HomeMy WebLinkAboutApplicationGurfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
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GARF.I
NOMMUN
BUILDING PERMIT
APPLICATION
WBE Ofi CPNSTRUCTION
Com mercial/M ult¡-Family Demolition
l.- ::,-j Manufactrlied Home (Single or Multi-Level)
R'esi¿entiàtl (SF, Duplex or Townhome)Reroof
Accessorv Dwelline unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOLVED PARTIES
Property owner: Bargath, LLC Phone: ( 303 )260-8846
Mailing Address: 4980 State Hwy 374, Green River, WY
Emait Addres' janicekinnin@outlook.com
Contractor:TBD - Contractor will be awarded contract phone: ( )
Mailing Address: as we get closer to construction start
Email Address
Architect: LDIS phone:(303 )953-5333
Mailing Address: 5620 Ward Rd Ste 200, Arvada, CO 80002
Email Addresr. GMcAlexander@ld isllc.com
Engineer:LDIS Phone: (303 ) 953-5333
Mailing Address:5620 Ward Rd Ste 200, Arvada, CO 80002
Emait Addres' GMcAlexander@ldisllc.com
Manufactured Home lnstaller: î/â Phone:
Mailing Address
Email Address:
PROJECT DETAII.S
Describewort: Upgrade compressor station per CDPHE state mandate Reg 7. lnstall
Res 35 bldg. housing air compressor and air dryer packages w/ A/C units.
robAddress: 11347 HIGHWAY 6, PARACHUTE 81635
Assessor's Parcel Number:
Sub.
217333100007
Lot Block
Owner's Valuation of Work: S 507,000 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:216 Height:12'# of Floors: 1
Class of Work:r'New Remodel/Alteration Addition
Gara8e: n7U Attached Detached
PROJECT DETAITS CONTINU ED
Septic:
nla
CWTS Community
Type of Heat:
nla
Natural Gas Propa ne Electric Other
Driveway
Permít:
Permit #
NOTICE
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
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 L80 days after commencement.
CERTIFICATION
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 (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)). 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, ifthe location, construction or use ofthe
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: (L) 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 bythe County of errors, omissions, or discrepancies. Asthe 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 andf or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
ed the required on wh is correct and accurate to the best of my knowledge.
07t23t2023
Property Print and Sign Date
1.15,0E ONLYOFF
Special Conditions:
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Adjusted Valuation:
GAq 1 ,a+
Plan €heck Fee:qo.5(Permit
t31
Fee:.5 Manu.ÊFee:
$Qnn æ Misc. Fees
Total Fees:Czt.G
Fees Paid:$r5.0'lan ce
5A1
Due::t5Ba
ßt¡ o,^ 4zq.Lo
BP No:OWTS No:
Setbacks:OCC Group:U Const. Type:VR "f,f
g_25"21
BUILDING / PLANNING DIVISION :
Date
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
ist.c
?
roperty
0712312023
Sign Date