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HomeMy WebLinkAboutApplication.pdftI U . in 2 8 7014 Community Development Department { ARFIELD COUN (Y 108 8th Street, Suite 401 MUNI I Y DEVELOPMc1''Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com Garfield County TYPE OF CONSTRUCTION El Commercial/Multi-Family ❑ Manufactured Home (SF or Duplex) ❑ Residential (SF, Duplex, or Townhome) O Demolition ❑ Reroof INVOLVED PARTIES Property Owner: Burning Mountain Land & Cattle Company, LLC Phone: Mailing Address: 105 1/2 East Alkalai Creek Rd., New Castle, CO 81647 Contractor: TBD Phone: ( ) Mailing Address: Architect: Charles Steckly Phone: ( 303 ) 832-9974 Mailing Address: 5935 S. Zang St., Suite 280, Littleton, CO 80127 Engineer: GPD Group Phone: ( 330 ) 572-2100 Mailing Address: 520 S. Main St., Suite 2531, Akron, Ohio, 44311 Manufactured Home Installer: N/A Phone: ( Mailing Address: PROJECT NAME AND LOCATION Describe Work: AT&T proposed collocation on existing wireless facility. Up to 12 panel antennas & 12'x16' equipment shelter within existing SBA compound Job Address: 105 1/2 East Alkalai Creek Rd., New Castle, CO 81647 Assessor's Parcel Number: 2123-3314-00-016 Sub. Lot Block Owner's Valuation of Work: $' P 1, 656• V-- Sq.Ft of Building: 12'x16' C.D O!-/ Class of Work: Garage: Septic: Type of Heat: Driveway Permit: El New Height: 0 Alteration 0 Attached Property Size (Sq.Ft or Acres): # of Floors: 1 8 Addition 0 Repair 0 ISDS 0 Natural Gas 0 Move/Relocation O Detached O Community 0 Propane 0 Electric 0 Other O Exempt 0 Permit #: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, 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 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 ISDS 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. vola vermis. A tsuuaing Hermit pecomes nun ana void it 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 information contained above is true and correct. 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. In consideration of the issuance of the Building Permit, I agree that land 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 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. 1 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 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 and Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. \Ik l4J/1 Property Owner Print and Sig 9 (7// /f Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: 16; 6. C19 Plan Check Fee: .9.01 Permit Fee: 661a9-0Cl, Manu home Fee: Misc Fees: N) 1 A Total Fees: 499.17 Fees Paid: s3/.0.- Balance Due: 460. to BP No: ISDS No: Bl,C0-32 NIA Setbacks: F'25,925, 5/0, OCC Group: S'2 Const Type: Tfg Zoning: R BUILDING / PLANNING DIVISION : e r04 ` Signed Approval Date dol 3°i • �?- ✓ 33 :j i9615C�av,-1�1*- ( )+A , k,. /2-q7 31)501e,d1 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 Division 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 1 have read, understand, and will abide with the requirements of this checklist. 6M/Pi Property Owner Print an Sig Date A00,,<- ATI T Pl eo15c, se/e, a LJA 1-1ti, 1- o yrilbreS47 Building Plan Review Description of Work: equipment shelter for cell communication tower Bin #: Location Address: Sec31, T05, R90 NEW CASTLE, CO 81647 General Information Contacts Case Manager: David Bartholomew Owner: Burning Mountain Land & Cattle, LLC Plan Case Number: BLDG -6-14-7983 Parcel: 212331400016 Application Date: 06/27/2014 Applicant: Buming Mountain Land & Cattle, LLC Applicant Phone: Email: Building Nj4 Nl 4 Engineered Foundation Driveway Permit Surveyed Site Plan 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 7 Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. i`///1 40# Snowload Letter - Manu. Homes A)74 Soils Report Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building height 7oning Sign -off /\/// Road Impact Fees "11'4 HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat General Comments: /Wai kj-/ /6¢ X 9 0 =-/6 S6, or' Wednesday, July 9, 2014