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HomeMy WebLinkAboutApplicationGørfield County RE Community Development Department 1OB 8th Street, Suite 401 ülqr.:Í ÉÍi:[_lJ f]¡ i; ,*$enwood Springs, CO 81601 'ì ìi-rr. ir:'i!rr','rv':iii'i,iri*i l97ol 945'8212 www.garf¡eld GRAÐING PERMIT APPLICATION TYPE OF GRADING tr MAJOR E MINOR INVOLVED PARTIES Property Owner:JASON TORGLER Phone: (603 )494-9515 Mailing Address: 26226 Sweetbriar Trail, Evergreen, CO 80439 Emait Addrerr. jason_torgler@yahoo. com contractor: DOMOPLEX, LLC Phone:0 987-2353 Mailing Address: 2550 Hwy 82, Unit 1084, GWS, CO 81601 Emait Addrerr. slawek@domoplex.com Architect: DOMOPLEX, LLC Phone: P19-l 987-2353 Mailing Address: 2550 Hwy 82, Unit 1084, GWS, CO 81601 EmailAddress:slawek@domoplex.com Ernest Kollar Engineers 0 963-3223 Engineer:Phone: Mailing Address:320 Main St. #203 Carbondale, CO 81623 Emait Address. erniekollar@gmail.com PROJECT NAME AND LOCATION Project N Torgler Single Family New Residence Des*ibe work: Site Clea¡u¡i and.É¡ðevpiion Job Address:71 Vista Pl. GWS- CO 81601 \/'.r - .F .a r.'\.¡ J Assessot's tårtd¡ Ñurnu"r,2185351 1 3051 I !I f sub. Elk Springs Subdivision t-ot 51 ,,o.n Filling 9 Earthwork (square feet):10000 Earthwork (Cubic Yards) :4000 It ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,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. ABulldingPermltcannotbelssuedwlthoutproofof legal andadequateaccesstothepropertyfor purposes of inspections by the Building Division. Other Permlts. 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. VoidPermit. ABuilclingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinlS0daysof 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 havc rcad 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 consideratìon 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, ifthc location, construction or usc ofthc structurc(s) and facility(ics), dcscribcd 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 correct¡on 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, inciuding without limitation my architect designer, engineer and/ or builder. I hereby that I have read and understand the Notice and Certification above as well as have requ¡red n wh¡ch is correct and accurate to the best of my knowledge. 12104t2023 Property nt andr Date OFFICIAL USE ONLY a Þ >U., -fl.,r uÞ,"{' Y<A¡vr ? vST ¡F1.¡Þ Jç>lt*\,s,+1\aL_ ,ui r7rç/rllslr f¿r:'-è¡_x F"^^,o "€Þ Special Conditions: lNì¿- 5.,Þ¡r r lT&L ) re¡urçlÈ ,\+rÞ ztpff-e*..,tct- - Gr¡u.\Þf<=(.f Y- e- {,.t t-t¡-¡ oot"'fl a it Fee:oo Misc Fees:Total Fees:oc)lc)o,t""itö3,@ Balance due: æ Gradlng Permlt: ¿"4[\-KI]t& lssue Datè:Zonlng: ?r-rÞ' tz4-ztBUILDING / PLANNING DIVISION Date