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HomeMy WebLinkAboutApplicationRECËIVED :ì | i[ì ij ;ì :¡;1¡ ,9,îfr ,i,iFlP,,.,?,iil.lÏ Ø Pfoperty Ownêr: Mai[ing Address: Community Devêlopment Department 1089û street, su¡te 401 Glenwood Sprlngs, CO 81601 (970) 945-8212 www.earf ¡el d-counweoln, Clough Sheep Company LLC Phoner 618-7749 PO Box 686 Emall Address:Rifle, Colorado 81650 ContÊctor:Bargath LLC Phone:803 \77s'0527 MallingAddress:13781 Pacific Circle Mead, Colorado 80504 Email Address:craíg.harris@williams. com Engineer:David Bull Phone:irß ì 517-0301 Malllng Address:13781 Pacific Circle Mead, Colorado 80504 EmailAddress:david.bul Þroject Cfou h Tie-ln Location Describe Work:See attached scope of work. Disconnecting pipeline Job Address:39.510014 -107.916817 Sec 16 6S 94W Asgessor's Parcel Number:R019007 Êarthwork (sguare feet):12,960 Eârthwork (Cub¡c Yards):480 Garfisld County TYPE OF GRADING MINORMAJOR ¡¡ç¡¡¡E6; phone: Melllng Addressi Ëmail Address: PROJECT NAME AND IOCATION ALL UTILITIES MUST BE TOCATED PRTOR TO ANY GRADING AUthoriw. lhls êpplicat¡on for â Building Permit must s¡gned by the Owner of the property, descdbed abôve, or ¿nâuthôrizedagent. lflhes¡gnaturebelowisnotthEtoftheowner,aseparateletterofauthoriry,signedbythe Owner, musl be provided w¡th this Appliration. Lssal Access. A Buildlng Permit cannot bê lssued whhout proof of legal ¿nd adequate access to the prope.ty for purpoles of inspections by the Building Division. Other Perm¡ts. MultìplÊ separâtê pêrm¡ts may bè rèquírêd: {1} Stâtt Electricål Permìt, (2) County OWTS Permit, {3) ðnother permlt requlred for use on the Þroperty identlfied above, e.g. Sf¿te or County Highwãy,/ Roäd Access or a State wastewâter Dischârge Permit. Voldpermlt, ABulldintPermitbecomesnull ôndvoidiftheworkautholizediSnotcommencedwithinlS0daysof thr d¡tc of i¡¡u¡nce and if work i¡ ¡usoendêd or ahãnrinned for r period of 180 däys after commencement' dâtâ submitted by me or on my behalf (submittals), based upon my certificâtiôn as to accuracy. Assuming completenèss ofthe submi¡als and approval ofthîs Applîcation, a Buildlng Permit will be issued granting permission to mè, as Owner, to consÎruct the structure(s) and facilities deta¡led on the submittðls reviewed by the Building Division. tn consideratÌon ofthe issuance ofthe Bullding Permit, I agreethat I and my agents will compìy wlth provlslóns of any federð|, stäte or locäl låw reguläting thê rvork and th! G¡rfield County Building Code, oWTS .egutations and ðppllcêble lãñd use règulations (County Regulation{t}). I acknowledge that the 3u¡ldinE Permit may be suspended or revoked, upon not¡ce from the County, ¡f the location, coñslruction or use of the structure(s) ¡nd fåcility(ìesi, dascribcd ¿bôve, rre not in compli¡nce with County Regulation(6) ór any ôlhar âpplicãblP lew I hereby grânt permìssion to the Building Div¡sion to enter the propefty, descr¡bed above, to inspect the work' I funher âcknowledge thatthe ¡ssuañce ofthe Building Pemìt does noì prevent the 8u¡lding Offìc¡a¡ from: (1) requ¡ring the correction of errots jn the submittais, ¡f any, discovered attel ¡ssuance; or (2) stoppiñg construclion or use olthe structure(s) or fãciljW(iès) if such is in violatiÒn of County Regulatlon(s) or ¡ny other applicable larv, Rèv¡ew of this Applicåtion. ¡ncluding submitta¡t and ¡nspections of the work by the Buiiding Divisicn do not coñst¡þteânacceptanceofrespons¡bilityôfliâbilitybythecountyoferrofs,omissiônsordiscrepancìes. Asthe Owner, I acknowledga th¿t rcsponsibility for complìan6e wilh federal, EÞ:e and local laws anrl Counly Regul¿iions rest w¡th me and my authorl¿ed àgents, inc:uding without limitetion my architect des¡gñer, engineer end,/ or builder I hereby acknowledge thât I have read and understând the Nôt¡cê ând ãbove as well ãç I hereby certify that I have re¿d th¡s Applicat¡on ðnd that the informat¡on understand thãÌ fhe BuildinB D¡v¡s¡on eccepß the Appl¡cation, along wlth have providcd the rêqu¡red information Owner Print contained above is true and colrect, I the plans and specifications and other to the best of my knowledge. aMzz Date speclal cond¡tlonsi Fæ¡ Þ¡id:ftoo.æFeê:{tôo.'o M¡s Fe6;û -A t- 1n\tl\t4v' t t 6 Ealanæ due: -b+ 88-z?BUIIDING / PLÀNNING DIVISION DateSrgned Approva'