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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970le4s-82t2 www. ga rfi eld-cou ntv.com WPE OF GRADING tr MAJOR E MINOR INVoLVEDPARTIES ÞZ -Lrr I in' -Ul.r C- DEBBIE & MIKE KELLY Phone 13 727-002sProperty Owner: Mailing Address:931 gulf blvd. Belleair beach FL. 33786 F--:¡ . rr----- vanoels@verizon.netÈ,ma¡t Aooress: contractor: DomoPlex, LLC phone:1970 9872353 Mailing Address: 2550 Hwy 82, Unit 108A, GWS, CO 81601 EmailAdd ress. slawek@domoplex.com Architect:Domoplex, LLC Pt on", P70 9872353 Mailing Address: 2550 Hwy 82, Unit 1084, GWS, CO 81601 Emait Addrerr. slawek@domoplex.com Engineer:Ernest Kollar Engineers Phone: (970 ) 963-3223 Mailing Address 320 Main St. #203 Carbondale, CO 81623 EmailAddress:jerniekollar@gmail.com PROJECT NAME AND TOCATION Project Na Single Family New Residence Describe work: Site Cleanup and Excevation Job Address:34 Vista Pl GWS, CO 81601 Assessol's Parcel Number 2185351 13049 sub. Elk Springs Lot 49 Block Filling 9 Earthwork (square feet):1 0000 Earthwork (Cubic Yards):4000 Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Lesal 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 perm¡ts 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 I hereby cert¡fy 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 grant¡ng 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)). 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 facil¡ty(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 br¡ 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 UT¡LITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE I hereby acknowl that I have read and understand the Notice and Certification above as well as have provided uired is correct and accurate to the best of my knowledge. 9t1t2023 Property Print Date OFFICIAL USE ONLY conditions: 8tt r5 eT-lL¡TY t-4,CtçT{_ gr¡erÇj6¡[- ?C-r¿rOl DusT ¿q.Jfüêt- , ñ'¿.-c:.J @ìrGrrsçeP.D Fc," n Special oOTotal Fees:\ao,Tää ,oO'*\'öo 9o Misc Fees: lssue Date:ZoninE: ÞuNBalance due:Grading Permit: G(4N.frâffi 1-r -z3BUILDING / PLANNING DIVISION : DateSigned