HomeMy WebLinkAboutApplication4 4CZ ��c1 CYC, u PZ zy 1
108 8"' Sired, Suite 401, Glenwood Springs, CO 81601
Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306
www.earliicid-county com
BUILDING PERMIT APPLICATION
1
Parcel No: (Awls information is available at lire assessors office 910.94-9131)
2177-151-00-007
Lot No: Block No: Subd./ Exemption;
Account (1 R024437
2
Job Address: (if an address has nos been assigned please provide CR, HIVY or Street Name & Cloy) or and legal description
0001 County Road 315, Rifle, CO.
3
Owner: (property owner)
Rivers Edge LLC
Mailing Address: P.O. Box 226
Rifle, CO. 81650
Ph:
970-712-4584
Alt Ph:
970-462-3190
4
Contract OldcastleiitdSW Grouniies
Inc. a united oro an es
gddrunc 3609Boxou08IO2
Grand,7uncE�on
970-243--4900
970 -376-5816
5
Manufactured home installer:
Mailing Address:
Ph:
Lic #:
6
Architect:
Mailing Address:
Ph:
Alt Ph:
7
Engineer:
Mailing Address:
Ph:
Alt Ph:
8
Sq. Ft. of Building: 4 Building
Total = 8,356
Sq. Ft. or Acres of Lot:
Height:
No. of Floors:
9
Use of Building:
❑Residential ❑Commercial ❑Other
Class of Work:
[New ❑Alteration ❑Addition ❑Repair liDemo ❑Move
10
Describe Work:
Tear Down — remove buildings from property to allow gravel pit expansion.
11
Garage:
❑Attached °Detached
Septic:
❑1SDS ❑Community
Type of Heat:
ONat. Gas ❑Propane ❑Electric ❑Other
12
Driveway Permit:
Owners valuation of Work:
NOTICE
Authority. This application for a Building Pennit must be signed by die Owner of the property, described above, or an authorized agent. lithe signature below is not that of the Owner, a separate
tetter of authority, signed by the Owner, must be provided with this Application.
Leen' Aqui, A Building Permit cannot be issued without proof of legal and adequate access to the property for purpasra of inspections by the Building Department.
Other Permits, Multiple separate permits may be required: (I) State Electrical Permit. (2) County ISDS Permit, (3) another permit required for use on the properly identified above, e.g. Slate or
County Highway/ Road Access or a State Wastewater Discharge Permit.
Vold Permits A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the dans of issuance and if work is suspended ar abandoned for a period of 180
days after cotnmemttment.
CERTIFICATION
I hereby cenify that 1 have read this Application and that the information contained above is but and correct. 1 understand that the Building Department accepts die 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 Permit will be issued granting permission to me, as Owner, to construct the structure(s) ami facilities detailed on
the submittals reviewed by the Building Department
In consideration of the issuance of the Building Permit, I agree that 1 and my agents will comply with provisions of any federal, state or Iocet law regulating the work and the Garfield County Building
Code, ISDS regulations and applicable land use reguletioru (County Regulation(s)). I acknowledge that the Building Penult may be suspended or revoked, upon notice from the County, if the location,
construction or use of the structure(s) and facility(ics), described above, ere not in compliance with County Regulation(s) or any other applicable law.
1 hereby grant permission to die Building Department to enter the property, described above, to inspect the work. I thither acknowledge that the issuance of the Building Permit does not prevent the
Building Official from: (I) requiring the correction of crop in the submittals, if any, discovered eller issuance; or(2) slopping construction or use of the atructure(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 Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
or disercpancies. As the Owner. I ocknowkdgc dial 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/ ar builder.
I HER ACKNOWLEDG THAT READ MD UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
Elie �1 / ` 7,5/&)/_.7
/
O ! ERS SIGNATURE DATE
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
Plan Check Fee:
Permit Fee:
W CO
Manu hotnc Fee:
Misc Fees:
Total Fees:
2T. 00
Fees Paid:
W OD
Balance Due•
BP No & Issue Date:
ISDS No & Issued Date:
D -(o -f 3
Setbacks:
OCC Group:
Const Type:
Zo ling:
BLD r. D i
joIAP+
PLNG DEPT:
AL DAE
APPROVAL DATE
Colorado Department of Public Health and Environment
Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit
4300 Cherry Creek Drive South, APCD-IE-B1
Denver, Colorado 80246-1530
Phone: 303-692-3100 — Fax: 303-782-0278
E-mail: asbestos@state.co.us
DEMOLITION APPROVAL NOTICE
This approval notice is granted subject to Colorado Air Quality Control Commission Regulation
No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air
Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies
that the structure was inspected for asbestos, luminous exit signs (containing radioactive material),
and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the
Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B.
As a contractor, you may be subject to other demolition licenses and permits, depending on the
requirements of the county and municipality in which the work is being performed. The Colorado
Department of Public Health and Environment, Air Pollution Control Division, strongly suggests
that you check with county and municipal authorities in order to determine any other local
building/permitting requirements that must be met.
Please note that certain asbestos -containing materials (ACM) may remain in the structure
during demolition. Therefore, any demolition debris Left behind after the completion of post -
demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at
the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR
1007-2, Part 1).
THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES.
Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail
(address above) and the appropriate county health department by fax. Project modifications include
changes in the scope of work or the scheduled work dates, etc.
This demolition approval notice is valid beginning 9/1/2013.
The actual scheduled work dates are from 9/1/2013 through 12/31/2013.
