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HomeMy WebLinkAboutApplicationGurfield County Community Development Department 108 8th Street, Suite 401 RECe#Êîflood Springs, co 81601'' É'¿ (9701945-82!2 " i,l www.ea rfield-cou ntv.com GAR ü(JMMIJ BUILDING PERMIT APPLICATION CONSTRUCTION 'cóiilrUarci ¿ t7v u lti- Fa m i ly Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET INVOLVED PARTIES Property owner: Bargath, LLC phone:(303 )260-8846 Mailing Address:4980 State H 374, Green River, WY Email Address:janiceki n n in@outlook.com contractor: TBD - Contractor will be awarded contract p¡on" 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 EmailAdd ,"r.. GMcAlexander@ldisllc.com Engineer:LDIS phone:(303 )953-5333 Mailing Address: 5620 Ward Rd Ste 200, Arvada, CO 80002 Emait Addresr. GMcAlexander@ldisllc.com Manufactured Home lnstaller:nla Phone: (_) Mailing Address: Email Address: PROJECT DETAITS Describe Work:Upgrade compressor station per CDPHE state mandate Reg 7. lnstall Res 35 bldg. housing air compressor and air dryer packages w/ A/C units Job Addressl PARACHUTE, OO 81635 Assessor's Parcel Number Sub. 24090140001 I Lot _ Block Owner's Valuation of Work: S 476,000 Property Size (Sq. Ft. or Acres) Sq. Ft. of Building .216 Height:12'# of Floors 1 234.5 Class of Work:r'New Remodel/Alteration Add¡tion Gara8e: n7"Attached Detached PROJECT DETAITS CONTINUED Septic: nla SWTS Community Type of Heat nla Natural Gas Propa n e Electric Other Driveway Permit: Exempt Permit #: 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. 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. VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithín180days of 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 have read this Applìcation and that the information contained above is true ãnd 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 Permlt 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 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: (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 Dìvision do not constltute 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. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provid the required information which is correct and accurate to the best of my knowledge. 0712312023 Property and Sign Date t,oFFtctAt ONLY ôl Special Conditions Adiusted Valuation:â4q aa Plan Check Fee1o,5 t Permit Fee:t31.6 Fee:Õsq¡¡'t oManu. k Misc. Fees Total Fees:ezq.te Fees Paid: ^-f gJ'. or Balance Due 5s+.6 q\ cß-âtrl? BP No:OWTS No: r\ lA Setbacks:OCC Group \) Const. Type v6 Zg¡ing: KI BUILDING / PLANNING DIVISION t -25-z< s 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 checklist. 0712312023 rty nta Sign Date