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Home My WebLink AboutApplicationCounty Community Development Depertment 108 8th street, Suite 401 Glenwood Springs, CO 81601 (970) 94s-8212 www. garf ield-countv.com TYPE OF CONSTRUCTION Commercial/Multi-Family Manufactured Home (Sirlgle or Multi-Level) Residential (5F, Duplex or TownhgmeI Accessory Dwelling Un¡t (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET , lrvvol.eo p¡Rlgs Demolition Et:Reroof Property Owner:Chevron, USA lnc. Mailing Address:760 Horizon Drive Grand Junction, CO 81506 EmailAddressr ri ckcross@chevron.com p¡on". ¡970 )683-4073 Contractor:Chevron, USA lnc.p¡on".1970 1257-6004 Mailing Address 760 Horizon Drive Grand Junction, CO 81506 Email Address:andrewolson@chevron.com Architect: -- Phoner { ) , Mailing Address: Email Address: Engineer Granite Peak Fabrication p¡6n6. ¡307 )337-3383 Mailing Address:2291 Renauna Ave Casper, WY 82601 Email Address;memanuelson com Manufactured Home lnstaller:Phone: Malling Address Email Address: PROJECT DETAILS ott g Well Connect /Production Manifold Building 2 (Job Number GP#203455) Describe Work:lnsiallation of pre-manufactured identical production manifold I well connect buildings (Quantity 2) to be located on 368\4ff Well Pad. Buildings will be CDOH certified lob Address:36BVW Well Pad: W 1i2 SW 'll4, SECTION 36, T5S, R98W, 6th P.M Assessor,s parcel Number R290520 (213732100008) Sub.Iot Block owner's Valuation of Work; $ $500k Buildinq 2 Property size (sq. Ft. or Acres¡r 3'968 Acres sq. Ft. of Building: 520 sq ft per unit ¡¡"¡r¡,1û.5'f; of Floors: 1 Class of Work: Garage: ']En New Addition I l Attached RemodellAlteration I Detached sêptlc!)WTS communlty IType of Heatt Propane ElectrlcNatural Gas Other Author¡W. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent, lfthes¡gnaturebelowisnotthatoftheOwner,aseparateletterofauthority,slgnedby the Owner, must be provided wlth this Application. Leral Access. A BuÌlding Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Buílding Dtuision. Othêr Permlts. Multiple sepârate perm¡ts may be required: (1) State Electrical Permit, {2) County OWTS Permlt, (3) another permlt requlred for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Vold Permlt, A Building Permlt becomes null and void if the work authorl¿ed is not commenced withln 180 days of the date of lssuance and if work is suspended or abandoned for a period of 180 days after commencemènt. *¡Drlveway I l l l{o)l :lr' r. rl li r/r,\î l\, ! i(r)lil lfi l l i lLJ.{ r l D) lil(rülll.f ii irì ilti'ill ilt . !!llllo.lJ, I hereby certify that I have read this Application and that the lnformation contained above is true and correct, I understand that the Eullding Divlslon accepts the Application, along with the plans and speciflcatlons end other data submitted by me or on my behalf (submittals), based upon my cert¡f¡cation as to accuracy. Assumlng completeness of the submittäls and approval of this Applicatlon, a Buildlng Permit wlll be issued grantlng permission to me, as Owner, to constru€t the gtructure(s) and facilítles detailed on the submlttals revlewed by the Bullding Ðivlsion. ln consideration of the issuânce of the Building Permlt, I agr€e that I and my agents w¡ll comply with provislons of any federal, state or local law regulating the work and the Garfield County Bullding Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Perrnit may be suspended or revoked, upon notice ftom the County, if the location, construction or use of the structure(s) and facllity(les), descrlbed above, are not ln compllance with County Regulation(s) or any other appllcable law, I hereby grant permíssion to the Building Div¡sion to enter the property, described above, to inspect the work^ I further acknowledge that the lssuance of the Bullding Permit does not prevent the Buílding Official from: (1) reguiring the correction of errors ¡n the submittals, if any, discovered after issuance; or {2} stopping constructlon or use of the structure(s) or faclllty(les) lf such ls in vlolatlon of County Regulatlon(s) or any other applicable law. Review of this Application, including submlttals, and inspections of the work by the Bullding Division do not constitute an acceptance of responsibility or liabilþ by the County of errors, omlssions or díscrepancies, As the Owner, I acknowledge that responsibility for compliance with federal gtate and local laws and County Reguletlons rest with me and my authorl¿ed agents, lncludlng wlthout llmttet¡on my architect or I hereby acknowledge that I heve read and undarstand the Notlce end Cortmcaüon abovo, as as, hove provlded the requhed informatlon which ¡s corrêct and accurate to the bast of my knowledge. Property Owner Prlnt Sign Dete Specîal Conditlonr: Mânu. Home Feê:Misc, faes:Adiusted Valuation:tar 1c8.4s g!{IåNs: - Plan Checktee:z3c. ¡ t 'äåar Balance Due: 5z7.os ffioAfl?Fees:Total 5g I 3 c '"1ïiOCCGroup: l,const.rJä.Setbacks: BUILDING / PIANNING DIVISION : DateApproval NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf determined by the Building Official that additional lnformatlon is necessary to revlew the application and/or plans for compliance, the appllcation may be placed on hold until the required lnformation is provided. Work may not proceed wlthout the issuance of a permit, The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fêe, âs well as any Road lmpact 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. I hereby acknowledge I have read, underetand, and will ablde wlth the requlrementa ol thls checkllst, Úrørt Property Owner and Date I ,b,oÄlt4a¡"rf