HomeMy WebLinkAboutApplicationGørfield Coanty
RECE ity Development Depa rtment
a ,\h .ì *, rôi4 108 8th Streel, Suite 401
AHI¿l c 1 lUlålenwood Springs, co 81601
GARFIELD COUNTY (e70) e4s-8212
C0MMUNITYDFVËLOPM
tr MINORtr MAJOR
5460 South Quebec St. Suite #250Mailing Address:
Fhone:(e70) 470-3664Prop€rty Owner:Puckett Land Company
EmailAddress . Greenwood Village, Colorado 80111
13781 Pacific Circle Mead, Colorado 80504
EmailAddress: .-. . ,..... * -.-.-
contrector: Bargath LLC 5-0527Phone:303
Mailing Address:
Archltect: Phone:(
Mailing Address:
EmailAddress:
13781 Pacific Circle Mead, Colorado 80504
-0287
EmailAddress:a n d rew.jo h ns@wi I liams.com
Phone:20\
Mailing Address:
Englneer:Andrew Johns
, Attached is the Scope of Work sheets
39.5251 22,,107.862253Job Address:
Earthwork (Cubic Yards) :Earthwork {square f eet) I
f;cT
Lot
Project Name Puckett Drip System Removal
Describe Work
Assessor's Parcel Number: 217521100022
920
Blocksrs. Sec 35 6S 95W
AIL UTITITIES MUST BE TOCATED PRIOR TO ANY 6RADIN6
Autbprf,t{. This
Bn êuthor¡¿ed âgent. lf thê slgnatu¡e below l¡ not that of the OwneÍ, e sÊFarðte letter of authorlty, slgned by the
Owner, must be provlded wlth thls Appllcatlon.
le¡al Access. A Bullding Permlt c¿nnol be issued wlthout proof of legal and adequate ãccess to the propgrty for
purposes of ln!peËt¡ons by the Bullding Oivision.
OthelPerylts. Multtple sëparäte permlts may be requlrod; (1]State ËlectrlcalPermlt, (2)County OWTS Permlt,
(3) another perrnlt requlred for use on lhe property ldentlfled above, e.g, State or county Hlghway/ Road Access or
a State W¿stewater Dlscharge Permlt,
V.çld Permlt. A Bulldlne Permit becomes null ¿nd void lf the work authorl¿ed ls not commenced wlthln 180 days of
the date of lssuance and lf work is suspended or abandoned for a perlod of 180 days after commencemênt,
I hereby certlfy that l have read thls Applicatlo¡ and that the lnformatlon contained above ls true and correct. I
understand that the Buildine Dlvlslon accepts the Appllcatlon, along wlth the plans and speclfìcations and other
dätä submltted by me or on my behalf (submittals). based upon my cêrtlf¡cation as to accuräcy. Assumlng
completeness of the submittals and approval of thls Appllcation, a Eulldlng Permlt will be ls¡ued granting
perml¡slon to me, as Owner, to Gonstruct thÊ structurë(s! and facllitles detalled on the submlttâls fev¡ëwÊd by the
Eulldlng Dlvlslon. ln conglderation of the lssuance of the Bullding Permlt, I agree that I and my agenß wlll comply
: wlth provlslons cf any federal, stlte or local law regulatlng the work and the GârÍiêld Counly Bullding Code, OWÍS
regulations and appllcable land use regulatlons (county Regulatton{s}}, I acknowledge that the 0ullding Perrnlt
may be suspended or revoked, upon notlce from the County, lf the localion, constructlon or use of the gtructure{s}
and faellity(ierl, descrlbed above, are not ln cômpllånce wtth County Regulatlon(sl or any other rppllcatrle law.
I hereby grant permlsslon to the Bulldlng o¡vlrlon to Ènter the property, descrlbed above, to lnspect the work. I
further acknowledge that the lssuance of the Bulldlng Përmlt does not prêvent the Eullding Offlclal lromr (1)
rcqulring the correction of errors ln the submltt¡ls, lf eny, dltcovered after lssuance; or {2} stopplng construcllon
or use of the slructure(sl or faclllty{les} lf such ls ln vlolatlon of County Regulatlon(s} or any other applicable law.
Rêv¡ew of this Appllcstlon, including submlltals, and lnspectlons of the work by the Bulldlng Dlvlslon do not
ronstltut€ an acceptance of responslblllty or llability by the County of errors, oml¡slons or dlscrepancl€i, A$ thë
' owner, I acknowledge thrt responslblllty for compliance wlth federal, state and local laws and County ßegulatlons
agentsr lncluding wlthout llñitation my archltect derlgner, englneer and/ or
reà¿ ãñd ùnleütàno iträ t¡ottce and öãrtífúàiíón abäve ss weii ai
h¡ve ls corect and accurate to the best of my knowledge.
! rest with me and my authorized
I bgl_lder. , -
I hereby acknowledge that I
qltql ññ¿-'u
Owner Prl Slgn DâIe
Speclal Êondlllonr;
Permlt fee:$loo.6 Ml¡c FpnrI Total Feês!$loo. oo tee¡ Pald¡,l loo,oo
Balance duer+øí
Gradlng Permlti
GÍ1AD-?.TS8
l$ruê Oäle:
l-24.LL
zonlng!
2 L
.v-z?-',-
Påtê
BUILOIMG I pIANN¡NG DlVlSloN !
Slgnnd Approval