HomeMy WebLinkAboutApplicationGurfteld County
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108 8th Street, Suite 401
APft tJ 3 ZUI,1 Glenwood Springs, co 81501
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TYPE OF GRADING
---U MAJOR
INVOTVED PARTIES
Property Owner:Rick & Janet Orrison Phone
Mailing Address: 207 Pdm Springs Ave, Cheyenne, Wy 82009
70 379-2404
Emait Addrerr. Rickor@comcast. net
contractor: Russell Burton Bella Villa Builders.net Phone:
Mailing Address: PO Box 875 Conifer, Co 80433
03 358-8838
Email Addrerr. Russel l. Bu rton @bel lavillabu ilders. net
Architect: Marty Beauchamp Red Pencil Architecture Phone:
Mailing Address: 1098 W Willow Street, Louisville , Co 80027
358-6400
Emait Addrerr. M a rty@ red penci larch itectu re. com
Engineer: Daniel Belleau 40th Parallel SE _ phone: P70 )227-6368
Mailing Address: 263 2nd, Ave, Unit 106A, Niwot, Co 80544
Emair Addrerr. Daniel@aOthparallese.com
PROJECT NAME AND TOCATION
Project Name: Orrison Residence
Describe work: Single Family Home Main level with a partical basement
4 bedrooms, 4 1/2 baths with a three car garage
rob Addres s. 174 Saddleback Road
Assessor's parcet Number: 23951 3405001
,ro. Aspen Glen rot H-35 _Bl o.n Filing 6
Earthwork (square feet)6500 +/-Earthwork {Cubic Yards).2508
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate a€cess 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. 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 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 r-ise of the structure(s) and facility(ies), described
above, are not rn 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, anci inspections of the work by the Building Division do not constitute an acceptance
of responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, lacknowledgethat
responsibility for compliance with federal, state and local Iaws 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 informati which is correct and accurate to the best of my knowledge
0410912024
Property Owner Print and Sign Date
OFFICIAL USE ONLY
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Special Conditions
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o*TUb oo Misc Fees:'TUU'.oo Fees Paid oolm,
Balance due:e Grading Permit:
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lssue Date puN.Zoning:
BUTLDTNG / PLANNTNG DtVtStON :
Date
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