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