HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(s7ols4s-82t2
www.garfield-countv.com
TYPE OF GRADING
A MAJoR E] MINoR
INVOTVED PARTIES
Property Owner:
Mailing Address:
EmailAddress:
Heathcote West LLC : Lauren Mason Phone:(e70__9_252855_
4840 Van Ness Street NW; Washington D.C.20012
GIt I tS[(I,,UeItUOI ta(laI I t5.UUl r I
Contractor:Ph
MailingAddress7S0 Nottingham Road; Avon, CO 81620
EmailAddress's@
2 16
Architect:
venue,u man,
Mailing Address
EmailAddress:
Engineer:Sopris Engineering; Jesse Swann phone: ?70.21P.0266
5U2 Matn Street, tjurte A-3; Uarbonoale ,co8 1623
Mailing Address:
EmailAddress:iswann@sopris.com
PROJECT NAME AND TOCATION
Project Name Qrrraa{rrrofar Ponnh l\Iain Pacirlan
Describe Work:Development of a new home on a vacant parcel
Job Addrcss:#tbd and tbd road name for private road. Current: 5798 Sweetwater Road
Assessor's Parcel Number:R3000042
Sub.Heathcote West Tracts lot G-2
-Block
na
Earthwork (Cubic Yards): cut: 1 0,847 ; fill:5,05(
naf'A 7QQ
Earthwork (square feet) :134,217
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. ABuildingPermitcannotbeissuedwithoutproofof legal andadequateaccesstothepropertyfor
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.
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/^-V h,,,*- GlzBlzE
Property Owner Print and Sign Date
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, 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 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)orfacility(ies) if suchisinviolationof CountyRegulation(s) oranyotherapplicablelaw. Reviewof 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 andf or builder.
CERTIFICATION
OFFICIAL USE ONLY
speciar condit'on''55 fft€ a;J D (frcss # rtf{lg-. a & Dtr'eo 7 - Ll- ?5
r5rD T*€ 1fLG.s2 tra€ G-F.(lLrcTrol.-)Jl 6-f e*oso 5|trfcrtr
Misc Fees:
Grading Permit
9a @I,ooFee:
d e:Bala
-7 -z( -25BUILDING / PLANNING DIVISION :
Approval Date
0 - -' I