HomeMy WebLinkAboutPERMIT Grading 3501 Fall River Rd 2014-11-21Received Date
Town of Estes Park
Permit Number G- /
By Grading Application / Permit Application Expires
Received
64/P
Department of Building Safety 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Information & Inspection Line (970) 577-3731 * FAX (970) 586-0249 * www.estesnet.com
Permit Expires 49 2/4
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Job Address: ' ) )(, ) 1 \---cd \ 11-<\ V' QA- P A ti s--(p - 0 - Parcel # 4?-5)&0 --CYD -0°2-
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Owner's Name:
Address:
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(Street) ) (City) (State) (Zip Code)
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Contractor: 1--* , I I ._.(3 0„1-\-1 r•--k C-vx S"\-`--'1' 1 ( 0 <7
Town License #: - 1 (a Phone: 9 70 - 5 (0 (3- LA u i
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Address: - 1 , o_ s (7; ( — (,__, 0
(Street) (City) (State) (Zip Code)
Grading Permit required if any of the following are true — please check all that apply:
IR Cut greater than or equal to 2 feet 0 Cut creates a slope greater than or equal to 67%
0 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
0 Changing storm water direction or rate of flow to public right of way or neighboring property
0 In any river setback, floodplain, or geo-hazard area
0 Any earth -work as identified above without or prior to a building permit
D Any earth -work approved by a Development Plan (Engineering Required)
Submittals: Site Plans with existing and proposed contours and drainage
Description of Work: r:.-- -, 4,
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Cubic Yards (all cut & fill): , ..."'"7
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I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted, reviewed and approved, and comply with
local ordinances, state and federal laws as well as building codes. I certify that I have the property owner's authority and permission to apply for this permit. Additionally, 1
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW, PERMITS, INSPECTIONS AND OTHER
FEES ASSOCIATED WITH TIIIS APPLICATION.
‘Contractor ta,Owner 0 Owner's Agent 0 Tenant
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Sigitft'0,:, ' k* > Date/I/ILI ILI Print Name 0, ' k ' "" \ ( '-
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*** Office Use Only ***
Inspection Checklist:
D Address Posted 0 Cut / Fill at property lines
0 Contractors Licensed 0 Public Right of Ways protected
0 Permit Packet Available 0 Work done per Engineering / Plans
0 Limits of Site Disturbance 0 Final Inspection - Drainage
0 Erosion Control
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Application Information
Approved Disapproved Fees
Planning
7 5". co
Public Works
Building
C4 p
851 Go
Census #
Overlay Zoning:
Plan Review
45oo
Iltiiiding ifficl• I ----• ------!: ---- Date
Total
4205'. Cri
Server13 \buildingdept Fonns \ Applications \ Over the Counter\Grading\Grading APPROVED.doe
Revised 1/20/2011 -CB
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