rtl u, q_ta Lr ?.,*{ MINOR Property Owner: Mailing Address: Gene R. Hilton Phone: VZA\ 4808422 2102 West Arapahoe Drive, Littleton, CO 80120 EmailAddress: Contractor: Aloine Excavation. Phone: (970 618 8137) - Mailing Address: EmailAddress:infotOaloineexcavationa ndlandcleari np.com Architect: Not Applicable. Phone:0 Mailing Address: EmailAddress: Engineer:Not aoolicable Phone: Mailing Address: EmailAddress: NAME AND LOCATION Project Name: Grade Existins Water Tank Easement Road. Date of Completion: Julv 15, 2025 Description of Work: Grade existins road. maintain surface, slopes and ditches as needed. iReplace gravel on lower section of road. Job Address: TBD. Approximatelv 700 feet south of the intersection of CR 312 and CR 335. Assessol's Parcel Number; Not available. Reference attached Grant of Easement Sub. Not located in a subdivision. Lot - Block Earthwork(squarefeet}:-Earthwork(CubicYards}:2500+/- ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE AuthoriW. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,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. Leqal 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 Permlts. Multlple separate permlts may be requlred: {1) State Electrical Permlt, (2) County OWTS Permlt, (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 Brtilding Permit becomes null ancj 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. 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 Divlsion. 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 requirlng a permit, I 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, if the location, construction or use of , the structure(s) and facilltV(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 wsrk. 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 facrirty(ies,} ri such rs rn vrolatron of County Reguiation(si or any other appiicabie iaw. 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 provided the required information whic Property Owner Print and Sign. Gene R. Hilton h is cprrect anq.accurate to the best of my knowledge./ ylUF- Date June30,2025 CIoOFFICIATUSE ONIY SpeclalCondltions flih?T 0,,Mlsc Fees: 47'fr6'"ro '"Sffi.oo sc)$dBalance due:Gradine Permit:' ^CrP[[l\ -q'-54 lssue Date:Zoninp: a' -7-3-25 BUILDING / PLANNINC DIVISION: f DateSigned