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HomeMy WebLinkAboutPERMIT Grading 800 MacGregor Ave 2018-02-03Received Date”’U\_\Town of Estes Park Pernilt Number G-I Grading Application /Permit .4ppticationEpires p)Lk (i Depariment of Building Safety 170 MacGregor Avenue P.O.Bo 1200 Estes Park,CO 80517 General Information &Inspection Line (970)577-3731 *FAX (970)586—0249 *wwj.uestesnet.com Permit E’pires _______________ Job Address:‘‘..‘Parcel#_____________________________ —N Owner’s Name:\-.“—tJQOv Phone:13— Address:,C: iStree:)lCit4)(Stale)ZipCode) Contractor:I i.l-•‘TossnLicense#: ______Phone: q — Address:.-fl...<:.:1:L — (Streell (City)(State)(Z,p Code) Grading Permit required if any of the following are true —please check all that apply: GCut greater than or equal to 2 feet 0 Cut creates a slope greater than or equal to 67’Y0 Fill greater than or equal to 1 foot 0 Fill creates a slope greater than or equal to 20%0 Fill greater than or equal to 50 cubic yards o Changing storm waler direction or rate of flow to public right of way or neighboring properlyoInanyriversetback,floodplain.or geo-hazard areaoAnyearth-work as identified above without or prior to a building permit MAnv earth-work approved by a Development Plan (Engineering Required) Submittals:Site Plans isith existing and proposed contours and drainage Description of Work: r.’- Cubic Yards (all cut &till):- I reflutS this application a loje ar.d corrn and agree 0 perform the n ork described according to plans specilkaitons suhniuticd.re’cued and .a1,prot ed.sod ct,nipl’w oh local ordi naaces,stale nod federdl Iaosan well as build:s codea I ceni lv hat I ha e the peope nv ownel a etttsorin and pcrllli 1o1’to appi for I h -peim 1.Addi lionel V IUNDERSTANDTHATIAMRESPONSIBLEFORANYFEESOREXPENSESLNCURREDFORPLANREVIEWPERMITS,INSPECTIONS VND OTHERFEESASSOCI4TFflWITfr-i THIS.PPLlCATlON. C Contractor . j.C Owner C Owner’s Agent C Tenant Sgnature _______________________________ Date!:PrintName .:r:-t ***Office Use Oniy Inspection Chccklisc: 0 Address Posted 0 Cut /Fill at propertY lines0ContractorsLicensed0PublicRightofWaysprotected0PermitPacketAvailableC‘York done per Engineering I Plans C Limits of Site Disturbance C Final Inspection -Drainage C Erosion Control Application Information Approved Disapproved Fees Planning Public Works Building Census 4 OverIa Zoning: Plan ReIe 4 Building Official Date Total ‘Senert3\bnitdtngdepl’Forms Appiicatlons’tOverthecouoter Gradtnrcradittg APPROVEDdoc Retised b20 ant t —Cu