HomeMy WebLinkAboutApplicationCTc:zrfieZd Coun
I 08 fl" Street, Suite 40/, G/emvood Springs, CO 8160 I
Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306
IVED
FEB 2 4 2013
www.garlield-county.com
GARFIELD COUNTY BUILDING PERMIT APPLICATION
.Jh "''MMIINITY DEVELOPMENT If / ·~·
I Parcel No: (this information is available at the assessors office 970-9-15-9 I 3-i) l Lot No: Block No: Subd.l Exemption:
2.\1 \ -04 \ -oo -0 2-\
2 Job Address: (if an address has not been assigned, please provide CR. HIVY or Street Name & City) or and legal description
3
~ner: (property owner) ,
NC.~"-.~\~)..... 0 I \~G~'~
Mailing Address: Ph: Alt Ph:
4 Contractor: Mailing Address: Ph: Alt Ph:
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5 Manufactured home installer: Mailing Address: Ph: Lie#:
6 Architect: Mailing Address: Ph: Alt Ph:
7 Engineer: Mailing Address: Ph: Alt Ph:
Gle.nwood S+rudurcJ '11' I l. Pd·\c.i .... flc.JL Gsws q7o .Ql.S. or~5
8 Sq. Ft. of Building: Sq. Ft. or Acres of Lot: Height: No. of Floors:
9 Use of Building: I Class of Work: ~epair DResidential DCommercial 106ther DNew DAiteration 0Addition DDemo DMove
10 Describe Work:
c:..o"'cV'dL. 'f'oof ~OU!lL-Rt.~IQ.ct.
+v-~roJ ..... i~ OV"\ pu~,~
II Garage:
I Septic: Type of Heat:
DAttached DDetached OISDS DCommunity DNat. Gas OPropane DEiectric DOt her
12 Driveway Permit: Owners valuation of Work: ~\~ /2; OC!JC)
NOTICE
Authority. This application for a Building Penni! must be signed by the Owner of the property, described abO\•e, 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 Penn it cannot be issued without proof oflegal and adequate access to the property for purposes of inspections by the Building Department.
Other Ptrmits. Multiple separate penn its may be required: (I) State Elrctrical Pennit, (2) County ISDS Pennit, (3) another penn it required for use on the property identified above, e.g. State or
County Highway/ Road Access or a State Wastewater Discharge Penni!.
Void Permit. A Building Penni! 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 infonnation contained above is true and correct. I understand that the Building Department 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 Pennit will be issued granting pennission to me, as Owner,to construct the structure(s) and facilities detailed on
the submittals re••iewed by the Building Department.
In consideration oft he issuance of the Building Pennit, 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,ISDS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Penni! may be suspended or revoked, upon notice from the County, if the location,
construction or use of the strucrure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant pennission to the Building Department to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Penni! does not prevent the
Building Official from: (I) 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 Department 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 HAVE READ AND UNDERSTAND THE NOTICE & CERTI nCATION ABOVE:
\2{\
iliSW 2.-25'-l~
OWNERS SIGNATURE DATE
~j STAFF USE ONLY
Adjusted Valuation: Plan Check Fee: Permit Fee: Manu home l'ee: Mise Fees:
-f~b.O I
Total Fees: Fees Paid: Balance Due: BP No & Issue Date: ISDS No & Issued Date:
Setbacks: OCCGroup: Const Type:
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The building department will collect a Plan Review fee at time of application submittal. The Permit Fee,
as well as any Septic or Road Impact 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, understand, and will abide with the requirements of this
checklist.
Signature of Owner
Z.·Z..5-1'3
Date
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-county.com
Building Plan Review
Description of Work: Replace framed roof with concrete on pump house.
Bin#:
Location Address: 2717 CR 215
PARACHUTE, CO 81635
Case Manager: David Bartholomew
Plan Case Number: BLDG-2-13-7492
Parcel: 217104100021
Application Date: 02/25/20 13
Building
/ _____ Engineered Foundation
+Driveway Permit
_____ Surveyed Site Plan
tl/fl Septic Permit and Setbacks
---+---Grade/Topography 30%
---+---Attach Residential Plan Review List
---+--Minimum Application Questionnare
---+---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.
__ ;v,....;;j_/1 __ 40# Snowload Letter -Manu. Homes
--'!10.___../_// __ Soils Report
Thursday, March 7, 2013
Contacts
Owner: EnCana Oil and Gas
Applicant: EnCana Oil and Gas
Applicant Phone: (970)285-2656 Email: jason.eckman@enca
Planning/Zoning
/
Property Line Setbacks
/ 30ft Stream Setbacks
/ Flood Plain
/
Building height
/ Zoning Sign-off
,AJ/1"7
( Road Impact Fees
~~ HOAIDRC Approval
/ Grade/Topography 40%
/
/
Planning Issues
Subdivision Plat
General Comments:
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CONDITIONS OF PERMIT
BLC0-2-13-2758
EnCana 0
& G/Solvay Chemical
Pump Bldg Repair
2717 CR 215
Parachute, Colorado
1) ALL WORK SHALL COMPLY WITH THE 2009 IBC, AND MANUFACTURERS SPECIFICATIONS.
2) ALL WORK SHALL COMPLY WITH THE CONDITIONS OF THE CURRENT LAND USE PERMIT.
3) ALL WORK SHALL COMPLY WITH STATE AND FEDERAL REGULATIONS.
4) GARFIELD COUNTY WILL PERFORM REBAR AND FINAL/COMPLETION INSPECTIONS.
5) IF APPLICABLE, ELECTRICAL FINAL APPROVAL IS REQUIRED FOR FINAL/COMPLETION
INSPECTION.