HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(s7ol s4s-8212
www.ga rfield-cou ntv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
Commercial/Mult¡-FamilV Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
INVOTVED PARTIES
owner: erìÉtir:LiC '{J't
Phone: (303 ) 260-884l/Property
Mailing Address:4980 State 374, Green River, WY
Emait Addresr. 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
Emair Addres.. 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
Mailíng Address
Email Address:
.F\I
PROJECT DETAII.S I
Describe worr: 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: PARACHUTE, CO 81635
Assessor,s parcel Number: 217522100140
Sub.Lot _ Block
owner's Valuation of Work: S 470, 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: n¡U Attached Detached
PROJÊCT DETAILS CONTINU ED
Septíc:]WTS Community
Type of Heat:
nla
Natural Gas Propa ne E lectric Other
Driveway
Permit:
Exempt Permit #
NOTICE
Authority. 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.
VoidPermit. ABuildingPermitbecomesnull andvoidif theworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of J.80 days after commencement.
CERTIFICATION
I hereby certify that I have read this Appìication 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 Perm¡t 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 wilì 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 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 complìance w¡th 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
ed the required i rmation ich is correct and accurate to the best of my knowledge.
0712312023
Print and Sign Date
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ONIY
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Special Conditions:
Plan. Check Fe.e:,1o.s r
Permit Fee:
t31,.?5
Man$ Home Fee:4crð-db Misc. FeesAdjusted Valuation
6417.e4
Fees Paid:Qs.o '
Balance Due:
58(.75
BP No:z, cn'D[á-OWTS No:Total Fees:
6217L
OCC Group:Const. Type:zo1{:Setbacks:
4.4-"3BUILDING I PLANNING DIVISION
Signed App 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.
07t23t2023
rty rint n Date