HomeMy WebLinkAboutApplicationGarfield County
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r1;ji. j ,; .G.le¡wood Springs, CO 81601' (970) e4s-8212
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TOM MU I.J ITY DFVELCIPMENT
TYPE OF GRADING
T] MAJOR tr MINOR
INVOTVED PARTIES
Property Owner:XTO Energy Inc.Phone:ê81 1939-4132
Mailing Address:22777 Springwoods Village Pkwy Spring, Texas 77389-1425
EmailAddress:m a rk.f .wa rren @exxon mobi I . com
Williams Phone:3 775-0527
Contractor:
Mailing Address 13781 Pacific Circle Mead, CO 80504
EmailAddress:cra¡ g. h arris@wi I I iams. com
Architect: Phone: (-)-
Mailing Address
EmailAddress:
David Bull Phone:13 517-0301
Engineer:
Mailing Address 13781 Pacific Circle Mead, Colorado 80504
EmailAddress:david. bull@williams.com
PROJECT NAME AND LOCAT¡ON
Project Na Cottonwood Com ressor station
Describe Work:See Scope of Work Attached
Job Addressi
39.481885 -1 07 .992048 SEC 34 63 95W
Assessot's Parcel Numbe 1; 217333100007
Sub.Lot _ _Block
Earthwork (square feet|:12,960 Earthwork (Cubic Yards):480
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTICE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. lf 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) eounty 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 acknowledge that I have read and understand the Notice and Cert¡fication above as well as
*Tfrt:;ff.if;:Yï:ation which is correct and accurate to the best of my knowledge.
811212022
Property Owner Print and Sign Date
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. ln 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 Build¡ng Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construct¡on
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.
OFFICIAL USE ONLY ?AlD, *too.oa ce, oß/rs /?þ2å _*,*.
Special Conditions
Perm¡t Fee:
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Misc Fees:Total Fees:
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Fees Paid,f {flr-i,á't
Balance due:
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Grading Permit:
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lssue Date:g-/v2z Zon¡nE:
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Signed Approval Date