HomeMy WebLinkAboutApplicationGuffield Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(s7ole4s-82L2
www.garf ield-cou ntv.com
OF GRADING
NORMAJOR
INVOLVED PARTIES
Property Owner:
Mailing Address:
EmailAddress:
4840 Van Ness Street NW; Washington D.C. 20012
@ms.com
Heathcote West C : Lauren Mason Phone:
MailingAddress7R0 Nottingham Road; Avon, CO 81620
Contractor:P
EmailAddrerr,t@
Architect: Centre Sky Architecture: Mariya Provo$ho
EmailAddressr
T
20 .6916
unLle,
Mailing Address
ozeman,
Sopris Engineering; Jesse Swann phone: ?70.21P.0266
iswann@sopris.com
502 Main Street, Suite A-3; Carbondale ,co8 1623
Engineer:
Mailing Address:
EmailAddress:
PROJECT NAME AND LOCATION
Development of a new home on a vacant parcel
#tbd and tbd road name for private road. Current: 5798 Sweetwater Road
Describe Work:
R3000042
Cut 457 CY; Fill 1147Earthwork (Cubic Yards):
Project Name
Job Address:
Earthwork (square feet). approx 12,000sf
: Suraahrrafar Ranch t\Iein Ree,i.lannc
Block naLot G-4
Assessol's Parcel Number:
Sub. Heathcote West Tracts
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,or
anauthorizedagent. lfthesig.naturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
Leqal Access. A Building Permit cannot be issued without proof of legal and adequate access 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 L80 days after commencement.
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 use of the structure(s) and facility(ies), described
above, are not in 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 ofthe
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, and inspections of the work by the Building Division do not constitute an acceptance
of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I acknowledge that
responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized
agents, including without limitation my architect designer, engineer and/ or builder.
CERTIFICATION
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
Lauren Mason S/^-W h\,*-6126125
Property Owner Print and Sign Date
OFFICIAL USE ONLY ?a
Special Condit io"" f€t/Ik€-carrvE v*r
Permit Fee:\c)o.€Misc Fees Total Fees:\cro .oo
Fees Paid:\r'n ^qo
Balance due:s Gradine Permit:
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lssue Date:Zoning:
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1- \e.25BUILDING / PLANNING DIVISION
Signed Date