HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.Qarfield-countv_com
TYPE OF GRADING
0 MAJOR
GRADING PERMIT
APPLICATION
ID MINOR
INVOLVED PARTIES
Property Owner: Don T and Delmarie Revocable Trust Phone: (303 ) 279-3671
Mailing Address: 25 Bucksin Circle, New Castle, CO 81647
Email Address: dtmooreco@gmail.com
Contractor: Vision Builders Phone: (970 ) 343-2299
Mailing address: 97 Sunrise Court, Glenwood Springs, CO 81601
Email Address: visionbuilders2015@gmail.com
Architect: DESIGNER: Red Room Design Phone: (970 ) 7974881
Mailing address: 1001 Grand Avenue, Ste 211, Glenwood Springs, CO 81601
Email Address: caetm@redroom-design.com
Engineer: Evolve Structural Design - Brian Rossiter Phone: (970 y 510-0073
Mailing Address: 1040 Main Street, Carbondale, CO 91623
Email Address: brian@evolvestruct.com
PROJECT NAME AND LOCATION
Project Name: Moore Residence
Describe Work: Grading for driveway and new 4,870 SF single family home.
Job Address: 255 Maroon Drive
Assessor's Parcel Number: 218527416035
sub. Four Mile Ranch _ Lot 35 _ _Block
Earthwork (Cubic Yards): 1,568 cut, 657 fill
Earthwork (square feet):
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with this Application.
Lekal 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 authorl7ed 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. 1
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. In consideration of the issuance of the Building Permit, I agree that land 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)). 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 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.
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.
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Property Owner Print and Sign" Date
OFFICIAL USE ONLY
Special Conditions: ,� y; aNOt_Wi �mi� 40' mows NAiihjroom
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Permit Fee:
co—
Balance due:
Misc Fees:
Grading Permit:
GRAD -019
Total Fees:
-
Fees Paid: 'co
Zoning:
BUILDING / PLANNING DIVISION :
Signed Approval
4/3/3026
Date
loo.00, 4 171, 1-17.117474)