HomeMy WebLinkAboutApplicationDEC 16 2015
Gar.field County
Community Development Department
108 81h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
./ Commercial/Multi-Family
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex orTownhome)
INVOLVED PARTIES
I l
II
Property owner: WPX Energy Rocky Mtn, LLC
J Demolition
I Reroof
Phone: ( 970
Mailing Address: 1058 CR 215, Parachute, CO 81635
Contractor: RODI Systems Corp. Phone: (505
Mailing Address: 936 Hwy 516, NM 87410
Architect: Phone: (
Mailing Address:
Engineer: Westar Phone: ( 970
Mailing Address: 448 Will Ave., Rifle, CO 81650
Manufactured Home Installer: Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
) 285-9377
)334-5865
)
)625-2774
)
Describe Work: Install additio nal building and acc essory equipment/tanks for w ater tre atment w ithin prev iously permitted fa cility.
Received approved minor amendment to an approved Land Use Change Permit -LPAA-12-15-8409
Township SS , 96W, 6th PM Sec 35 : Lot 16 . Sec ti on 36: Lots 3,4,5,6 , NE/4 SW/4 , NW/4 SE/4
Job Address: Townshio 75. 96W. 6th PM Sec 1 : Lots 3.4 SW 1/4 NW 1/4. Sec 2: Lot 1
Assessor's Parcel Number: 2171-363-00-007 Sub. Lot Block --
Owner's Valuation of Work:$ 192,500 Property Size (Sq. Ft. or Acres): 383. 78 +/-
Sq. Ft. of Building: 3, 153 Height: 9 ft. # of Floors: 1
Class ef Werk: DNew I 0Alteration IWAddition DRepair I D Move/Relocation
Ga race : D Attached D Det ached
Se11tic: OOWTS Dcommunity
Ty11e ef Heat: c:::JJatural Gas I 0Propan e I II1Elec t ric I 00ther
•riveway ftermit: 0Exempt 0Permit#:
I
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, 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.
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.
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.
CERTIFICATION
I hereby certify that I have read this Application 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 Permit 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. Jn consideration of the issuance of the Building Permit, I agree that I and my agents will 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)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the location, construction or use of the 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 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/ or
builder.
I hereby acknowledge that I h e read and understand the Notice and Certification above, as well as,
ation which is correct and accurate to the best of my knowledge.
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home Fee: Misc Fees:
142-O'?f./8
Total Fees:
Setbacks: OCCGroup:
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Building/ Zoping Plan Review Checklist
PermitNumber: $LL0-/2-/..> .... <fo//
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Building
Engineered Foundation
Driveway Pe r mit
_ Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign Application
Parcel/ Schedule No .
. 40# Snowload Letter-Manu. Homes
Soils Report
Planning/ Zoning
/ Property Line Setbacks
___ / __ 30 ft . Stream Setba cks
/ Flood Plain
__ / __ Building He ight
/
----Zoning Sign -Off
IJ(A Road Impact Fees
__ / __ Grade/ Topography 40%
__ /......,...._ Planning Issues
__ / __ Subd ivision Plat
General Comments:
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