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HomeMy WebLinkAboutApplicationF - CGarfield County Community Development Department 108 8"' Street, Suite 401 Glenwood Springs, CO 81601 (970)945-8212 www.garfieldcountyco.gov r TYPE OF GRADING _ . _ � 2021 II — - 0 MAJOR ❑ MINOR GARFIEL D COU TY INVOLVED PARTIES COMMUNITY DEVELOP ENT Property Owner: LITTLE PORPOISE LLC/BRIAN STO%4": (970 ) 948-6913 Mailing Address: 809 LAKESIDE, CARBONDALE, CO 81623 Email Address: STOWMAN62@GMAIL.COM Contractor: OWNER Mailing Address: Email Address: Phone: (� Architect: BRAD JORDAN Phone: (970 ) Mailing Address: PO BOX 1031, GLENWOOD SPRINGS, CO 81602 Email Address: BRADJORDANARCHITECT@GMAIL.COM Engineer: STEVE EDMISTON/MTCG Mailing Address: PO Box 1577, Basalt, CO 81621 Email Address: steve@mountaintowncg.com PROJECT NAME AND LOCATION Project Name: LOT 12, CORYELL RANCH 618-6690 Phone: 201 6 ) 910-7766 Date of Completion: DECEMBER 2026 Description of Work: SINGLE FAMILY RESIDENCE VVITH ACCESSORY DWELLING UNIT Job Address: 541 CORYELL RANCH ROAD Assessor's Parcel Number: 239329102012 Sub. CORYELL RANCH Earthwork (square feet): 8000 Lot 12 Block Earthwork (Cubic Yards): 1000 ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If 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 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, (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. 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. In 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 Building Permit 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 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 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 which is correct and accurate to the best of my knowledge. 'C' — .2- �� /Z/Z&lzs Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Permit Fee: Misc Fees: Total Fees: Fees Paid: 00 Balance due: Grading Permit: Issue Date: zo ng: BUILDING / PLANNING DIVISION: — Sig Approval Date