HomeMy WebLinkAboutApplicationGaffield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 91001
(9701e4s-8212
www. ga rfi el d-eclu !l_tv. co Eyr
N MAJoR tr MINoR
275-1165
EmailAddress:
Phone:Property owner: Chrystal River Ranch Company
Mailing Address: 1443 CR 108, Carbondale, Co 81623
Contractor: Kuersten Construction
Email Addrerr. lohn@kuerstenconstruction.com
Phone:p7a
Mailing Address: PO Box 1530, Rifle, CO 91650
) 618-95't8
Phone:Architect:
Mailing Address:
EmailAddress:
Engineer; phone:
Mailing Address:
EmailAddress:
PROJECT AND
Describe Work: Construct new driveway off of CR10B to residential structure. This is
eliminate traffic through the ranch operations area.
23933210037
Earthwork {Cubic Yards}:
Iot
Project Name Driveway
Earthwork (square feet|:30,000
Safety concern.
being done to
JobAddress,1443 CR 109
1333
Assessoy's Parcel Number:
Sub._Block
ALL UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided uired information which is cnrrect and accurate to the bost of myI("4d_
Property Owner print and
lesal Access' A Building Permit cannot be issued without proof of legal and adequate access to the property forpurposes of inspections by the Building Division.
other Permits' Multiple separate permits may be required: {1) state Electrical permit, (z) county owrs permit,(3) another permit required for use on the property identified above, e.g. state or county Highwayl Road Access ora State Wastewater Discharge permit.
void Permit. A Building permit becomes nulr and void if the work authorized isthe date of issuance and if work is suspended or abandoned for a period of 1g0
Owner,ority,Owner,
sThiAuthorihr.foricationppl mustPermit beBuilding thesigned ofOwner theby pro describedperty orbove,n a uthorized rf theagent.tsbelowsignature thatnot of the a separate ofletter auth thesignedbybemustwithprovidedthisApplication.
not commenced within 180 days of
days after commencement.
Owner,
der.
thatherebycertif,/have thread ts cationAppl nd thethat information contained tsabove true and co rrect.
dunderstan thethat ldBui Divisionng theaccepts withApplication,the nsalong andpla specifications nda dataothersubmittedmeonorbehalfbymybased(submittals),upon certification asmy to accu ofracy.Assuming completenesssutheandbmittalsofthisapprovalBuiaApplication,willPermitding issuedbe 8ra to as Ownerntingpermissionme,totheconstructandstructure(s)detailedfacilities theon reviewedsubmittals the Buby lnDivision.conilding sideration ofrsSuathecenthcofPermit,Building l.lratee anda8l willagentsmy withcomply ofprovisions state oranyfederal,localawtheregulatingworkndaGatheCourfieldBuntyCode,ilding OWTS andregulations uselandapplicable regulationsAilRegulation{s)).Cou(County nty development requiring permit,residentialforexcept areuses,to 7Article ofsubjectLatheUsendandCode.ntDevelopme thethat Buacknowledge Permitilding be ormaysuspended revoked,uponfromnoticethetheifCounty,construction orlocation,u5e theof andstructure(s)describedfacility(ies),are notabove,ln ncecomplia with orReguCounty otherlation{s)any lawapplicable
hereby grant thetopermission Division enterto theBuilding descri bed toproperty the work,above,nspect furtherthethatacknowledgeofissuancetheBuiPermitnotdoesldingthepreventOfficialfromBuildingthet1)requiringofcorrectiontnerrorStheifdiscoveredsubmittals,ny,after ortssuance;{2}orconstruclionstopping ofuse thefacilorstructure(s)ifity(ies)tssuch violtn onati of County orRegulation(s)other lawanyapplicable ofReview thisication,Appl nllt<rrhmittalcincluding ^g +L^tt rgincnar+i^^-rr.JPr!!ret tJ -1.tn Utc utvtstonL--ty Building do constitutenot an acceptanceofbiorresponsithelityliabilityCouofbyntyerrorS,oromissions,As thediscrepancies.ackn th atowledgecomforresponsibilityncewithpliafederastateat,nd ocal andlaws withrestRegulationsCounty andme uthorizedmyagents,without itationtmincluding arch itectmy designer or builengineerandl
Special Conditions;
Misc Fees:cf)oo ooI
aBalance due:Gradine Permit:
ftQ.trS>gms Zonlng:
_R.-
BUITDING / PLANNING DIVISION :1-rc-24
lssue Date:
Approval Date