Approval issued on: 7/12/2013
Record number: 92334 Fee Paid: $60.00
Notice Number: 13GA3319D Check number: 2148609
For the location specified below:
Asbestos Building Inspector:
David Sinkbeil
Cerification No.: 13015
Larger Residence
0001 County Road 315
Rifle
Garfield County
This notice has been issued to:
Oldcastle SW Group dba United Co.
P.O. Box 3609
Grand Junction, CO 81502
Inspection Date: 02/24/2013
Issued by: RKS
Colorado Department of Public Health and Environment
Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit
4300 Cherry Creek Drive South, APCD-IE-B1
Denver, Colorado 80246-1530
Phone: 303-692-3100 — Fax: 303-782-0278
E-mail: asbestos@state.co.us
DEMOLITION APPROVAL NOTICE
This approval notice is granted subject to Colorado Air Quality Control Commission Regulation
No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air
Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies
that the structure was inspected for asbestos, luminous exit signs (containing radioactive material),
and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the
Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B.
As a contractor, you may be subject to other demolition licenses and permits, depending on the
requirements of the county and municipality in which the work is being performed. The Colorado
Department of Public Health and Environment, Air Pollution Control Division, strongly suggests
that you check with county and municipal authorities in order to determine any other local
building/permitting requirements that must be met.
Please note that certain asbestos -containing materials (ACM) may remain in the structure
during demolition. Therefore, any demolition debris left behind after the completion of post -
demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at
the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR
1007-2, Part 1).
THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES.
Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail
(address above) and the appropriate county health department by fax. Project modifications include
changes in the scope of work or the scheduled work dates, etc.
This demolition approval notice is valid beginning 9/1/2013.
The actual scheduled work dates are from 9/1/2013 through 12/31/2013.
Approval issued on: 7/12/2013
Record number: 92335 Fee Paid: $55.00
Notice Number: 13GA3320D
For the location specified below:
Small Residence
0001 County Road 315
Rifle
Garfield County
This notice has been issued to:
Oldcastle SW Group dba United Co.
P.O. Box 3609
Grand Junction, CO 81502
Check number: 2148609
Asbestos Building Inspector:
David Sinkbeil
Cerification No.: 13015
Inspection Date: 02/24/2013
Issued by: RIGS
Colorado Department of Public Health and Environment
Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit
4300 Cherry Creek Drive South, APCD-IE-B1
Denver, Colorado 80246-1530
Phone: 303-692-3100 — Fax: 303-782-0278
E-mail: asbestos@state.co.us
DEMOLITION APPROVAL NOTICE
This approval notice is granted subject to Colorado Air Quality Control Commission Regulation
No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air
Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies
that the structure was inspected for asbestos, luminous exit signs (containing radioactive material),
and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the
Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B.
As a contractor, you may be subject to other demolition licenses and permits, depending on the
requirements of the county and municipality in which the work is being performed. The Colorado
Department of Public Health and Environment, Air Pollution Control Division, strongly suggests
that you check with county and municipal authorities in order to determine any other local
building/permitting requirements that must be met.
Please note that certain asbestos -containing materials (ACM) may remain in the structure
during demolition. Therefore, any demolition debris left behind after the completion of post -
demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at
the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR
1007-2, Part 1).
THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES.
Immediately notify the Asbestos/1,4Q Unit of project modifications by fax (number above) or e-mail
(address above) and the appropriate county health department by fax. Project modifications include
changes in the scope of work or the scheduled work dates, etc.
This demolition approval notice is valid beginning 9/1/2013.
The actual scheduled work dates are from 9/1/2013 through 12/31/2013.
Approval issued on: 7/12/2013
Record number: 92336 Fee Paid: $55.00
Notice Number: 13GA3321D Check number: 2148609
For the location specified below:
Asbestos Building Inspector:
David Sinkbeil
Cerification No.: 13015
Pump House
0001 County Road 315
Rifle
Garfield County
This notice has been issued to:
Oldcastle SW Group dba United Co.
P.O. Box 3609
Grand Junction, CO 81502
Inspection Date: 02/24/2013
Issued by: RKS
Colorado Department of Public Health and Environment
Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit
4300 Cherry Creek Drive South, APCD-IE-B1
Denver, Colorado 80246-1530
Phone: 303-692-3100 — Fax: 303-782-0278
E-mail: asbestos@state.co.us
DEMOLITION APPROVAL NOTICE
This approval notice is granted subject to Colorado Air Quality Control Commission Regulation
No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air
Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies
that the structure was inspected for asbestos, luminous exit signs (containing radioactive material),
and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the
Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B.
As a contractor, you may be subject to other demolition licenses and permits, depending on the
requirements of the county and municipality in which the work is being performed. The Colorado
Department of Public Health and Environment, Air Pollution Control Division, strongly suggests
that you check with county and municipal authorities in order to determine any other local
building/permitting requirements that must be met.
Please note that certain asbestos -containing materials (ACM) may remain in the structure
during demolition. Therefore, any demolition debris left behind after the completion of post -
demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at
the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR
1007-2, Part 1).
THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES.
Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail
(address above) and the appropriate county health department by fax. Project modifications include
changes in the scope of work or the scheduled work dates, etc.
This demolition approval notice is valid beginning 9/1/2013.
The actual scheduled work dates are from 9/1/2013 through 12/31/2013.
Approval issued on: 7/12/2013
Record number: 92337 Fee Paid: $80.00
Notice Number: 13GA3322D Check number: 2148609
For the location specified below:
Metal Shop Bldg
0001 County Road 315
Rifle
Garfield County
This notice has been issued to:
Oldcastle SW Group dba United Co.
P.O. Box 3609
Grand Junction, CO 81502
Asbestos Building Inspector:
David Sinkbeil
Cerification No.: 13015
Inspection Date: 02/24/2013