HomeMy WebLinkAboutPERMIT 1451 Cedar Ln Grading 2011-11-020
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Received By Grading Application /Pernit Application Expires
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Esies Park,CO 80517 ,13
General Information &Inspection Line (970)577-3731 *FAX (970)586-0249 *www.estesnet.com Permit Expires (.(3o
JobAddress:/’l jJ..Parcel#
Owner’sNanie:ZAp-L J4_2A Phone:P2O
Address:,1/1i L71-TE.5 41 1
(Street)(City)(State)(Zip Code)
Contractor:()JJ Town License #:
_____Phone:_________________
Address:LI-1.(ZO *‘17
(Street)(City)(State)(Zip Code)
Grading Permit required if any of the following are true —please check all that apply:-
D Cut greater than or equal to 2 feet D Cut creates a slope greater than or equal to 67%•Fill greater than or equal to 1 foot C Fill creates a slope greater than or equal to 20%I Fill greater than or equal to 50 cubic yards
C Changing storm water direction or rate of flow to public right of way or neighboring property
C In any river setback,floodplain,or geo-hazard area
C Any earth-work as identified above without or prior to a building permit
C Any earth-work approved by a Development Plan (Engineering Required)
Submittals:C Site Plans with existing and proposed contours and drainage
Description of Work:/TloPL AILAJ AA
CubicYards(allcut&fill):.,—>
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,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCIATED WIJH THIS APPLICATION.
C Contractor /Owner C Owner’s Agent C Tenant2’I 7/
Signature )_/]/7/7 L.—Date /Li PrintName ;../!-L ,//‘
***Office Use Only
Inspection Checidist:
C Address Posted C Cut /Fill at property lines
C Contractors Licensed C Public Right of Ways protected
C Permit Packet Available C Work done per Engineering /Plans
C Limits of Site Disturbance C Final Inspection -Drainage
C Erosion Control
Approved Disapproved Fees
Planning
Public Works
Building
Census Overlay Zoning:
Plan Review
2.7.00
DateBulldinO7
1/1—Total 72_.OO
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