HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF GRADING
❑ MAJOR
INVOLVED PARTIES
Property Owner: Justin and Tara Adis
GRADING PERMIT
APPLICATIQ
0 MINOR
Mailing Address: 1175 Cinnabar Drive, Castle Rock, CO 80108
Phone: (720) 334 - 4366
Email Address: jadis@columbineford.com taraadis@yahoo.com
1 Contractor: RM Construction -Tom Doogan Phone: ( 970 ) 379 - 9089
Mailing Address: 5030 County Road 154, Glenwood Springs, CO 81601
Email Address: tom@buildwithrm.com
Architect: CAD Design, LLC / Keith T. Todoroff P.A. }
Phone:( 941 371 - 9933
Mailing Address: 7177 South Leewynn Drive, Sarasota, Florida 34240
Email Address: shawnambrose@caddesign.us
Engineer: KRM Consultants, Inc.
Mailing Address: P. O. Box 4572, Vail, CO 81658
Phone:( 970 ) 949-9391
Email Address: tim@krmconsultants.com
PROJECT NAME AND LOCATION
Project Name: Adis Residence
Describe Work: Construction of New Home
Job Address: 62 Horseshoe Lane, Carbondale, CO 81623
Assessor's Parcel Number: 239513406022
Sub.Sect: 13 / Township 7 / Range 89 Aspen Glen Filing #�ot H22 Amended Block
Earthwork (square feet): 5,837 5Q. FT. Earthwork (Cubic Yards):
ALL UTILITIES NIIJST BE LOCATED PRIOR TO ANY GRADING
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.
Legal 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 180 days after commencement.
CERTIFICATION
1 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. In 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)). 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 proided the require s information which is correct and accurate to the best of my knowledge.
Signed:
Property ner Print and
OFFICIAL SE ONLY
.�, 4d:1
Tara Adis 9/7/2017
Date
Special Conditions:
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Perini Fee:_ 00
Balance due:
40, °C'
Misc Fees:
01A
Grading Permit:
c�Px -1-19a
BUILDING / PLANNING DIVISION :
Total Fees: �.
1) lop.
Issue Date:
11
Fees Paid:
Zoning:
1-1)1T
Signed
royal
Date