HomeMy WebLinkAboutApplicationGaffield Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www.ga rfield-cou ntv.com
TYPE OF GRADING
E MAJOR tr MINOR
INVOLVED PARTIES
Property Owner:
Mailing Address:
Heathcote West lC'larrren M 2SOn Phone: ( 970 925.2855
4840 Van Ness Street NW; Washington D.C. 20012
cnns@oenoonaoams.com
EmailAddress:
Contractor: Pho
Mailing
EmailAddress:
691 6
Architect:
o nue,ozeman,
Mailing
EmailAddress:
EnEineer: Sopris Engineering; Jesse Swann phone:co8
70.21 .0266
Mailing Address:
EmailAddress: jswann@soPris.com
PROJECT NAME AND LOCATION
Project Name Sweehruater Ran ch Greqt Cahin 4
Describe Work:Development of a new home on a vacant parcel
Job Address . #tbd and tbd road name for private road. Current: 5798 Sweetwater Road
Assessor/s Parcel Number:R3000042
Sub. Heathcote West Tracts Lot G-8 Btock na
.Cut: 662 CY; Fill:322Earthwork (square feet):approx 12,000sf Earthwork (Cubic Yards)
Net: 34OCY (cut)
CY
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
Legal Access. A Building Permit carlltot 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.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80daysof
the date of issuance and if work is suspended or abandoned for a period of 180 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 ol this Application, a Buildirrg Perrrrit 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, ifthe location, construction or use ofthe 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 tlrat the issuance of the Building Permit does not prevent thc 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, 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 V--W h,*6126125
Property Owner Print and Sign Date
GSOFFICIAL USE ONt
5W- c^/Drr-\n\S 6tr PqZr*rrf
0ISpecial Conditions:
Total Fees: . ^
$ I atl. eo 'ili';;r. "o
Permit Fee:i 11y^t.ae
Misc Fees:
Zoning:
R
Grading Permit
fafrtu-}sgQ
Issue Date:Balance due:
:g6l.oa
/o ,1 -EBUILDING / PLANNING DIVISION
App Date