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Home My WebLink AboutApplicationGurfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 l970ls4s-82L2 www.ßarfield-countv.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION tr Com mercial/M ulti-Fa mily Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 FEET INVOLVED PARTIES Property Owner: Mailing Address: Public Service Company of Colorado phone:f303 r571-3708 1123W 3rd Ave Denver, CO 80223 Emait Addresr. Danny Tran kaiser. d. tran @xcelenergy. com Contractor:Black Eagle Energy Services Phone: (_)_ Mailing Address 230 Commerce Dr Berthoud, CO 80513 Email Address:i nfo@blackeag leenergyservices. com Architect: Wood Group (Rick Schlitt)p¡on". ¡303 1906-2506 Mailing Address 4057 Camelot Circle Email Address:Rick. Sch I itt@wood plc. com Engineer:ENTRUST (Brian Pelepchan)p¡on".1303 f05-2818 Mailing Address 9777 Pyramid Court Suite 300 Englewood, CO 80112 Email Address: Manufactured Home lnstaller:N/A Phone: ( ) Mailing Address Email Address: PROJECÍ DETAITS Describe Work:lnstalling a 10'x 10' building at PSCo's existing Valve Set; Per federal mandate for safety Job Address:500 Prefontaine Ave. Rifle, CO 81650 Assessor's Parcel Number:217708400012 Sub.Not Listed lot _ Block Owner's Valuation of Work:1 60k Property Size (Sq. Ft. or Acres): Sq. Ft. of Building:100 sq ft.Height: 9' 6/5"aPProx. ¡ o¡ p 1 .24 acres Class of Work:{New Remodel/Alteration Addition Garage:Attached Detached PROJECT DETAITS CONTINUED Septic:CWTS Community Type of Heat:Natural Gas Propane Electric T Other Driveway Permit: pt Permit #: NOTICE Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove, 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) County OWTS Permit, (3) another permit required for use on the property identif¡ed 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. CERT¡FICATION 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 Applicat¡on, 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)). All County development requiring a permit, except for residential uses are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon not¡ce from the County, if the location, construction or use of the structure(s) and fac¡l¡ty(¡es), 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 acceptanceof responsibilityorliabilitybytheCountyoferrors,omissions,ordiscrepancies. AstheOwner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without l¡mitation my architect designer, engineer and/ or builder. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. Agent for PSCo/ Xcel Energy Right of Way and Pcrmits Property Owner Print and Sign Date 8128123 f (n1c>q q- Lo-ã3 Special Conditions: Adiusted Valuation: ü a-r Plan Check Fee:'TH2\7.1Ò Paid â-\I Manu, Home Fee:Misc. Fees¡ Total Fees: ü11ã.15 BP No: E-vo-6m5 OWTS No: Setbacks:OCC Group: -r1\).1- Const. Type:\fÉ '"WL. lÕ.æ-4BUILDING / PTANNING DIVISION : Approval Date