HomeMy WebLinkAboutApplicationGarþld Coanty
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82t2
www.ga rfield-cou ntv.com
tr MINORtr MAJOR
TYPE OF
INVOLVED PARTIES
Property Owner:Todd & Paulette Wilson Phone:704 2194596
Mailing Address 52089 Hwy 6, Apt 8311 Glenwood Springs, CO 81601
Emait Addrerr. tawl 31 3@gmail.com
contractor: DomoPlex, LLc Phone: (970 )
9872353
Mailing Address:2550 Hwy 82, Unit 108A, GWS, CO 81601
EmailAddress:slawek@domoplex.com
Architect: Domoplex, LLC Phone: P70-l 9872353
Mailing Address: 2550 Hwy 82, Unit 1084, GWS, CO 81601
Emait Addrerr. slawek@domoplex.com
. Ernest Kollar Engineers . P70 963-3223
Engineer Phone )
Mailing Address:320 Main St. #203 Carbondale, CO 81623
EmailAddress:jerniekollar@gmail.com
PROJECT NAME AND LOCATION
Project N Single Family New Residence
Describe work: Site Cleanup and Excevation
í; ùM iii Ll ¡{ ITY ll EVf:LtPÍv1 [NT
Job Address. 2812 Elk Springs Dr GWS, CO 81601
Assessor,s parcet Number: 218536113031
sub. Elk Springs I-ot 31 ,'o.n Filling 9
Earthwork (square feet) :10000 Éarthwork (Cubic Yards) :4000
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 cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Perm¡ts, 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.
Vo¡dle@lt. 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 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 (submíttals), 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 revìewed by the
Building Division. ln consideration of the issuance of the Building Permit, lagree 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 not¡ce 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.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. 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
AtL UTILITIES MUST BE TOCATED PRIOR TO ANY GRADING
that I have read and understand the Notice and Cert¡f¡cation above as well as
e requ¡red information correct and accurate to the best of mf knowledge.
1211612022
Pro Owner Print and Sign Date
I hereby
have
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Fees Paid:$la\6Total Fees:
slôÕ.ouPermit Fee:6ld1 æ M¡sc Fees:
Zon¡ng:
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lssue Date:
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Balance due:Grading Permit:
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tz^ 27-?*BUILDING / PLANNING DIVISION
Date