HomeMy WebLinkAboutApplicationAIE:: 44C-Z,PW4 /GI 'It=3° 7-4 Z -Z 1-3.,
108 8°i Street, Suite 401, Glenwood Springs, CO 8160]
Ph:970-945-8212 Er:970-384-3440 Inspection Line:888-868-5306
www.garfield-county.com
BUILDING PERMIT APPLICATION
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I
Parcel Nin • (this inigrnration is avAilabte at theasescors office 970-945-9134)
Lot No: Block No: Subd./ Exemption:
2
Job Address:yyUlan address IIa not been a�'g+{pd, plea�nvide�CR, IFYor Street h'rrme & City) or and legal description
jig( (11 {/SLA . (j(C) ,Q
3
Owner: (property owner)t' !
D En ►v a V( Tani all.
Mailing Address:
_
Ph:
Alt Ph:
4 Contractor: (�
--
" .k 1e(�IZ.C�` (c k
Mailing Address:
1ZrdI Wl, Ljco-ct Nue_
Ph:
3t13 -7O qq7
Alt Ph:
3031fi0 --1,-.M.0Q
5 Manufactured home installer:
Mailing Address:
Ph:
Lic #:
6 Architect:
Mailing Address:
Ph;
Alt Ph:
7 Engineer:AJ.T.- 0,
Mailing Address:
Ph:3p3 i31-7�4(
Alt Ph:
3o3-37FS-13ti6
S Sq. Ft. of Building: J
Sq. FI. or Acres of Lot:
Height:
No. of Floors:
9 Use of Building:}
DResidential I Commercial DOther
Class of Work:. .
New ❑Alteration DAddition DRepair ❑Dema DMove
Ib Describ�jW k:r- //( ��`
Confirm( pr .�-+6'1- 1,4A
( �+ n I
e' r 3ai(l/ 0 Ub ca Liv - t wt-t!C est-ss0[. eIle c_A-01.4c.\
11 Garage: FP 4C ._
❑Attached ❑Detached
Septic:
DISDS ❑Community
Type of Heat:
❑Nat. Gas ❑Propane DElectric DOther
12 Driveway Permit: hip*
J l*
l
Owners valuation of Work:
NOTICE
Anlltorilt. This application for a Building Permit must he signed by the Owner of the properly, described above, or an authorized agent. If the signature below is not that of the Owner, a separate
letter of authority, signed by the Owner, must be provided with this Application.
Leval Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS Pemtit, (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 180
days after commencement.
i hereby certify that 1 have read this Application and that the information contained
and specifications and other data submitted by me or on my behalf (submittals),
Assuming completeness of the submittals and approval of this Application, a
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit, I agree that I and m
Code, 1SDS regulations and applicable land use regulations (County Re . .tion(s)).
contraction or use of the structure(s) and facility(ies), described above, - - not
I hereby grant permission to the Building Department to enter the prop ty, described
Building Official from: (1) requiring the corectien of .• : `n-th sutittals,
of County Regulation(s) or any of r appticabl ;
Review of this Applica ion, incl %lrig sub. ` tams, and inspecti o ; e "'ek
or discrepancies. As a wn , ac ..wledgc that res nsi ty for cam ranee
limitation my arch' t esigi r-- ginner and/ or build r. 1 /
I HEREBY AC LE` J' THAT 1 HAVE RE A - UND£ftSTA
CERTIFICATION
above is true and correct. 1 understand that the Building Department accepts the Application, along with the plans
based upon my certification as to accuracy.
Building Permit will be issued granting permission to me, as Owner, to construct the shvetttre(s) and facilities detailed on
agents will comply with provisions of any federal, slate or local law regulating the work and the Garfield County Building
l acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location,
in compliance with County Regulation(s) or any other applicable taw.
above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the
if any, discovered after issuance; or (2) stopping construction or use of the strueture(s) or facility(ies) if such is in violation
by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
THE NOTICE 8: CERTIFICATION ABOVE:
/0 ',/7--
OWNE IGNA•tiRE DATE
-• •rpm
rued-ams•ot
STAFF USE ONLY
Special Conditions:
tA1PA-11LG
Adjusted Valuation:
I.S,a37.3,5-
Plan Check Fee:
172,91
Permit Fee:
26315
Manu home Fee:
—
11lisc Fees:
Total Fees:
7•
1 Fees Paid:
33.5 (Pi
Balance Due:
z, d
BP No & Issue Date:
ISDS No & Issued Date:
p--
Setbacks: r
F zs z,J 5) d'
OCC Group.
S 1`
Const
Type:
I1t--
Zoning:
/
.c.� /2 //
PI c D
�%5
Jets th
APPROVAL
AP ROVAL DATE/!/ /
DAT
Building Plan Review
Description of Work: install new 230 KW substation and associated electrical.
Bin #:
Location Address: 4289 CR 215
PARACHUTE, CO
•
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -10-12-7413
Parcel: 217133200019
Application Date: 10/17/2012
Owner: WPX Energy Rocky Mountain LLC
Applicant: WPX Energy Rocky Mountain LLC
Applicant Phone: (970)263-2754 Email:
Building
Engineered Foundation
Planning/Zoning
Property Line Setbacks
/Y/4 Driveway Permit / 30ft Stream Setbacks
/ Surveyed Site Plan / Flood Plain
Septic Permit and Setbacks Building height
Grade/Topography 30% Toning Sign -off
N%4 Attach Residential Plan Review List 0,4 Road Impact Fees
Minimum Application Questionnare /17HOAIDRC Approval
' /A Subdivision Plat Notes Grade/Topography 40%
Fire Department Review / Planning Issues
Valuation Determination/Fees Subdivision flat
Red Line Plans/Stamps/Sticker General Comments:
Attach Conditions
Application Signed
,, Lf4a,VA/7z, y1
Plan Reviewer To Sign Application
4yli,4e 6 Z5-
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes 72577/Z -
36'..5b/
Soils Report
Monday, January 21, 2013
1
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
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 department will collect a Plan Review fee at time of application submittal. The Permit Fee,
as well as any Septic or Road Impact 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.
hereby ackno led e -1 --ha derstand, and will abide with the requirements of this
checklist.
Sig 'a Owner
Date
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-county.com