HomeMy WebLinkAboutApplicationGarfield County @REC
. "C,.gmmunityDevelopment Department
r È;'.. 'Ì '' .!.. ' 108 Sth Stfeet, SUite 401
GA RF I E LD C O U Ì,¡eilVrwgod f nri-ne1,_co 81601
corvurluxtry DEVELoPMENI (970) 94s-8zLz
www.ea untv-com
tr MINORtr M,AJOR
Phone:
13781 Pacific CircleMailingAddress:
775-A527
Property Owner:Bargath LLC
Ernail Address:Mead, Colorado 80504
13781 Pacific Circle Mead, Colorado 80504
775-0527p03Phone:Contractor:Bargath LLC
EmailAddress' Cralg harris@williams.com
Mailíng Address
Architect:
Mailing Address: -, . -., - -
-
Email Address: -. -. - ., ---. - .--.-. .-'. -, .. _
13751 Pacific Circle Mead, tolorado 80504
David Bult Phone:113 ) 517-0301
EmailAddress:davi d. bu I l@wi tliams. com
Mailing Address:
Engineer:
sub,
-
lot
-*Block -
Plants #2
SEE ATTACHEÐ SCOPE OF WORK
Sec 33 6S 96W
217133100023
3400 Earthwork (Cubic Yards):
Job Address:39.48728 -108.1089
Þescribe Work:
Project Name
Assessol"s Parcel Number:
777Earthwork {square feet):
ALL UTILITIËs MUST BE LOCATED PR¡OR TO ANY GRADING
Author¡w. This application for a Butidîng Perm¡t must be signed by the OwnÊr of the property, described above, or
anauthorizedagent. tftlresignaturebelowisr¡otthatoftheOwner,aseparateletterofattthority,signedhythe
Owner, must be provided with this Application.
LegalAccess- ABuildingPerm¡tcãnnotbeissuedwithoutproofoflegalandadequateäccesstothepropeftyfor
purposes of inspections by the Building Division.
glher Permits. Muftiple separate permits may be required: (1) State ElectrÍcal Permil, (2) County OWTS PermÍt,
(3) another permit requ¡red for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit. ; -
Void Pernit. A Buitding Permit becomes null and void if the work authorízed is not commenced within 180 days af
the date of issuance and if work is suspended or abandoned for a period of 3.80 days after commencement-
I herèby certify thät I have read th:s Applicâtion and that the information contained above is true and correct. I
understand that the Building Division ¿ccepts the Application, along with the plans and specificat¡ons and other
data submifred by me or on my behalf (submittals), based upon mv certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Bui[ding Permlt will be issued grantÌng
permission to me, as Owner, to construct the structure(si 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 provisìons of any federal, state or local law regulating the work and the GarfÌeld county Building Code OWTS
reguiations and applicabie land use regulatíons {County Regulation(s})- I acknowledge thât the Building Permit
may be suspended or revoked, upon notice frorn the County, ifthe location, construction or use ofthe structure(s)
and facilÍty{ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Euilding Division to enter the properq/r described above, to lnspect the work. I
further acknowledge that the issuance of the Building Permit does nol p.event the Building Official from: {1}
requiring the correction of errors ín lhe submittals, if any, discovered after issuance; or {2) stopping construction
or use of the structure{s) or facîlity(íes) 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 acceptäûce of responsìbilîty or líability 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 w¡th me and my authorized agents, including without limîtation my architect designer, engineer and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above äs well as
have provided the required information which is conect and accurate to the best of my knowledge.
¿4á-:+3-J-*-
6*r øláãr¡n.ana s¡gn Date
special Conditions:
Permit FÊe:
*l()o , æ Misc Fees 'fotal tees:
$/or)6 Fees Paid:
,Þ10Ô ,c¡
Balance due:*,1 Grading Permit:
6RAD - 773q
lssue Þãterí.ç'1.?
Zon¡ng:
K.l .
t
BUTLDTNG / PT"ANN|NG ÞtVtStÖN ;
Signed Approval Dåte
.v?